What are the other Names for the Procedure?
- Breast Biopsy through Ultrasound
- Breast Biopsy via Ultrasound
- Ultrasound-Guided Breast Biopsy
What is Ultrasound-Guided Biopsy of the Breast radiology procedure? (General Explanation)
- A breast biopsy is used to determine, if a suspicious lump of cells in the breast is cancerous or benign
- A breast biopsy may be performed using ultrasound, fine needle aspiration (FNA), wire localization, vacuum-assisted device (VAD), and core needle (CN)
- Ultrasound guidance is used in biopsy to guide the instrument to the suspicious tissues or mass in the breast; hence, the procedure is termed Ultrasound-Guided Biopsy of Breast
What part of the Body does the Procedure involve?
The Ultrasound-Guided Breast Biopsy procedure involves the chest area of the body.
Why is the Ultrasound-Guided Biopsy of the Breast radiology procedure Performed?
- The Ultrasound-Guided Breast Biopsy procedure is used to identify suspicious mass or any abnormal tissue in the breast
- It can be used in different biopsy procedures, such as using ultrasound, fine needle aspiration (FNA), wire localization, vacuum-assisted device (VAD), and core needle (CN)
What is the Equipment used? (Description of Equipment)
The equipment for ultrasound imaging consists of:
- An ultrasound transducer
- A computer monitor
- A central processing unit
- A printer
A transducer is used to send high-frequency sound waves in the body and the computer creates the image based on the echoes of that sound returning from the patient’s body.
Different biopsies use different types of instruments, such as a fine needle, core needle, thin wire, or vacuum-assisted device.
- A fine needle attached to a syringe that is smaller than needles, normally used to draw blood
- A core needle, or an automatic spring-loaded needle, which consists of an inner needle connected to a channel, or shallow receptacle, with a covering and attached to a spring-loaded mechanism
- A vacuum-assisted device (VAD), which uses a vacuum to aid in obtaining larger sections of tissue
What are the Recent Advances in the Procedure?
There have been no recent advances to replace the Ultrasound-Guided Breast Biopsy procedure.
What is the Cost of performing the Ultrasound-Guided Biopsy of the Breast radiology procedure?
The cost of the Ultrasound-Guided Breast Biopsy procedure depends on a variety of factors, such as the type of your health insurance, annual deductibles, co-pay requirements, out-of-network and in-network of your healthcare providers and healthcare facilities.
In many cases, an estimate may be provided before the procedure. The final amount depends upon the findings during the surgery/procedure and post-operative care that is necessary.
When do you need a Second Opinion, prior to the Procedure?
- It is normal for a patient to feel uncomfortable and confused with a sudden inflow of information regarding USG Breast Biopsy procedure and what needs to be done
- If the patient needs further reassurance or a second opinion, a physician will almost always assist in recommending another physician
- Also, if the procedure involves multiple steps or has many alternatives, the patient may take a second opinion to understand and choose the best one. They can also choose to approach another physician independently
What are some Helpful Resources?
http://www.radiologyinfo.org/en/info.cfm?pg=breastbius (accessed on 08/03/2014)
Prior to Ultrasound-Guided Biopsy of the Breast radiology procedure:
How does the Ultrasound-Guided Biopsy of the Breast radiology procedure work?
A Breast Biopsy through Ultrasound works in the following manner:
- The ultrasound procedure works on similar principles used in sonar by submarines, to determine the size and shape of the object and how far away the object is
- The transducer sends out high frequency sound waves in the body. When sound waves echo back from the body, the microphone in the transducer records the changes in the sound
- And using the changes in the sound, it is possible to determine the shape, size, or any other changes in the structure of the organ
- Using the change in the echoed sound, a computer produces a picture in real-time on the screen
- Doppler ultrasound is used to determine the direction and speed of the blood cells
- Using ultrasound, the location of the suspicious mass is determined, and a biopsy needle inserted and guided into the mass
How is the Ultrasound-Guided Biopsy of the Breast radiology procedure Performed?
A Breast Biopsy through Ultrasound is performed in the following manner:
- The patient lies face-up on the table
- Local anesthesia is injected to numb the breast
- The ultrasound transducer is placed on the breast and the suspicious mass located
- A biopsy needle is inserted and guided to the suspicious mass by monitoring the advancement of the needle on the computer
- A tissue sample is removed and the opening of the skin is covered
- Pressure is applied at the site of needle insertion, to avoid bleeding
- A marker may be put to locate the site in future
Where is the Procedure Performed?
An USG Breast Biopsy procedure is performed as an outpatient procedure, at a hospital.
Who Performs the Procedure?
An USG Breast Biopsy procedure is usually done by a radiology technologist, under the supervision of a radiologist.
How long will the Procedure take?
The Ultrasound-Guided Biopsy of Breast procedure takes about an hour.
Who interprets the Result?
- The tissue removed from the Ultrasound-Guided Breast Biopsy procedure is sent to the pathologist
- The pathologist will examine the tissue under a microscope and give the results to the interventional radiologist
What Preparations are needed, prior to the Procedure?
The following preparations may be needed prior to an Ultrasound-Guided Biopsy of Breast procedure:
- The physician may evaluate the individual’s medical history to gain a comprehensive knowledge of the overall health status of the patient, including information related to the medications that are being currently taken
- Do inform the medical professional if you have a history of any medical conditions, such as a heart disease, asthma, diabetes, or kidney disease
- Do inform the medical professional about any allergies, especially related to barium or iodinated contrast material, which may be used in the procedure
- The patient may be asked to stop taking certain medications, such as aspirin or other blood thinners, before such biopsies are performed
- It is advisable to wear comfortable and loose clothes. Avoid wearing any metal objects or jewelry, as it may interfere with the procedure
- It is highly recommended to inform your healthcare professional, if you are pregnant or breastfeeding
- The patient may be asked to avoid eating or drinking, several hours before the test
- Patients may be required to be driven home, after the procedure
What is the Consent Process before the Procedure?
A physician will request your consent for an Ultrasound-Guided Breast Biopsy procedure using an Informed Consent Form.
Consent for the Procedure: A “consent” is your approval to undergo a procedure. A consent form is signed after the risks and benefits of the procedure, and alternative treatment options, are discussed. This process is called informed consent.
You must sign the forms only after you are totally satisfied with the answers to your questions. In case of minors and individuals unable to personally give their consent, the individual’s legal guardian or next of kin, shall give their consent for the procedure.
What are the Benefits versus Risks, for this Procedure?
Following are the benefits of the Ultrasound-Guided Biopsy of Breast procedure:
- The recovery time is relatively brief
- The procedure is not as expensive as a surgical biopsy or a stereotactic biopsy
- It is less invasive than a surgical biopsy
- The procedure can be performed in a short amount of time
- The ultrasound does not involve the use of any ionizing radiation
- In ultrasound biopsy, the needle movement can be followed in real-time, as it moves to the abnormal tissue mass
- It is a very helpful tool to examine lumps under the arm or near chest wall
Following are the risks of the Ultrasound-Guided Biopsy of Breast procedure:
- Any procedure, where the skin is penetrated carries a risk of infection. Although, the probability of an infection requiring antibiotic treatment, is less than 1 per 1,000 procedures
- If a biopsy is done to remove deep tissues in the breast, there is a rare chance that the needle may pass through the chest wall and cause a lung collapse
- As the vacuum-assisted device removes a large tissue sample, there is a rare chance of bleeding that may cause a hematoma
What are the Limitations of the Ultrasound-Guided Biopsy of the Breast radiology procedure?
Following are the limitations of the Ultrasound-Guided Biopsy of Breast procedure:
- This procedure may not present the severity/seriousness of the disease; or it may miss the lesion. In such cases, surgical biopsies may be necessary
- Any calcification in the cancerous nodules may not be clearly visible through this examination
- If calcium deposits are scattered around the breast, it may be difficult to visualize the region
- The presence of small, suspicious masses may make for difficult detection, with ultrasound guided biopsy
What are some Questions for your Physician?
Some of the basic questions that you might ask your healthcare provider or physician are as follows:
- What is the Ultrasound-Guided Breast Biopsy procedure?
- Why is this procedure necessary? How will it help?
- How soon should I get it done? Is it an emergency?
- Who are the medical personnel involved in this procedure?
- Where is the biopsy procedure performed?
- What are the risks while performing the procedure?
- What are the complications that might take place, during recovery?
- What are the possible side effects from the procedure? How can I minimize these side effects?
- How long will it take to recover? When can I resume normal work?
- How many such procedures have you (the physician) performed?
- Are there any lifestyle restrictions or modifications required, after the procedure is performed?
- Are there any follow-up tests, periodic visits to the healthcare facility required, after the procedure?
- What are the costs involved?
During the Ultrasound-Guided Biopsy of the Breast radiology procedure:
What is to be expected during the Ultrasound-Guided Biopsy of the Breast radiology procedure?
The following may be expected during the USG Breast Biopsy procedure:
- The patient may feel some pain, due to needle insertion into the skin
- The patient may feel a little discomfort, as he/she has to lie face down for an extended period of time
What kind of Anesthesia is given, during the Procedure?
A local anesthesia will be injected to numb the path of the needle, during the USG Breast Biopsy procedure.
How much Blood will you lose, during the Procedure?
There is minimal blood loss involved, during an Ultrasound-Guided Breast Biopsy procedure.
What are the possible Risks and Complications during the Ultrasound-Guided Biopsy of the Breast radiology procedure?
The possible risks of the Ultrasound-Guided Breast Biopsy procedure include:
- During the procedure, there is a slight risk of infection, since the skin is penetrated by a needle. However, this risk is very low; it is less than 1 in 1000 procedures
- In case the biopsy is performed to remove deep breast tissues, there is an associated (and rare) risk that the needle might pass through the chest wall and damage/collapse the lung
- In case the vacuum-assisted device removes a large tissue sample, there is a rare chance of a hematoma, due to bleeding
What Post-Operative Care is needed at the Healthcare Facility after the Ultrasound-Guided Biopsy of the Breast radiology procedure?
There is no postoperative care necessary after the USG Breast Biopsy procedure, at the healthcare facility.
After the Ultrasound-Guided Biopsy of the Breast radiology procedure:
What is to be expected after the Ultrasound-Guided Biopsy of the Breast radiology procedure?
The following may be expected after the Breast Biopsy through Ultrasound procedure:
- The doctor may recommend taking over-the-counter pain medication, if there is swelling after the procedure
- A marker may be left at the biopsy site, in order to locate it for future purposes; however, this does not cause any additional pain or discomfort to the individual
When do you need to call your Physician?
If there are any signs, such as swelling, bleeding, or redness in the breast following an Ultrasound-Guided Breast Biopsy procedure, the physician should be informed about it.
What Post-Operative Care is needed at Home after the Ultrasound-Guided Biopsy of the Breast radiology procedure?
There is no postoperative care necessary after the Ultrasound-Guided Breast Biopsy procedure.
How long does it normally take to fully recover, from the Procedure?
In most cases, the patient needs no recovery time after the Ultrasound-Guided Breast Biopsy; they may return to their normal activities, 24 hours after the procedure.
What happens to tissue (if any), taken out during the Procedure?
The tissue is taken for further examination and later disposed as per the standard medical procedure.
When should you expect results from the pathologist regarding tissue taken out, during the Procedure?
- The tissue removed is processed in the laboratory under a pathologist's supervision.
- Slide(s) are prepared once the tissue is processed and is examined by a pathologist and a pathology report issued.
- Depending on the complexity of the case, issue of the report may take anywhere between 72 hours to a week's time
Who will you receive a Bill from, after the Ultrasound-Guided Biopsy of the Breast radiology procedure?
It is important to note that the number of bills that the patient may receive depends on the arrangement the healthcare facility has with the physician and other healthcare providers.
Sometimes, the patient may get a single bill that includes the healthcare facility and the consultant physician charges. Sometimes, the patient might get multiple bills depending on the healthcare provider involved. For instance, the patient may get a bill from:
- The hospital, where the procedure is performed
- The radiologist, performing the procedure
- Healthcare providers, physicians, who are involved in the process
The patient is advised to inquire and confirm the type of billing, before the Ultrasound-Guided Breast Biopsy is performed.