A Mechanical, Three-Dimensional, Ultrasound-Guided Breast Biopsy Apparatus (original) (raw)

Abstract

We have designed a prototype three-dimensional ultrasound (US) guidance apparatus to improve breast biopsy outcomes. Features from stereotactic mammography and free-hand US guided biopsy have been combined with 3D US imaging. This breast biopsy apparatus (BBA) accurately guides a needle into position for firing into target tissue. We have evaluated the BBA in three stages. First, by testing the placement accuracy of a needle in a tissue mimic. Second, with tissue mimic phantoms that had embedded lesions for biopsy. Finally, by comparison to free-hand US-guided biopsy, using chicken breast phantoms. The first two stages of evaluation quantified the mechanical biases in the BBA. Compensating for these, the BBA achieved a 96% success rate in targeting 3.2 mm ‘lesions’ in chicken breast phantoms. The expert radiologists performing biopsies with free-hand US guidance achieved a 94% success rate. This has proven an equivalence between our apparatus and free-hand biopsy, for 3.2 mm lesions in vitro, with a 95% confidence.

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Authors and Affiliations

  1. Imaging Research, Robarts Research Institute, London, Canada
    Kathleen J. M. Surry, Wendy L. Smith, Gregory R. Mills, Donal B. Downey & Aaron Fenster
  2. Medical Biophysics, University of Western Ontario, London, Canada
    Wendy L. Smith & Aaron Fenster
  3. Radiology, London Health Sciences Centre, London, Canada
    Donal B. Downey & Aaron Fenster

Authors

  1. Kathleen J. M. Surry
  2. Wendy L. Smith
  3. Gregory R. Mills
  4. Donal B. Downey
  5. Aaron Fenster

Editor information

Editors and Affiliations

  1. Image Sciences Institute, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands
    Wiro J. Niessen & Max A. Viergever &

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© 2001 Springer-Verlag Berlin Heidelberg

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Surry, K.J.M., Smith, W.L., Mills, G.R., Downey, D.B., Fenster, A. (2001). A Mechanical, Three-Dimensional, Ultrasound-Guided Breast Biopsy Apparatus. In: Niessen, W.J., Viergever, M.A. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2001. MICCAI 2001. Lecture Notes in Computer Science, vol 2208. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-45468-3\_28

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