Evidence map›Paper›PMID 28267361›Full record

ArticleAJR. American journal of roentgenology2017

Volume Navigation Technique for Ultrasound-Guided Biopsy of Breast Lesions Detected Only at MRI.

Erkin Aribal, Derya Tureli, Fikret Kucukkaya, Handan Kaya

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Article in AJR. American journal of roentgenology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Future of Breast Radiology.European journal of breast health · 2023
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Position-based modeling of lesion displacement in ultrasound-guided breast biopsy.International journal of computer assisted radiology and surgery · 2019
    Article
  11. Article
  12. Article
  13. Real-time ultrasound-MRI fusion image virtual navigation for locating intraspinal tumour in a pregnant woman.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Article
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Erkin Aribal1 Department of Radiology, Marmara University School of Medicine, Istanbul, Turkey.
Derya Tureli2 Radiology Clinic, Umraniye Training and Research Hospital, Elmalikent M. Adem Yavuz C. No. 1, Umraniye 34764, Istanbul, Turkey.
Fikret Kucukkaya1 Department of Radiology, Marmara University School of Medicine, Istanbul, Turkey.
Handan Kaya3 Department of Pathology, Marmara University School of Medicine, Istanbul, Turkey.
Marmara University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study is to assess the utility of a volume navigation technique (VNT) for ultrasound-guided biopsy of MRI-detected, but sonographically ambiguous or occult, breast lesions. SUBJECTS AND

methodsWithin a recruitment period of 13 months (January 1, 2014, through February 1, 2015), 22 patients with 26 BI-RADS category 4 or 5 lesions that were detected at MRI but missed at second-look ultrasound were reimaged using a rapid sequence and a flexible body coil in a 3-T MRI scanner. Patients were supine, with three skin markers placed on the breasts. MRI volume data were coregistered to real-time ultrasound in a dedicated platform, and MRI-detected lesions (six masses, 11 nonmass enhancements, eight foci, and one architectural distortion) were sought using VNT-guided ultrasound. Five needle biopsy specimens were obtained either from each sonographically detected lesion (n = 11) or from VNT-guided sonographically localized breast volume corresponding to the MRI-detected, but still ultrasound-occult, lesions (n = 15).

resultsHistopathologic analysis revealed 18 benign and six malignant lesions. The remaining two lesions, both of which appeared as masses at MRI, were high risk and were upgraded to carcinoma after excisional biopsy. All malignant lesions underwent curative surgery; the final histopathologic diagnoses remained unchanged. Of the six malignant lesions, one was a mass, three were nonmass enhancements, and two were enhancing foci at MRI. Three malignant lesions were occult at ultrasound, and three were discerned as subtle hypoechoic changes. No benign lesion was sonographically visualized as a mass, and none progressed, with 56% disappearing at MRI performed during the follow-up period (mean, 14 months).

conclusionCoregistration of MRI and real-time ultrasound enables sonographic localization of breast lesions detected at MRI only. VNT is a feasible alternative to MRI-guided biopsy of ultrasound-occult breast lesions.

Indexed as

Image EnhancementImaging, Three-DimensionalMagnetic Resonance ImagingAdultAgedBreast NeoplasmsEndoscopic Ultrasound-Guided Fine Needle AspirationFalse Negative ReactionsFemaleHumansMiddle AgedReproducibility of ResultsSensitivity and SpecificitySubtraction TechniqueTumor Burdenbreast lesionbreast ultrasoundMRIultrasound-guided biopsyvolume navigation technique

Identifiers

PMID28267361
OpenAlexW2592880144

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.