# Tomosynthesis-Guided Biopsy: A Troubleshooting Guide

## TL;DR

This review explains how to perform biopsies using tomosynthesis and addresses common issues to improve success and reduce discomfort.

## Contribution

A detailed troubleshooting guide for tomosynthesis-guided breast biopsy procedures.

## Key findings

- Tomosynthesis-guided biopsy is effective for lesions visible only via DBT.
- Common obstacles during the procedure can be resolved with specific solutions.
- The method reduces patient discomfort and improves biopsy success rates.

## Abstract

Since its introduction, digital breast tomosynthesis (DBT) has been widely incorporated in screening for breast cancer due to its lesser recall and higher cancer detection rates. Some screen-detected lesions may be visible only by DBT, requiring biopsy using DBT guidance. This review article dissects the different steps of tomosynthesis-guided biopsy and discusses the different obstacles that might be encountered during each step while providing the appropriate solutions, hence allowing physicians to perform a successful biopsy with the least patient discomfort.