Evaluating imaging-pathology concordance and discordance after ultrasound-guided breast biopsy

Ultrasonography. 2018 Apr;37(2):107-120. doi: 10.14366/usg.17049. Epub 2017 Aug 19.

Abstract

Ultrasound (US)-guided breast biopsy has become the main method for diagnosing breast pathology, and it has a high diagnostic accuracy, approaching that of open surgical biopsy. However, methods for confirming adequate lesion retrieval after US-guided biopsy are relatively limited and false-negative results are unavoidable. Determining imaging-pathology concordance after US-guided biopsy is essential for validating the biopsy result and providing appropriate management. In this review article, we briefly present the results of US-guided breast biopsy; describe general aspects to consider when establishing imaging-pathology concordance; and review the various categories of imaging-pathology correlations and corresponding management strategies.

Keywords: Biopsy; Breast; Ultrasonography.

Publication types

  • Review