Significance of results
for radiography
Both breast MRI and the bioptic
MRI-guided procedures, prove to be a
fundamental clinical tool and allow the
breast team to designate an optimized
and personalized treatment, based on
the characteristics of the lesion and the
real extent of the disease (De Falco A. D.
et al. 2016.) The radiographers performs
tasks of fundamental importance start-ing
from the preparation of the room and
the patient. Radiographer takes care of
washing and disinfecting all the instru-ments
used, of reorganize the dedicat-ed
instrumentation and of prepare the
magnet room on the basis of the next
MRI examination. During the execution
phase of the procedure, at least two ra-diographers
must always be present: the
first will be responsible exclusively for
the acquisition of the MRI sequences,
while the second one will provide sup-port
to the radiologist, to the patient
and will manage the MRI Atec facili-ty
(Parker & Burbank 1996).The Physi-cian
and radiographers who perform the
MRI-guided procedures must be familiar
with the VAB procedure under radio-ste-reotactic
guidance. It is also useful to
underline that, in order to perform an
optimal procedure, the collaboration be-tween
the radiographer and the radiol-ogist
is fundamental: each of these two
professionals, in fact, carries out specif-ic
and precise tasks, and could not com-plete
the biopsy without the help of the
other members of the team
The undisputed limit of the MRI
guided biopsy, at least for what con-cerns
the Italian work environment, is
constituted by the small number of cen-ters
that perform the procedure. From
the economic point of view, in fact,
high costs and expenses, such as those
necessary for the dedicated instrumen-tation,
are not sustainable in relation
to the relatively low percentage of pro-cedures
that would be performed. The
28 Kliininen Radiografiatiede 2021
most important development in the fu-ture
italian working world could therefo-re
concern precisely this aspect: the use
of greater resources in order to obtain a
more extensive increase in an innovati-ve
procedure, essential to ensure opti-mal
treatment for all patients with su-spected
breast lesions.
REFERENCES
De Falco A D, Rollo M, Pascalis N, Totaro M
Giganti R, Corcione S. 2016. Biopsie e cen-traggi
mammari RM-guidati. Il Giornale
Italiano di Radiologia Medica 3, 790-798.
Parker SH, Burbank F. 1996. A practical ap-proach
to minimally invasive breast biop-sy.
Radiology RSNA 200 (1), 11-20.
Burtea C, Laurent S, Vander Elst L, Muller
RN. 2008. Contrast Agents: Magnetic Res-onance.
In: Semmler W., Schwaiger M.
(eds) Molecular Imaging I. Handbook of
Experimental Pharmacology, vol 185/1.
Springer, Berlin, Heidelberg. https://www.
ncbi.nlm.nih.gov/pubmed/18626802
(19/07/2019).
Perlet C, Heywang‐Kobrunner SH, Heinig A,
Sittek H, Casselman J, Anderson I, Taourel
P. 2006. Magnetic resonance-guided, vac-uum-
assisted breast biopsy. Cancer 106
(5), 982-990. https://doi.org/10.1002/cn-cr.
21720
Morris EA, Liberman L, Dershaw DD, Ka-plan
JB, LaTrenta LR, Abramson AF, Bal-lon
DJ. 2002. Preoperative MR imag-ing-
guided needle localization of breast
lesions. American Journal of Roentgenol-ogy
178:5, 1211-1220.
Contact information
of contact person
Marta Penone; Bachelor’s Degree in
Medical Radiology Technique and Ra-diotherapy
at University of Turin; Ra-diology
Technician at “Poliambulatorio
Larc” (Turin);
E-mail address:
martapenone.96@gmail.com
- marta.penone@edu.unito.it
/www
/18626802
/cn-cr
link
link
