General description
The IMS Giotto biopsy kit allows:
- Real-time selection of the best approach (frontal or lateral) without the need to repositioning the patient and without additional exposures.
- Identification of the lesion with the same image quality and imaging technique used in the primary acquisition.
- Instant verification of sampling success thanks to the SMART CHECKER accessory.

Smart Finder

Excellent image quality

Multiple approaches
Tomo-guided biopsies

Smart Checker

System features
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CEM-guided biopsies
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Flexichair
Smart Finder
GIOTTO CLASS Biopsy System is optimized for efficiency thanks to the fully motorized SMART FINDER needle positioner, which is compatible with all VABB and Core systems on the market.
The biopsy systems are equipped with advanced simulation software (Raffaello interface) and guarantee high targeting accuracy.
The coordinates of the lesions can be calculated using standard stereotactic, CEM or tomo acquisitions, ensuring excellent visibility.
Excellent image quality
Using the same detector and algorithms as routine mammography, physicians have greater confidence in the quality of the images and the localization of lesions.
A wide 15×11 cm field of view, combined with a large 7×7 cm biopsy window, allows them to visualize more tissue and locate even the finest microcalcifications.
Multiple approaches
The tilting needle holder, combined with the ability to position the patient in multiple approaches, offers a 360° access to the breast. Vertical, lateral, and angled approaches are available without any additional components, allowing even the most challenging lesions to be reached.
Tomo-guided biopsies
The simulation Raffaello software displays the expected needle path overlaid on the anatomy of the DBT reconstructed images, so that procedure planning can include an assessment of the optimal angle for needle entry.
Smart Checker
SMART CHECKER is a simple yet highly effective tool for X-raying biopsy tissue cores in seconds, using the detector’s exposed active area without decompression or additional patient exposure. It is the perfect solution for quickly checking tissue samples at the end of the procedure, saving compression time and investment in additional scanners.
Its unique design allows it to be used in any mammography position, both vertically and horizontally.
A specific case designed for compatibility with the VABB Mammotome Revolve system is also available.
System features
- Stereotactic, tomosynthesis, and/or CEM acquisitions;
- High-positioning and reading precision;
- Multiple approaches , from vertical to right and left lateral, can be selected at any time during the procedure without replacing accessories or repositioning the patient;
- Fully motorized X, Y, and Z-axis movement with discrete steps for the finest movements;
- Set of compressors based on the type of approach;
- Wide field of view: 11 x 15 cm;
- Quick and easy daily quality control checks;
- Specific radio-transparent guides and supports for compatibility with all VABB/CNB systems;
- Full DICOM compliance.
CEM-guided biopsies
Contrast-Enhanced Mammography (CEM) is highly effective at identifying lesions otherwise invisible to conventional imaging techniques. Hence the need to introduce a CEM-guided biopsy technique. Recent studies have demonstrated that CEM-guided biopsies are faster, less costly and more tolerable for patients than RM-guided biopsies (Nori Cucchiari et al., 2024). IMS’s Giotto Class mammography systems offer the unique ability to perform CEM-guided biopsies both in upright and in prone positions. To learn more, please continue browsing the dedicated sections.
Flexichair
The FLEXICHAIR stereotactic chair is specifically designed to offer a comfortable position during procedures related to diagnostic mammography. Thanks to its accessories, it can be quickly adjusted to accommodate any type of patient, making the mammography or biopsy experience non-traumatic.
Before, during and after the biopsy procedures, the FLEXICHAIR allows clinicians to position the patient comfortably in a seated or lateral recumbent position. Thanks to its flexible modules and the battery-powered hight adjustment, FLEXICHAIR makes it easy to perform even the most challenging manoeuvres, such as the caudo-cranial approach. By combining FLEXICHAIR and SMART FINDER technologies, it is possible to access any type of lesion while ensuring patient comfort and safety, and providing clinicians with speed and precision during the procedure.




