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, Brittany Z Dashevsky, MD, DPhil Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA Corresponding author: Brittany Z. Dashevsky (bdashev@stanford.edu) Search for other works by this author on: Oxford Academic Mohamed S Muneer, MBBS Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA Search for other works by this author on: Oxford Academic Meng Hao, MD Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA Search for other works by this author on: Oxford Academic Tie Liang, PhD Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA Search for other works by this author on: Oxford Academic Irene L Wapnir, MD Department of Surgery, Stanford University School of Medicine , Palo Alto, CA , USA Search for other works by this author on: Oxford Academic Steven P Poplack, MD Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA Search for other works by this author on: Oxford Academic
Journal of Breast Imaging, wbae024, https://doi.org/10.1093/jbi/wbae024
Published:
22 May 2024
Article history
Received:
27 December 2023
Editorial decision:
19 March 2024
Published:
22 May 2024
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Brittany Z Dashevsky, Mohamed S Muneer, Meng Hao, Tie Liang, Irene L Wapnir, Steven P Poplack, SCOUT® Radar Localization at Time of Breast Biopsy, Journal of Breast Imaging, 2024;, wbae024, https://doi.org/10.1093/jbi/wbae024
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Abstract
Objective
Evaluate surgical utilization of SCOUT reflectors placed at breast biopsy.
Methods
Consent was waived for this retrospective IRB-approved, HIPAA-compliant study. Breast biopsy examinations that reported the term “SCOUT” between January 2021 and June 2022 were identified using an institutional search engine. Cases were included if a SCOUT reflector was placed at time of breast biopsy and excluded if lesion pathology was already known. Analysis was performed at the lesion level. A multivariate-regression analysis evaluated 6 variables with potential impact on SCOUT utilization.
Results
One hundred twenty-one lesions in 112 patients met inclusion criteria. Biopsy yielded 93% (113/121) malignant, 3% (4/121) elevated risk, 2% (2/121) benign-discordant, and 2% (2/121) benign-concordant results. Two cases lost to follow-up were excluded. SCOUT reflectors were utilized for lumpectomy (58%, 69/119 lesions) and excisional biopsy (6%, 7/119 lesions). SCOUTs were not utilized due to mastectomy (23%, 27/119), subsequent wire localization (2%, 2/119), and nonsurgical cases (12%, 14/119). Reflector placement utilization was 52% higher for findings less than 3.5cm in size (P <.001), 33% higher in patients without prior treated breast cancer (P = .012), and 19% higher in patients with no suspicious ipsilateral lymph node (P = .048).
Conclusion
SCOUT reflector placement at time of biopsy was utilized for surgery 64% (76/119) of the time, although most (98%, 119/121) biopsies were malignant, elevated risk, or benign-discordant. Factors increasing reflector utilization include smaller lesion size, no suspicious ipsilateral lymph node, and no prior treated breast cancer.
breast ultrasound, breast biopsy, breast localization
© Society of Breast Imaging 2024. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)
Topic:
- biopsy
- bone wires
- radar
- surgical procedures, operative
- breast
- lymph nodes
- mastectomy
- pathology
- breast cancer
- breast lumpectomy
- excisional biopsy
- breast biopsy
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GBP £44.00
USD $55.00
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