Interventional Breast Procedures

We are proud to offer a comprehensive range of both ultrasound and tomosynthesis guided breast procedures, including vacuum assisted breast biopsy (VABB), performed by our specialist breast radiologists.

Ultrasound Guided Breast Biopsy

Ultrasound imaging can be used by a radiologist to guide a needle to the correct location to take a tissue sample. A biopsy may be requested of an area of possible abnormal tissue which needs to be further characterised. The radiologist will clean the skin surface in the area that the biopsy will be made and you will be given an injection of local anaesthetic, which can cause a mild sting. You will usually feel some pressure and hear a clicking noise as the biopsy is taken.

Time required

This procedure usually takes 30-40 minutes.

Risks

The region of biopsy may bruise and may be tender for a while following the procedure. You will be given a small disposable ice pack to take home with you, which helps minimise bruising. There is also a small risk of infection.


Tomosynthesis Guided Breast Biopsy

Your mammogram may identify an area of breast tissue which requires further investigation. Using the mammogram x-rays, the radiologist can guide a biopsy needle into the exact location of concern. The radiologist will clean the skin surface in the area that the biopsy will be made and you will be given an injection of local anaesthetic, which can cause a mild sting. These biopsies are often performed with vacuum assistance, and a clip marker is often placed in the breast at the site of biopsy at the end of the procedure.

Time required

This procedure usually takes 30-60 minutes.

Risks

The region of biopsy may bruise and may be tender for a while following the procedure. You will be given a small disposable ice pack to take home with you, which helps minimise bruising. There is also a small risk of infection.


Breast Clip Marker Insertion

Sometimes a clip marker will need to be placed in your breast under ultrasound or tomosynthesis guidance following a biopsy. This is to ensure the relevant area can be found again if you are required to have surgery, in which case the clip marker is usually removed during the operation. If you do not need surgery, the clip marker remains in your breast. The clip marker is tiny (about the size of a grain of rice), and you will not feel it in your breast. It is made from a surgical titanium alloy, similar to surgical clips commonly used in other operations.