What is a Stereotactic Breast Biopsy?

Lumps or abnormalities in the breast are often detected by physical examination, mammography, or other imaging studies. However, it is not always possible to tell from these tests whether a growth is benign or cancerous.

Image-guided biopsy is performed when the abnormal area in the breast is too small to be felt, making it difficult to locate. In stereotactic breast biopsy, a special mammography machine uses radiation to help guide the radiologist's instruments to the abnormal site. Stereotactic mammography pinpoints the exact location of a breast mass by using a computer and x-rays taken from two different angles. Using these coordinates, the radiologist inserts the needle through the skin, advances it into the lesion and removes tissue samples, which are then sent for testing.

A state-of-the-industry technology, Hologic Stereotactic Breast (HSB) Biopsy is an alternative to open surgical biopsy. Using Digital Spot Mammography with Cartesian Coordinates for accurate targeting allows your radiologist to precisely locate, view and biopsy the questionable areas. Less invasive than traditional surgical biopsies, recovery times are shorter and more comfortable.

  • No external scarring of the breast, and no internal scar to interfere with future mammogram readings
  • No lengthy wait for test results. Your healthcare provider can tell you when to expect yours
  • No exposure to general anesthesia
  • No prolonged recovery period

Q. Will a board-certified radiologist interpret my examination?

A. The American College of Radiology (ACR) recommends that properly qualified physicians interpret all imaging examinations. A radiologist who is certified by the American Board of Radiology will clearly meet this recommendation. In its practice guidelines, the ACR defines alternative pathways for physician qualification.

Q. Is the imaging facility formally accredited to perform my examination?

A. The ACR has a comprehensive program of facility accreditation for radiation oncology, MRI, CT, nuclear medicine, PET, ultrasound, mammography, breast ultrasound and stereotactic breast biopsy. Equipment and personnel must meet specific qualifications, and a high level of image quality is required for this accreditation. Other accrediting bodies exist and may also be acceptable provided their criteria are at least as rigorous as those of the ACR. Search for facilities accredited by the ACR.