Image-guided breast biopsy

Image-guided breast biopsy has become an attractive alternative to wire-loc alized excisional biopsy to evaluate women with nonpalable abnormalities de tected by breast imaging. We have organized a database from our institution that includes over 3,500 procedures. We have reviewed our institutional re sults and the literature pertaining to image-guided breast biopsy. Discusse d in this review are the indications and contraindications for image-guided biopsy, common techniques employed, accuracy based on pathology, reimburse ment issues, and the multidisciplinary approach used at our institution. Th e results of our review affirm our position that image-guided breast biopsy is the preferred technique to evaluate women with nonpalpable breast imagi ng abnormalities. (C) 2001 Wiley-Liss, Inc.