Skip to main content
Erschienen in: Abdominal Radiology 5/2013

01.10.2013

Challenges in abdominal/pelvic biopsy techniques

verfasst von: John P. McGahan

Erschienen in: Abdominal Radiology | Ausgabe 5/2013

Einloggen, um Zugang zu erhalten

Abstract

There are various methods and techniques that can be utilize for abdominal biopsy. Some of these techniques have been utilized for over four decades. However, there are different variations to these techniques that have been recently developed to increase tissue retrieval and decrease complications. This manuscript will review a number of different modifications of prior CT or ultrasound techniques utilized with either CT or ultrasound that are helpful to be more effective in tissue retrieval. Newer guidance systems including the use of contrast-enhanced sonography and multi-modality image fusion biopsy guidance are reviewed. These different techniques can increase tissues retrieval, increase accuracy of needle placement, decrease the time for the procedure, and minimize complications.
Literatur
1.
Zurück zum Zitat Goldberg BB, Pollack HM (1972) Ultrasonic aspiration transducer. Radiology 102(1):187–189PubMed Goldberg BB, Pollack HM (1972) Ultrasonic aspiration transducer. Radiology 102(1):187–189PubMed
2.
Zurück zum Zitat Holm HH, Kristensen JK, Rasmussen SN, Northeved A, Barlebo H (1972) Ultrasound as a guide in percutaneous puncture technique. Ultrasonics 10(2):83–86PubMedCrossRef Holm HH, Kristensen JK, Rasmussen SN, Northeved A, Barlebo H (1972) Ultrasound as a guide in percutaneous puncture technique. Ultrasonics 10(2):83–86PubMedCrossRef
5.
Zurück zum Zitat Kim KW, Kim MJ, Kim HC, et al. (2007) Value of “patent track” sign on Doppler sonography after percutaneous liver biopsy in detection of postbiopsy bleeding: a prospective study in 352 patients. AJR Am J Roentgenol 189(1):109–116. doi:10.2214/AJR.07.2071 PubMedCrossRef Kim KW, Kim MJ, Kim HC, et al. (2007) Value of “patent track” sign on Doppler sonography after percutaneous liver biopsy in detection of postbiopsy bleeding: a prospective study in 352 patients. AJR Am J Roentgenol 189(1):109–116. doi:10.​2214/​AJR.​07.​2071 PubMedCrossRef
6.
Zurück zum Zitat McGahan JP, Wright L, Brock J (2011) Occurrence and value of the color Doppler “line sign” after radiofrequency ablation of solid abdominal organs. J Ultrasound Med 30(11):1491–1497PubMed McGahan JP, Wright L, Brock J (2011) Occurrence and value of the color Doppler “line sign” after radiofrequency ablation of solid abdominal organs. J Ultrasound Med 30(11):1491–1497PubMed
7.
Zurück zum Zitat Werner M, Osadchy A, Plotkin E, Berheim J, Rathaus V (2007) Increased detection of early vascular abnormalities after renal biopsies by color Doppler sonography. J Ultrasound Med 26(9):1221–1226PubMed Werner M, Osadchy A, Plotkin E, Berheim J, Rathaus V (2007) Increased detection of early vascular abnormalities after renal biopsies by color Doppler sonography. J Ultrasound Med 26(9):1221–1226PubMed
8.
Zurück zum Zitat Axel L (1984) Simple method for performing oblique CT-guided needle biopsies. AJR Am J Roentgenol 143(2):341–342PubMedCrossRef Axel L (1984) Simple method for performing oblique CT-guided needle biopsies. AJR Am J Roentgenol 143(2):341–342PubMedCrossRef
9.
Zurück zum Zitat Frederick PR, Brown TH, Miller MH, Bahr AL, Taylor KH (1985) A light-guidance system to be used for CT-guided biopsy. Radiology 154(2):535–536PubMed Frederick PR, Brown TH, Miller MH, Bahr AL, Taylor KH (1985) A light-guidance system to be used for CT-guided biopsy. Radiology 154(2):535–536PubMed
10.
Zurück zum Zitat Gangi A, Kastler B, Arhan JM, et al. (1994) A compact laser beam guidance system for interventional CT. J Computr Assist Tomogr 18(2):326–328CrossRef Gangi A, Kastler B, Arhan JM, et al. (1994) A compact laser beam guidance system for interventional CT. J Computr Assist Tomogr 18(2):326–328CrossRef
11.
Zurück zum Zitat Gerzof SG (1981) Triangulation: indirect CT guidance for abscess drainage. AJR Am J Roentgenol 137(5):1080–1081PubMedCrossRef Gerzof SG (1981) Triangulation: indirect CT guidance for abscess drainage. AJR Am J Roentgenol 137(5):1080–1081PubMedCrossRef
12.
Zurück zum Zitat Odisio BC, Tam AL, Avritscher R, Gupta S, Wallace MJ (2012) CT-guided adrenal biopsy: comparison of ipsilateral decubitus versus prone patient positioning for biopsy approach. Eur Radiol 22(6):1233–1239. doi:10.1007/s00330-011-2363-4 PubMedCrossRef Odisio BC, Tam AL, Avritscher R, Gupta S, Wallace MJ (2012) CT-guided adrenal biopsy: comparison of ipsilateral decubitus versus prone patient positioning for biopsy approach. Eur Radiol 22(6):1233–1239. doi:10.​1007/​s00330-011-2363-4 PubMedCrossRef
13.
Zurück zum Zitat Elvin A, Andersson T, Scheibenpflug L, Lindgren PG (1990) Biopsy of the pancreas with a biopsy gun. Radiology 176(3):677–679PubMed Elvin A, Andersson T, Scheibenpflug L, Lindgren PG (1990) Biopsy of the pancreas with a biopsy gun. Radiology 176(3):677–679PubMed
14.
Zurück zum Zitat Welch TJ, Sheedy PF 2nd, Johnson CD, Johnson CM, Stephens DH (1989) CT-guided biopsy: prospective analysis of 1,000 procedures. Radiology 171(2):493–496PubMed Welch TJ, Sheedy PF 2nd, Johnson CD, Johnson CM, Stephens DH (1989) CT-guided biopsy: prospective analysis of 1,000 procedures. Radiology 171(2):493–496PubMed
15.
Zurück zum Zitat McGahan JP, Loh S, Fitzgerald E, et al. (2011) Pretreatment imaging can be used to select imaging guidance, ultrasound alone versus CT plus ultrasound, for percutaneous renal radiofrequency ablation. AJR Am J Roentgenol 197(5):1244–1250. doi:10.2214/AJR.10.6071 PubMedCrossRef McGahan JP, Loh S, Fitzgerald E, et al. (2011) Pretreatment imaging can be used to select imaging guidance, ultrasound alone versus CT plus ultrasound, for percutaneous renal radiofrequency ablation. AJR Am J Roentgenol 197(5):1244–1250. doi:10.​2214/​AJR.​10.​6071 PubMedCrossRef
16.
Zurück zum Zitat Campbell C, Lubner MG, Hinshaw JL, Munoz del Rio A, Brace CL (2012) Contrast media-doped hydrodissection during thermal ablation: optimizing contrast media concentration for improved visibility on CT images. AJR Am J Roentgenol 199(3):677–682. doi:10.2214/AJR.11.7999 PubMedCrossRef Campbell C, Lubner MG, Hinshaw JL, Munoz del Rio A, Brace CL (2012) Contrast media-doped hydrodissection during thermal ablation: optimizing contrast media concentration for improved visibility on CT images. AJR Am J Roentgenol 199(3):677–682. doi:10.​2214/​AJR.​11.​7999 PubMedCrossRef
18.
Zurück zum Zitat Favelier S, Guiu S, Cherblanc V, et al. (2012) Transthoracic adrenal biopsy procedure using artificial carbon dioxide pneumothorax as outpatient procedure. Cardiovasc Interv Radiology. doi:10.1007/s00270-012-0508-8 Favelier S, Guiu S, Cherblanc V, et al. (2012) Transthoracic adrenal biopsy procedure using artificial carbon dioxide pneumothorax as outpatient procedure. Cardiovasc Interv Radiology. doi:10.​1007/​s00270-012-0508-8
19.
Zurück zum Zitat Porter B, Karp W, Forsberg L (1981) Percutaneous cytodiagnosis of abdominal masses by ultrasound guided fine needle aspiration biopsy. Acta Radiol 22(6):663–668 Porter B, Karp W, Forsberg L (1981) Percutaneous cytodiagnosis of abdominal masses by ultrasound guided fine needle aspiration biopsy. Acta Radiol 22(6):663–668
20.
Zurück zum Zitat Hancke S, Holm HH, Koch F (1975) Ultrasonically guided percutaneous fine needle biopsy of the pancreas. Surg, Gynecol, Obstet 140(3):361–364 Hancke S, Holm HH, Koch F (1975) Ultrasonically guided percutaneous fine needle biopsy of the pancreas. Surg, Gynecol, Obstet 140(3):361–364
22.
Zurück zum Zitat McGahan JP, Wu C (2008) Sonographically guided transvaginal or transrectal pelvic abscess drainage using the trocar method with a new drainage guide attachment. AJR Am J Roentgenol 191(5):1540–1544. doi:10.2214/AJR.07.3830 PubMedCrossRef McGahan JP, Wu C (2008) Sonographically guided transvaginal or transrectal pelvic abscess drainage using the trocar method with a new drainage guide attachment. AJR Am J Roentgenol 191(5):1540–1544. doi:10.​2214/​AJR.​07.​3830 PubMedCrossRef
25.
Zurück zum Zitat Wu W, Chen MH, Yan K, et al. (2006) Application of contrast-enhanced ultrasound to increase the diagnostic rate of liver tumor by biopsy. Zhonghua Yi Xue Za Zhi 86(2):116–120PubMed Wu W, Chen MH, Yan K, et al. (2006) Application of contrast-enhanced ultrasound to increase the diagnostic rate of liver tumor by biopsy. Zhonghua Yi Xue Za Zhi 86(2):116–120PubMed
27.
Zurück zum Zitat Kunishi Y, Numata K, Morimoto M, et al. (2012) Efficacy of fusion imaging combining sonography and hepatobiliary phase MRI with Gd-EOB-DTPA to detect small hepatocellular carcinoma. AJR Am J Roentgenol 198(1):106–114. doi:10.2214/AJR.10.6039 PubMedCrossRef Kunishi Y, Numata K, Morimoto M, et al. (2012) Efficacy of fusion imaging combining sonography and hepatobiliary phase MRI with Gd-EOB-DTPA to detect small hepatocellular carcinoma. AJR Am J Roentgenol 198(1):106–114. doi:10.​2214/​AJR.​10.​6039 PubMedCrossRef
28.
Metadaten
Titel
Challenges in abdominal/pelvic biopsy techniques
verfasst von
John P. McGahan
Publikationsdatum
01.10.2013
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 5/2013
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-013-0006-8

Weitere Artikel der Ausgabe 5/2013

Abdominal Radiology 5/2013 Zur Ausgabe

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.