More than a fifth of women in Texas with image-detected breast abnormalities failed to undergo minimally invasive breast biopsy as recently as 2008, according to a review of statewide Medicare data, even though in 2005 a U.S. consensus panel declared the minimally invasive approach the procedure of choice and that few patients should have excisional biopsy as their initial procedure. “Our studies identify targets for interventions to improve minimally invasive breast biopsy rates, such as the Hispanic disparity and geographic variations in practice pattern," said Dr. Taylor S. Riall, a UTMB cancer surgeon. “Our findings highlight that the strategies for intervention need to vary by geographic region and the underlying etiology of the failure to adopt this cost-effective practice."