American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Standard 2.11: Stereotactic Core Needle Biopsy

Stereotactic core needle biopsy is performed at an American College of Radiology (ACR)-accredited facility or by surgeons under the standards and requirements developed by the ACR and the American College of Surgeons (ACoS), or by an American Society of Breast Surgeons (ASBrS) Breast Procedure Program-certified surgeon.

Definition and Requirements

Stereotactic core needle biopsy is most commonly used to diagnose suspicious microcalcifications and is performed with dedicated equipment. It is also used to biopsy masses and/or architectural distortions not visible on ultrasonography.

The physician performing the biopsy communicates a description of the lesion(s) to the pathologist.

The National Accreditation Program for Breast Centers (NAPBC) requires accreditation/certification by the ACR, ACR and ACoS, or ASBrS for the performance of stereotactic core needle biopsy.

The ACR designation of Breast Imaging Center of Excellence (BICOE) will meet requirements for radiology, but not surgeons.

Process Requirements

Radiology facilities and physicians performing stereotactic core needle biopsy procedures in centers applying for NAPBC accreditation will be required to demonstrate that they are currently accredited/certified by one of the organizations mentioned above.

Documentation

Complete all required standard fields in the Survey Application Record (SAR).

Provide documentation of accreditation/certification for radiology facilities and physicians performing stereotactic core needle biopsy.

Evaluation

The surveyor will review documentation confirming stereotactic breast biopsy accreditation/certification during the site visit.

Rating Compliance

Compliance

Radiology facilities and physicians performing stereotactic core needle biopsy are accredited/certified by the ACR, ACR and ACoS, or ASBrS.

Noncompliance

The center does not fulfill one or more of the compliance criteria.

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