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首页> 美国卫生研究院文献>Diagnostics >Elite VABB 13G: A New Ultrasound-Guided Wireless Biopsy System for Breast Lesions. Technical Characteristics and Comparison with Respect to Traditional Core-Biopsy 14–16G Systems
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Elite VABB 13G: A New Ultrasound-Guided Wireless Biopsy System for Breast Lesions. Technical Characteristics and Comparison with Respect to Traditional Core-Biopsy 14–16G Systems

机译：Elite VABB 13G：用于乳腺病变的新型超声引导无线活检系统。与传统的核心活检14–16G系统相比的技术特征和比较

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摘要

The typification of breast lumps with fine-needle biopsies is often affected by inconclusive results that extend diagnostic time. Many breast centers have progressively substituted cytology with micro-histology. The aim of this study is to assess the performance of a 13G-needle biopsy using cable-free vacuum-assisted breast biopsy (VABB) technology. Two of our operators carried out 200 micro-histological biopsies using the Elite 13G-needle VABB and 1314 14–16G-needle core biopsies (CBs) on BI-RADS 3, 4, and 5 lesions. Thirty-one of the procedures were repeated following CB, eighteen following cytological biopsy, and three after undergoing both procedures. The VABB Elite procedure showed high diagnostic performance with an accuracy of 94.00%, a sensitivity of 92.30%, and a specificity of 100%, while the diagnostic underestimation was 11.00%, all significantly comparable to of the CB procedure. The VABB Elite 13G system has been shown to be a simple, rapid, reliable, and well-tolerated biopsy procedure, without any significant complications and with a diagnostic performance comparable to traditional CB procedures. The histological class change in an extremely high number of samples would suggest the use of this procedure as a second-line biopsy for suspect cases or those with indeterminate cyto-histological results.
机译：细针穿刺活检典型的乳房肿块通常受不确定的结果影响，延长诊断时间。许多乳房中心的细胞学已逐渐被微观组织学取代。这项研究的目的是评估使用无电缆真空辅助乳房活检（VABB）技术进行的13G针活检的性能。我们的两名操作员对BI-RADS 3、4和5病变使用Elite 13G针VABB和1314 14-16G针核心活检（CB）进行了200次显微组织活检。在CB之后重复进行31个操作，在进行细胞活检后重复进行18个操作，并在两次操作均进行之后进行3个操作。 VABB Elite程序显示出较高的诊断性能，准确度为94.00％，灵敏度为92.30％，特异性为100％，而诊断低估率为11.00％，均与CB程序相当。事实证明，VABB Elite 13G系统是一种简单，快速，可靠且耐受良好的活检程序，没有任何重大并发症，并且具有与传统CB程序相当的诊断性能。如果组织学类别的变化非常多，则表明该方法可用于疑似病例或细胞组织学结果不确定的二线活检。

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