Intraoperative radiography of radioguided biopsy of non-palpable breast lesions specimens by a dedicated equipment (Faxitron®)

Abstract

Objectives: To report the experience with the use of a dedicated machine for breast specimens radiography (Faxitron®). Methods: From March 2010 to March 2011, 112 radioguided breast biopsies (ROLL) for non-palpable lesions were performed. In all cases, the excised tissue samples were radiographed by the dedicated equipment, inside the Surgical Center area. Results: The images were seen in a computer monitor screen almost instantaneously (after about 30 seconds) and showed excellent visual quality. The surgical targets were observed in the first specimen in 109 of the 112 cases (97.3%). In the other cases, supplementary excisions were needed to allow the target removal. Conclusions: The radioguided occult lesion localization technique for non-palpable breast lesions is highly efficient, but the specimen radiographic confirmation is mandatory to check the target removal. The radiography of breast biopsies specimens through the equipment (Faxitron®) is easy, safe and very fast.