QA and Outcome Data: Stereotactic Breast Biopsy (Revised 12-12-19)

Katie Albus

Modified on: Fri, 13 Dec, 2019 at 1:00 PM

Revision History

Facilities must conduct ongoing medical audits of stereotactically-guided breast biopsy procedures to evaluate and improve performance. At a minimum, the physician should be able to provide the number of procedures done by type, the number of cancers diagnosed and the number of complications requiring treatment. The ACR will request the following audit data as part of the application process:

Total number of procedures
Total number of cancers found
Total number of benign lesions
Total number of stereotactic biopsies needing repeat biopsy, categorized by reason and type of biopsy (i.e., CNB, FNAC):

Reason for Repeat Biopsy	Data
Insufficient Sample	Total number of cases Number with repeat biopsy performed by core Number with repeat biopsy performed by excision Final pathology results
Discordance	Total number of cases Number with repeat biopsy performed by core Number with repeat biopsy performed by excision Final pathology results
Cellular Atypia, Radial Scar	Total number of cellular atypia cases Total number of radial scar cases (CNB only) Number with repeat biopsy performed by core Number with repeat biopsy performed by excision Final pathology results
Other	Total number of cases Number with repeat biopsy performed by core Number with repeat biopsy performed by excision Final pathology results

Complications requiring treatment, categorized by type of biopsy (i.e., CNB, FNAC)
1. Total number
2. Number with hematoma (requiring intervention)
3. Number with infections requiring treatment
4. Number of other complications

Submit your facility’s patient volume and outcome data from the past 12 months into your online testing package. If you are a new facility, submit all the patient volume and outcome data you have available.

A peer review program is not required for stereotactic breast biopsy accreditation, as applicants must already submit biopsy outcome data described above.

Revision History for this Article
Date	Section	Description of Revision(s)
12-12-19	All	Article created; FAQs incorporated; No criteria changes

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