The best replacement for needle localization is stereotactic biopsy.

The best alternatives to needle localization are rated as following:
★★★★★  stereotactic biopsy

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Speaking about needle localization, one probably shouldn't forget about excisional biopsy.

Other search terms related to needle localization and their ratings are:
★★★★★ excisional biopsy
★★ breast biopsy
★ lumpectomy
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needle localization
stereotactic biopsy