Background: Breast cancer is the most common cancer in women worldwide. It is estimated that in 2023 over 300,000 women will be diagnosed with breast cancer with approximately 43,000 dying from breast cancer. Approximately 1 in 8 women (12.9%) will be diagnosed with invasive breast cancer in their lifetime and 1 in 39 women (2.5%) will ultimately die from breast cancer. Estimates predict that out of all the women who undergo screening mammograms, 2% will be recommended to undergo a biopsy. Although image guided breast procedures are generally well tolerated, the majority of patients report difficulty sleeping the night before and anxiety before and during the procedure. An understanding of the causes of anxiety and potential methods to improve patient comfort and reduce anxiety can help minimize suffering for patients.
Learning Objectives: 1. Review pre-biopsy methods that can help reduce patient anxiety. 2. Review methods that can be utilized during biopsy to both reduce patient anxiety and improve patient comfort. 3. Review post-biopsy care instructions and ways to address anxiety after results.
Abstract Content/Results: This non-interpretive skills presentation will utilize 6 interactive scenarios to highlight research focused on improving the biopsy experience for patients such as the role of a nurse navigator, setting up the appropriate biopsy environment, mindfulness-based programs, specific procedural techniques, and a post-biopsy discussion with patients. This will be followed by multiple choice Q&As specifically drawing from material highlighted in the American Board of Radiology’s (ABR) 2023 Noninterpretive Skills Study Guide, information critical to passing the ABR’s CORE and Certifying exams.
Conclusion: Breast biopsies are critical to the diagnosis and management of breast cancer. Implementing measures to reduce anxiety and improve comfort pre-biopsy, during biopsy, and post biopsy helps radiologists provide patient centered care. Pre-biopsy interventions such as patient education and connection with nurse navigators reduces anxiety prior to the biopsy. Mindfulness techniques, deep breathing, and music have also been associated with reduced levels of pain and anxiety during biopsies. Clear post-biopsy care instructions and pain management techniques can help patients remain calm as they await their results. Ultimately, employing these techniques helps minimize suffering by improving comfort, reducing anxiety, and increasing adherence with screening recommendations and follow up care.
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