Survey on imaging management and handling of breast surgical specimens by radiologists

Purpose: Imaging management of surgically removed breast biopsy specimens is a common, perhaps daily, procedure for radiologists and breast imagers. At many institutions throughout the United States, excised specimens are radiographically analyzed for verification of lesion removal. However, the exact process by which this is performed differs substantially among institutions, with wide variability of practice and lack of a uniform protocol.

Methods: An anonymous survey consisting of 13 multiple-choice questions was sent to 2,428 members of the Society of Breast Imaging. Results were subsequently categorized and tabulated in the Henry Ford Hospital Department of Biostatistics.

Results: There was a total of 354 responses to the survey, for a response rate of 14.6% (354 of 2,428). A clear majority of respondents (85%) reported the presence of department-wide standards for excisional (surgical) biopsy specimen processing. In 31% of cases, specimens were transferred two or more times between separate containers. This resulted in an increased concern for spills and leakage of biohazardous materials for 17% of the surveyed population. In addition, increased concern for sharps, or "needlestick" injuries, was also reported.

Conclusions: There exist within many breast imaging departments standardized methods for processing breast biopsy specimens arriving from the operating room. However, the protocols and methods of analysis differ substantially from institution to institution. These survey results demonstrate a clear desire among radiologists for a more widespread, uniform standard, taking into account the accuracy of the procedure, cost, and the health and safety of staff members within the department.