What are Breast Procedures?
When abnormal breast tissue cannot be differentiated by physical examination or medical imaging, a biopsy can be used to define the true nature of abnormal areas found on ultrasound or mammography.
This modern approach allows for faster healing, fewer complications, and an effective alternative to many surgical interventions.
Our Breast Procedures
All procedures are performed by experienced interventional radiologists using advanced imaging and strict sterile technique to ensure precision and safety.
Breast Procedures Offered:
Fine Needle Aspiration (FNA) and Core Biopsy
Abnormal breast tissue is usually detected by physical examination, ultrasound or mammography. However, imaging tests can’t always differentiate benign lesions from cancer, and so FNA and core biopsy are used to define the true nature of abnormal areas found on ultrasound or mammography.
A specialised radiologist will perform the FNA, and it is carried out under ultrasound guidance to ensure the area of concern is targeted. Local anaesthetic will be administered to skin and surrounding breast tissue, then a fine needle is inserted into the abnormal area and cells are aspirated for viewing under a microscope.
At The Women’s Imaging Centre we have an expert cytologist onsite during these procedures to ensure an adequate sample has been obtained. Any discomfort after the procedure can be relieved with paracetamol. Breast FNA does not scar the skin and there is a very low risk of infection.
Stereotactic Vacuum Assisted Core Biopsy
Stereotactic Vacuum Assisted Core Biopsy is a safe and minimally invasive procedure in which a sample of breast tissue is removed from a lesion within the breast to be examined by a pathologist.
When breast imaging shows up very small abnormalities too small to be felt, vacuum assisted core biopsy is used to obtain samples of the breast tissue, and is used as an alternative to surgical biopsy.
Mammographic images will be taken to identify the lesion, and the procedure is performed under mammography guidance to ensure the specialist radiologist performing the biopsy is concentrating on the area of concern.
Following the injection of local anaesthetic into the skin and surrounding breast tissue, a fine needle is inserted into the lesion where several samples may be taken. The majority of women only experience mild discomfort.
After the specimen has been obtained the radiologist may insert a small surgical marker at the site of biopsy, this is done so that the area of abnormality can be located at a later date if surgery is required. These surgical clip markers are safe, cannot be felt, and do require removal.
Pre Operative Breast Hookwire Localisation Mammography
The purpose of this procedure is to localise a lesion in your breast prior to surgery. It is usually performed at The Women’s Imaging Centre a few hours (or less) before you have surgery.
Mammographic images will be taken to identify the lesion, and the procedure is performed under mammography guidance to ensure the specialist radiologist performing the hookwire is concentrating on the area of concern.
Following the injection of local anaesthetic into the skin and surrounding breast tissue, a fine needle is inserted into the lesion. A fine localisation wire is inserted through the needle and the needle is removed leaving the wire in place.
A final mammogram is performed to check the wire position and ensure it is taped securely to the lesion. The surgeon will remove the wire together with the abnormality at the time of your operation.
The hookwire localisation clearly marks where the abnormal tissue is located and enables the surgeon to remove the smallest amount of abnormal tissue identified on the mammogram. The shape of the breast can be preserved as far as possible as only abnormal tissue is removed (with a margin of clear tissue around it).
Minor complications may include some bruising or bleeding at the time of the procedure, however it is a simple procedure to perform and most women have no problems. The hookwire can move after placement before having the surgery which reduces the accuracy of surgery. Please be very careful that the wire does not become dislodged before your surgery as this may occasionally occur with very little movement.
About Your Test
Before your appointment
Preparation varies by procedure type. Our staff will provide personalised instructions when confirming your booking.
In general:
- Bring your referral, Medicare card, and previous imaging
- Continue usual medications unless advised otherwise
- Inform our team if you:
- Are pregnant or breastfeeding
- Take blood thinners
- Have allergies, diabetes or kidney concerns
- Have had previous reactions to contrast dye or anaesthetic
- You may be asked to fast for 4–6 hours for certain procedures
On the day
All procedures are performed by our specialist interventional radiologists, using precision-guided techniques for accurate and effective results.
- You’ll be comfortably positioned in the imaging suite.
- The area will be cleaned and numbed with local anaesthetic.
- Under imaging guidance, the radiologist will perform the treatment
- Most procedures take 30–60 minutes and are well tolerated.
- You’ll be monitored throughout to ensure safety and comfort.
After your appointment
Recovery times vary, but most patients return to normal activities within 24–48 hours.
- You’ll rest briefly in recovery before going home (same-day discharge).
- Mild tenderness or bruising may occur but usually resolves quickly.
- Drink plenty of water if you received contrast.
- Avoid strenuous activity for 24 hours unless instructed otherwise.
- Your referring doctor will receive a detailed report once your procedure and imaging review are complete.
Frequently Asked Questions
Yes. These minimally invasive procedures are performed under imaging guidance by specialist radiologists, ensuring high safety and precision.
Most procedures are performed with local anaesthetic only. Sedation may be used for comfort when appropriate.
Yes. Almost all procedures are day-only with a short recovery period. If your procedure is done pre-surgery your surgeon will discuss your recovery with you.
Yes. A valid referral from your GP or specialist is required for Medicare rebates and to determine the most appropriate procedure.
Most image-guided procedures attract a Medicare rebate. Any out-of-pocket costs will be explained prior to your appointment.
Safety & Risks
All procedures are performed by qualified radiologists using advanced imaging and sterile technique.
Your radiologist will discuss any specific risks related to your procedure before treatment.
Potential but uncommon risks include:
- Minor bleeding or bruising
- Infection
- Temporary discomfort or numbness
- Allergic reaction to medication or contrast
Image-guided care
Experience clarity and comfort with the breast procedures at The Women’s Imaging Centre.