In-laboratory breast specimen radiography reduces tissue block utilization and improves turnaround time of pathologic examination

Sri Krishna Chaitanya Arudra, Laura C. Garvey, Ian S. Hagemann

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: This study was performed to determine whether in-laboratory specimen radiography reduces turnaround time or block utilization in surgical pathology. Methods: Specimens processed during a 48-day trial of an in-lab cabinet radiography device (Faxitron) were compared to a control group of specimens imaged in the mammography suite during a prior 1-year period, and to a second group of specimens not undergoing imaging of any type. Results: Cases imaged in the mammography suite had longer turnaround time than cases not requiring imaging (by 1.15 days for core biopsies, and 1.73 days for mastectomies; p < 0.0001). In contrast, cases imaged in-lab had turnaround time that was no longer than unimaged cases (p > 0.05 for core biopsies, lumpectomies and mastectomies). Mastectomies imaged in-lab required submission of fewer blocks than controls not undergoing any imaging (mean reduction of 10.6 blocks). Conclusions: Availability of in-lab radiography resulted in clinically meaningful improvements in turnaround time and economically meaningful reductions in block utilization.

Original languageEnglish
Article number59
JournalBMC Medical Imaging
Volume21
Issue number1
DOIs
StatePublished - Dec 2021

Keywords

  • Breast
  • Diagnostic tests
  • Faxitron
  • Quality improvement
  • Radiography
  • Surgical pathology

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