Author: Medical Services Advisory Committee, MSACPublisher:
ISBN:
Category :
Languages : en
Pages : 54
Book Description
Advanced breast biopsy instrumentation (ABBI) is a device for diagnostic biopsy of detected lesions of the breast. The procedure involves utilisation of a stereotactic imaging system. Safety data differs widely as ABBI requires specialised surgical techniques and surgeon experience differs between centres. The adverse events associated with ABBI were often as a result of technical or equipment failure. No randomised controlled trials comparing ABBI with any other therapeutic or diagnostic procedure or properly designed diagnostic studies have been completed to date. Studies have compared ABBI to core needle biopsy, mammotome and wire localised biopsy. There is some evidence of cost savings from using ABBI compared with other biopsy procedures. But even if there were cost savings, this may not translate into a better cost-effectiveness ratio. MSAC recommended that, on the strength of evidence pertaining to ABBI, public funding should be supported for the diagnostic use of this procedure, as long as fees are such that health system costs do not exceed those of comparators. There is insufficient evidence for the use of ABBI in a therapeutic role for breast cancer.
