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Breast Biopsy

Breast Biopsy Care at UVM Health

If imaging of your breast shows an abnormality, a breast imaging radiologist may recommend an image-guided breast biopsy to take a tissue sample from the area of concern and send it to the pathology laboratory for evaluation.

While breast biopsies are a common test used to diagnose cancer, they also help determine other diagnoses, giving you peace of mind. Most breast biopsies do not reveal a cancer diagnosis.

Our comprehensive breast imaging services feature breast imaging radiologists, technologists and medical assistants with extensive experience and treat you with the utmost care for your concerns and comfort throughout the procedure.

A radiologist looks through a microscope.

Why Choose UVM Health?

We offer:

  • Experience that matters: We use leading-edge digital equipment to perform the highest volume of exams in our service area.
  • State-of-the-art technology: We offer advanced ultrasound machines and equipment for diagnostic breast exams and ultrasound-guided breast biopsy procedures.
  • More options for patient comfort: We offer wide bore MRI scanners with larger openings for MRI-guided breast biopsies, making them less confining and more spacious than standard closed MRI units. Comfortable for patients of all shapes and sizes, this equipment produces superior quality imaging to open MRI machines.

Breast Biopsy Services

Offering you the latest treatments and techniques, the UVM Health breast imaging team uses state-of-the-art imaging technology to enable precision and accuracy for all breast biopsies. Our services include: 

Ultrasound-Guided Breast Biopsy 

This test uses sound waves to create images of tissue within your breast during an image-guided breast biopsy. Ultrasound guidance allows your breast imaging radiologist to view the biopsy needle in real time on a medical imaging monitor and precisely guide it into your breast to the specific area of concern.  

Stereotactic Breast Biopsy 

This procedure uses special mammography technology that relies on computer coordinates to map the exact location of breast abnormalities. This guidance allows your breast imaging radiologist to place the biopsy needle accurately into the area of concern for precise sampling of the specific area of concern.

MRI-Guided Biopsy 

Magnetic resonance imaging (MRI) provides multiple cross-sectional images of your breast and combines them to create computer-generated, highly detailed 3D pictures. This imaging method for biopsy needle guidance is used when an MRI exam shows an abnormality that cannot identified by mammography or ultrasound. 

Your breast imaging physician will select the breast imaging test that provides the best view of the area being targeted for biopsy, as well as one that is most comfortable for you. 

Conditions We Evaluate with a Breast Biopsy

Image-guided breast biopsies provide a minimally invasive, non-surgical method for examining suspicious growths detected on imaging. A breast biopsy may also be necessary if you any of the following symptoms:

  • Abnormalities on your breast imaging exam
  • Breast lumps, small masses or cysts
  • Nipple changes, such as bloody discharge, crusting or scaling
  • Dimpling skin

What to Expect From a Breast Biopsy

Your specially trained breast imaging radiologist will give you a thorough explanation of the procedure. The radiologists and technologist will stay with you throughout your breast biopsy to ensure your comfort and well-being. At times, a medical assistant will be present during your biopsy to provide additional support.  

To prepare for the procedure, you will need to undress from the waist up and put on a hospital gown that opens in the front.  

During your biopsy, the skin on your breast will be cleaned. Your breast will then be numbed with local anesthesia. You should not feel any pain during the procedure.

Positioning for an Ultrasound-Guided Breast Biopsy

In the procedure room, you will lie on your back on a padded table. We will ask you to raise your arm above your head on the side of your body where we are performing the biopsy. The breast imaging radiologist will apply a gel to the breast being examined. The gel maximizes contact between the hand-held ultrasound transducer and your skin to ensure the ultrasound machine produces the highest quality images. 

The breast imaging radiologist will press the ultrasound transducer against your skin. The transducer sends and receives the sound waves from the ultrasound machine to create images of the inside of your body. The breast imaging radiologist will then use ultrasound guidance to target the area of concern and sample that area using a small needle biopsy device.

Positioning for a Stereotactic Breast Biopsy

In the procedure room, you will be either asked to lie face down on your stomach on a special table or will be seated upright in a special chair. Your technologist will gently place your breast into compression similar to a mammogram exam. 

This mammogram enables us determine the exact location of the area to be sampled. Your breast will remain in compression throughout the exam. By holding still during the procedure, you will help us to capture the highest quality images so that the breast imaging radiologist can accurately position the biopsy device and obtain the biopsy samples. 

Positioning for an MRI-Guided Breast Biopsy

The MRI unit is a large, cylinder-shaped tube surrounded by a circular magnet. You will be asked to lie face-down on a special table with your arms above your head. Your breasts will fit into cushioned holes in the table, and the breast undergoing the biopsy will be placed in compression. Your technologist will active the motorized table, which then slides into the scanner. 

During the procedure, you must lie still for approximately 45 minutes to ensure that we find the exact area of your breast we need to biopsy.  Subtle movements can blur the MRI images. The MRI machine makes loud thumping noises during the imaging process. You will be provided with ear protection to help reduce the noise and increase your overall comfort. 

Awards & Certifications

American Institute of Ultrasound in Medicine

At UVM Health, we are proud to be nationally accredited in ultrasound-guided breast biopsies by the American Institute of Ultrasound in Medicine and the American College of Radiology. This certification means our services meet nationally recognized standards of clinical excellence in breast ultrasound. 

Of particular note, UVM Medical Center’s Department of Breast Imaging has earned an American College of Radiology Breast Imaging Center of Excellence designation. This highly coveted accreditation is awarded to centers that achieve rigorous requirements of the profession in all breast imaging modalities, including ultrasound, mammography and MRI.


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