1. Stereotactic Breast Biopsy: Pitfalls and Pearls
Monica L. Huang, MD, Beatriz E. Adrada, MD, Rosalind Candelaria, MD, Deborah Thames, RT (R)(M)(QM), Debora Dawson, RT (R)(M), Wei T. Yang, MD 
Techniques in Vascular & Interventional Radiology 
Volume 17, Issue 1, Pages (March 2014)
DOI: /j.tvir
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2. Figure 1
Sterile biopsy tray includes, from left to right, scalpel, probe guide, skin-cleansing sponge, syringes for administration of local anesthesia, tweezers, and gauze. Syringes contain (A) 3mL of 1% lidocaine buffered with sodium bicarbonate (9:1 mixture) for skin and subcutaneous anesthesia, (B) 10mL of 1% lidocaine with epinephrine buffered with sodium bicarbonate (9:1 mixture) for deep breast parenchyma anesthesia, and (C) 10mL of 1% lidocaine with epinephrine buffered with sodium bicarbonate (9:1 mixture) for deep breast parenchyma anesthesia to be administered via the probe (if possible). (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 32-39DOI: ( /j.tvir )
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3. Figure 2
Prone stereotactic biopsy table. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 32-39DOI: ( /j.tvir )
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4. Figure 3
Stereotactic biopsy device attached to a mammography or tomosynthesis unit with the patient in the lateral decubitus position. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 32-39DOI: ( /j.tvir )
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5. Figure 4
Selected single-slice craniocaudal images of tomosynthesis-guided stereotactic biopsy for architectural distortion. (A) Scout tomosynthesis target slice image. (B) Postbiopsy tomosynthesis slice image demonstrating successful biopsy of the lesion, with clip in place.
Techniques in Vascular & Interventional Radiology  , 32-39DOI: ( /j.tvir )
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6. Figure 5
Images from biopsy performed using a prone stereotactic biopsy table with targeting calipers placed on the lesion. (A) Nonangle single target image. (B) Prefire image pair at −15° and +15° from midline. (C) Postfire image pair. (D) Images obtained immediately after clip deployment, with the needle still in the breast. (E) Mammograms obtained after clip deployment.
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7. Figure 6
Breast bolstering to increase the thickness of the compressed breast tissue. (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 32-39DOI: ( /j.tvir )
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8. Figure 7
Double-paddle maneuver to increase the thickness of the compressed breast tissue. (Color version of figure is available online.)
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9. Figure 8
Arm-through-the-hole maneuver to access posterior or superior breast tissue. (A) The patient holds on to the rail of a stepping stool for support using the hand on the affected side. (B) The affected arm is on a stand for support. (Color version of figure is available online.)
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10. Figure 9
Specimen from stereotactic biopsy (A) and corresponding specimen radiograph (B). (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 32-39DOI: ( /j.tvir )
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11. Figure 10
Specimen cores from stereotactic biopsy (A) with area of calcifications inked for the pathologist (B). (Color version of figure is available online.)
Techniques in Vascular & Interventional Radiology  , 32-39DOI: ( /j.tvir )
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