Biopsy marker standardization: What's in a name? Journal Article


Authors: Portnow, L. H.; Thornton, C. M.; Milch, H. S.; Mango, V. L.; Morris, E. A.; Saphier, N. B.
Article Title: Biopsy marker standardization: What's in a name?
Abstract: OBJECTIVE. The purposes of this study were to compile mammographic images in various projections showing commercially available breast biopsy site markers and to provide a standardized nomenclature and marker guide to improve physician communication and patient care. MATERIALS AND METHODS. A retrospective review of all breast biopsy markers encountered at one institution was conducted from January 2012 to January 2018. Markers placed at the facility and those placed at outside institutions with the patient subsequently referred to the study institution were included. Additional drawings and photographs and biopsy marker information were compiled from manufacturers and the literature. Intrinsic properties, features, pitfalls, and biopsy marker mimics were recorded from the institution's experience and the literature. RESULTS. Thirty-eight different biopsy marker shapes available from six manufacturers were identified, and mammograms of 37 were compiled and organized by manufacturer. Nomenclature was compiled on the basis of the manufacturer names of each marker. Potential pitfalls and mimics were identified. Manufacturer-reported marker material composition and carrier properties were summarized, including decreased marker migration, enhanced ultrasound visibility, and varying MRI susceptibility. CONCLUSION. Variability in the appearance and nomenclature of breast biopsy site markers may contribute to misinterpretation, miscommunication, and possibly removal of the incorrect lesion. A comprehensive guide to breast biopsy marker nomenclature is clinically useful, and standardization is necessary. © American Roentgen Ray Society.
Keywords: adult; controlled study; nuclear magnetic resonance imaging; retrospective study; ultrasound; standardization; patient care; breast imaging; mammography; nomenclature; photography; genetic marker; breast biopsy; visibility; human; male; female; article; drawing; biopsy clips; biopsy markers
Journal Title: American Journal of Roentgenology
Volume: 212
Issue: 6
ISSN: 0361-803X
Publisher: American Roentgen Ray Society  
Date Published: 2019-06-01
Start Page: 1400
End Page: 1405
Language: English
DOI: 10.2214/ajr.18.20577
PUBMED: 30973777
PROVIDER: scopus
PMCID: PMC7472876
DOI/URL:
Notes: Article -- Source: Scopus
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MSK Authors
  1. Elizabeth A Morris
    336 Morris
  2. Victoria Lee Mango
    62 Mango
  3. Hannah Milch
    2 Milch