{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:24:35Z","timestamp":1787009075869,"version":"build-2736575974"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T00:00:00Z","timestamp":1725494400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Inaccurate breast biopsy marker placement and marker migration during stereotactic biopsy procedures compromise their reliability for lesion localization and precise surgical excision. This trial evaluated the impact of 5-mm predeployment retraction of the marker introducer on marker migration, investigating other potential factors that influence the outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This parallel, randomized controlled trial enrolled women aged \u226518 years undergoing stereotactic breast biopsy at a single institution from May 2020 through August 2022. The study was approved by the institutional review board at the University of Alabama at Birmingham (UAB). Patients were randomized to intervention (5-mm introducer retraction before marker deployment) or control (standard marker placement) by drawing a labeled paper. The primary outcome was the distance of marker migration on immediate postprocedure mammogram.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 251 patients enrolled, 223 were analyzed; 104 received the intervention, and 119 received control. Mean (SD) marker migration was 12.1 (14.9)\u2009mm in the intervention group vs 9.8 (14.9)\u2009mm, with differences between groups estimated at 2.3\u2009mm (SE\u2009=\u20091.9, P\u2009=\u2009.2312) (d\u2009=\u20090.16; 95% CI, 1.5-6.0). Effects of age, breast density, thickness, and biopsy approach showed no statistical significance. In exploratory models, central lesions exhibited 5.7\u2009mm less migration than proximal lesions (95% CI, 0.7-10.6; P\u2009=\u2009.025), and each body mass index (BMI) unit increase was associated with 0.3\u2009mm greater migration (95% CI, 0-0.6; P\u2009=\u2009.044).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Retracting the marker introducer 5\u2009mm before deployment did not reduce migration. Higher BMI and certain lesion locations were all associated with marker migration, highlighting the need to investigate biomechanical factors and techniques to optimize breast marker placement.<\/jats:p>\n                    <jats:p>Clinical Trials Registration: NCT04398537<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jbi\/wbae050","type":"journal-article","created":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T02:05:30Z","timestamp":1722045930000},"page":"610-620","source":"Crossref","is-referenced-by-count":2,"title":["The Role of Predeployment Retraction in Biopsy Marker Migration During Stereotactic Breast Biopsies: A Randomized Controlled Trial"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4210-8012","authenticated-orcid":false,"given":"Noon","family":"Eltoum","sequence":"first","affiliation":[{"name":"Department of Radiology, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4606-706X","authenticated-orcid":false,"given":"Kathryn","family":"Zamora","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Murray","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"John","family":"West","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Willis","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Chieh","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufeng","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong Mi","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2496-6964","authenticated-orcid":false,"given":"Stefanie","family":"Woodard","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,9,5]]},"reference":[{"issue":"4","key":"2024110602253508400_CIT0001","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.crad.2010.01.008","article-title":"Image-guided breast biopsy: state-of-the-art","volume":"65","author":"O\u2019Flynn","year":"2010","journal-title":"Clin Radiol"},{"issue":"3","key":"2024110602253508400_CIT0002","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1148\/radiology.202.3.9051043","article-title":"Stereotactic breast biopsy of atypical ductal hyperplasia and ductal carcinoma in situ lesions: improved accuracy with directional, vacuum-assisted biopsy","volume":"202","author":"Burbank","year":"1997","journal-title":"Radiology"},{"issue":"3","key":"2024110602253508400_CIT0003","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1007\/s10549-011-1847-x","article-title":"A plea for the biopsy marker: how, why and why not clipping after breast biopsy","volume":"132","author":"Thomassin-Naggara","year":"2012","journal-title":"Breast Cancer Res Treat"},{"issue":"1140","key":"2024110602253508400_CIT0004","doi-asserted-by":"crossref","first-page":"20220195","DOI":"10.1259\/bjr.20220195","article-title":"Immediate clip migration after breast biopsy: a meta-analysis for potential risk factors","volume":"95","author":"Lee","year":"2022","journal-title":"Br J Radiol"},{"issue":"1","key":"2024110602253508400_CIT0005","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1007\/s12282-011-0252-y","article-title":"Clip placement after an 11-gauge vacuum-assisted stereotactic breast biopsy: correlation between breast thickness and clip movement","volume":"19","author":"Uematsu","year":"2012","journal-title":"Breast Cancer"},{"issue":"1","key":"2024110602253508400_CIT0006","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1148\/rg.241035052","article-title":"Recognizing","volume":"24","author":"Esserman","year":"2004","journal-title":"Radiographics"},{"issue":"2","key":"2024110602253508400_CIT0007","doi-asserted-by":"crossref","first-page":"417","DOI":"10.2214\/ajr.176.2.1760417","article-title":"Percutaneous removal of postbiopsy marking clip in the breast using stereotactic technique","volume":"176","author":"Brenner","year":"2001","journal-title":"AJR Am J Roentgenol"},{"issue":"4","key":"2024110602253508400_CIT0008","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1093\/jbi\/wbab006","article-title":"Out with the old and in with the new? Factors involved in migration of older and newer generation stereotactic breast biopsy markers","volume":"3","author":"Stahl","year":"2021","journal-title":"J Breast Imaging"},{"issue":"11","key":"2024110602253508400_CIT0009","doi-asserted-by":"crossref","first-page":"4797","DOI":"10.1007\/s00330-017-4851-7","article-title":"Stereotactic core needle breast biopsy marker migration: an analysis of factors contributing to immediate marker migration","volume":"27","author":"Jain","year":"2017","journal-title":"Eur Radiol"},{"issue":"2","key":"2024110602253508400_CIT0010","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1148\/radiology.218.2.r01fe39510","article-title":"Metallic clip deployment during stereotactic breast biopsy: retrospective analysis","volume":"218","author":"Rosen","year":"2001","journal-title":"Radiology"},{"issue":"2","key":"2024110602253508400_CIT0011","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1148\/radiol.2212010565","article-title":"Movement of a biopsy-site marker clip after completion of stereotactic directional vacuum-assisted breast biopsy: case report","volume":"221","author":"Burnside","year":"2001","journal-title":"Radiology"},{"issue":"1065","key":"2024110602253508400_CIT0012","doi-asserted-by":"crossref","first-page":"20160149","DOI":"10.1259\/bjr.20160149","article-title":"A prospective comparative study to evaluate the displacement of four commercially available breast biopsy markers","volume":"89","author":"Pinkney","year":"2016","journal-title":"Br J Radiol"},{"issue":"2","key":"2024110602253508400_CIT0013","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1148\/radiology.179.2.2014293","article-title":"Periodic mammographic follow-up of probably benign lesions: results in 3,184 consecutive cases","volume":"179","author":"Sickles","year":"1991","journal-title":"Radiology"},{"issue":"5","key":"2024110602253508400_CIT0014","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.2214\/ajr.174.5.1741191","article-title":"Centennial dissertation. Percutaneous imaging-guided core breast biopsy: state of the art at the millennium","volume":"174","author":"Liberman","year":"2000","journal-title":"AJR Am J Roentgenol"},{"issue":"4","key":"2024110602253508400_CIT0015","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S0002-9610(02)00952-2","article-title":"Clip migration in stereotactic biopsy","volume":"184","author":"Kass","year":"2002","journal-title":"Am J Surg"},{"issue":"4","key":"2024110602253508400_CIT0016","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1016\/j.amjsurg.2005.06.027","article-title":"Surgical benefits conveyed by biopsy site marking system using ultrasound localization","volume":"190","author":"Nurko","year":"2005","journal-title":"Am J Surg"},{"issue":"1 Pt 1","key":"2024110602253508400_CIT0017","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0221-0363(09)70075-7","article-title":"Clip migration after stereotactic macrobiopsy and presurgical localization: technical considerations and tricks","volume":"90","author":"Chaveron","year":"2009","journal-title":"J Radiol"},{"issue":"5","key":"2024110602253508400_CIT0018","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.2214\/ajr.181.5.1811295","article-title":"Accuracy of a collagen-plug biopsy site marking device deployed after stereotactic core needle breast biopsy","volume":"181","author":"Rosen","year":"2003","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"2024110602253508400_CIT0019","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1067\/j.cpradiol.2017.02.001","article-title":"Effect of mammography on marker clip migration after stereotactic-guided core needle breast biopsy","volume":"46","author":"Le-Petross","year":"2017","journal-title":"Curr Probl Diagn Radiol"},{"key":"2024110602253508400_CIT0020","author":"Mammatome"},{"key":"2024110602253508400_CIT0021"},{"issue":"22","key":"2024110602253508400_CIT0022","doi-asserted-by":"crossref","first-page":"2252","DOI":"10.1001\/jama.2022.21022","article-title":"Guidelines for reporting outcomes in trial reports: the CONSORT-outcomes 2022 Extension","volume":"328","author":"Butcher","year":"2022","journal-title":"JAMA"},{"issue":"3","key":"2024110602253508400_CIT0023","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1111\/tbj.13486","article-title":"Tissue marker migration after MRI-guided","volume":"26","author":"Funaro","year":"2020","journal-title":"Breast J"},{"issue":"5","key":"2024110602253508400_CIT0024","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1111\/1754-9485.12327","article-title":"Radiographer technique: does it contribute to the question of clip migration","volume":"59","author":"Madeley","year":"2015","journal-title":"J Med Imaging Radiat Oncol"},{"key":"2024110602253508400_CIT0025","doi-asserted-by":"crossref","first-page":"6080","DOI":"10.1007\/s00330-020-07015-0","article-title":"Clip","volume":"30","author":"Wang","year":"2020","journal-title":"Eur Radiol"},{"issue":"326","key":"2024110602253508400_CIT0026","first-page":"782","article-title":"Genetic factors may underlie link between breast density and cancer risk","volume":"2003","author":"Gottlieb","year":"7393","journal-title":"BMJ"},{"issue":"12","key":"2024110602253508400_CIT0027","doi-asserted-by":"crossref","first-page":"3509","DOI":"10.1158\/1055-9965.EPI-08-0480","article-title":"Mammographic breast density\u2014evidence for genetic correlations with established breast cancer risk factors","volume":"17","author":"Douglas","year":"2008","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"1082","key":"2024110602253508400_CIT0028","first-page":"20170611","article-title":"A review of mammographic positioning image quality criteria for the craniocaudal projection","volume":"91","author":"Sweeney","year":"2018","journal-title":"Br J Radiol"},{"issue":"2","key":"2024110602253508400_CIT0029","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.acra.2019.03.022","article-title":"Immediate migration of biopsy clip markers after upright digital breast tomosynthesis-guided vacuum-assisted core biopsy","volume":"27","author":"Teichgraeber","year":"2020","journal-title":"Acad Radiol"},{"issue":"7","key":"2024110602253508400_CIT0030","doi-asserted-by":"crossref","first-page":"2487","DOI":"10.1016\/j.radcr.2023.04.007","article-title":"An unusual site for breast clip migration: a case report","volume":"18","author":"Ang","year":"2023","journal-title":"Radiol Case Rep"},{"key":"2024110602253508400_CIT0031","doi-asserted-by":"crossref","first-page":"S30","DOI":"10.1016\/S0959-8049(22)01429-0","article-title":"Evaluation of effect of post-biopsy mammogram on marker clip migration after stereotactic-guided core needle breast biopsy","volume":"175","author":"Baker","year":"2022","journal-title":"Eur J Cancer"}],"container-title":["Journal of Breast Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jbi\/article-pdf\/6\/6\/610\/60432348\/wbae050.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbi\/article-pdf\/6\/6\/610\/60432348\/wbae050.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T21:25:51Z","timestamp":1730841951000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbi\/article\/6\/6\/610\/7749920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,5]]},"references-count":31,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,9,5]]},"published-print":{"date-parts":[[2024,11,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jbi\/wbae050","relation":{},"ISSN":["2631-6110","2631-6129"],"issn-type":[{"value":"2631-6110","type":"print"},{"value":"2631-6129","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,11]]},"published":{"date-parts":[[2024,9,5]]}}}