Breast diseases represent one of the most common medical issues faced by women worldwide. This group includes various conditions that occur in the breast tissue, including both benign and malignant changes. Breast cancer is the most common and most serious breast disease, but other conditions such as fibroadenomas, papillomas, cysts, infections, and trauma can also cause symptoms and complications. The diagnostic evaluation of breast disease consists of three main parts: clinical examination, imaging tests, and needle biopsy. Clinical examination reveals changes in the form of lumps, bumps, or skin changes. Imaging tests, such as mammography, ultrasound, and magnetic resonance imaging, are used for a more detailed assessment of the internal structure of the breast and identification of possible changes. Radiological interventional procedures are minimally invasive techniques that use image guidance for the diagnosis and treatment of breast diseases. Diagnostic interventional procedures include fine-needle aspiration cytology, core needle biopsy, and vacuum-assisted breast biopsy. These procedures enable taking cells or tissue for analysis without the need for invasive surgical excision. Therapeutic intervention procedures include various ablation methods that destroy tumors. Radiofrequency ablation (RFA), microwave ablation (MWA), high-intensity focused ultrasound (HIFU), laser ablation (LITT), and cryoablation belong to this group. The goal of these procedures is the destruction or reduction of unwanted lesions, performed under the guidance of some radiological imaging to ensure precision. Compared to traditional surgery, interventional procedures offer numerous advantages, including reduced invasiveness, lower complication rate, shorter hospital stay, and improved aesthetic outcomes. However, additional studies are needed to compare different radiological interventional procedures and evaluate their long-term efficacy and safety.