Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Abdominal Radiology
Erschienen in: Abdominal Radiology 4/2016

16.02.2016 | Pictorial Essay

Percutaneous biopsy in the abdomen and pelvis: a step-by-step approach

verfasst von: George A. Carberry, Meghan G. Lubner, Shane A. Wells, J. Louis Hinshaw

Erschienen in: Abdominal Radiology | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

Percutaneous abdominal biopsies provide referring physicians with valuable diagnostic and prognostic information that guides patient care. All biopsy procedures follow a similar process that begins with the preprocedure evaluation of the patient and ends with the postprocedure management of the patient. In this review, a step-by-step approach to both routine and challenging abdominal biopsies is covered with an emphasis on the differences in biopsy devices and imaging guidance modalities. Adjunctive techniques that may facilitate accessing a lesion in a difficult location or reduce procedure risk are described. An understanding of these concepts will help maintain the favorable safety profile and high diagnostic yield associated with percutaneous biopsies.
Literatur
1.
Caoili EM, Korobkin M, Francis IR, et al. (2002) Adrenal masses: characterization with combined unenhanced and delayed enhanced CT. Radiology 222:629–633CrossRefPubMed
2.
Bilbey JH, McLoughlin RF, Kurkjian PS, et al. (1995) MR imaging of adrenal masses: value of chemical-shift imaging for distinguishing adenomas from other tumors. Am J Roentgenol 164:637–642CrossRef
3.
Heinz-Peer G, Honigschnabl S, Schneider B, et al. (1999) Characterization of adrenal masses using MR imaging with histopathologic correlation. Am J Roentgenol 173:15–22CrossRef
4.
Ba-Ssalamah A, Uffmann M, Saini S, et al. (2009) Clinical value of MRI liver-specific contrast agents: a tailored examination for a confident non-invasive diagnosis of focal liver lesions. Eur Radiol 19:342–357CrossRefPubMed
5.
Zech CJ, Herrmann KA, Reiser MF, Schoenberg SO (2007) MR imaging in patients with suspected liver metastases: value of liver-specific contrast agent Gd-EOB-DTPA. Magn Reson Med 6:43–52CrossRef
6.
O’Connor SD, Taylor AJ, Williams EC, Winter TC (2009) Coagulation concepts update. Am J Roentgenol 193:1656–1664CrossRef
7.
Hibbert RM, Atwell TD, Lekah A, et al. (2013) Safety of ultrasound-guided thoracentesis in patients with abnormal preprocedural coagulation parameters. Chest 144:456–463CrossRefPubMed
8.
Kurup AN, Lekah A, Reardon ST, et al. (2015) Bleeding rate for ultrasound-guided paracentesis in thrombocytopenic patients. J Ultrasound Med 34:1833–1838CrossRefPubMed
9.
Hedges SJ, Dehoney SB, Hooper JS, Amanzadeh J, Busti AJ (2007) Evidence-based treatment recommendations for uremic bleeding. Nat Clin Pract Nephrol 3:138–153CrossRefPubMed
10.
Prasad N, Kumar S, Manjunath R, et al. (2015) Real-time ultrasound-guided percutaneous renal biopsy with needle guide by nephrologists decreases post-biopsy complications. Clin Kidney J 8:151–156CrossRefPubMedPubMedCentral
11.
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. Am J Roentgenol 189:109–116CrossRef
12.
Carlson SK, Bender CE, Classic KL, et al. (2001) Benefits and safety of CT fluoroscopy in interventional radiologic procedures. Radiology 219:515–520CrossRefPubMed
13.
Sheafor DH, Paulson EK, Kliewer MA, DeLong DM, Nelson RC (2000) Comparison of sonographic and CT guidance techniques: does CT fluoroscopy decrease procedure time? Am J Roentgenol 174:939–942CrossRef
14.
Hussain S (1996) Gantry angulation in CT-guided percutaneous adrenal biopsy. Am J Roentgenol 166:537–539CrossRef
15.
Franiel T, Stephan C, Erbersdobler A, et al. (2011) Areas suspicious for prostate cancer: MR-guided biopsy in patients with at least one transrectal US-guided biopsy with a negative finding–multiparametric MR imaging for detection and biopsy planning. Radiology 259:162–172CrossRefPubMed
16.
Hambrock T, Somford DM, Hoeks C, et al. (2010) Magnetic resonance imaging guided prostate biopsy in men with repeat negative biopsies and increased prostate specific antigen. J Urol 183:520–527CrossRefPubMed
17.
Pokorny MR, de Rooij M, Duncan E, et al. (2014) Prospective study of diagnostic accuracy comparing prostate cancer detection by transrectal ultrasound-guided biopsy versus magnetic resonance (MR) imaging with subsequent MR-guided biopsy in men without previous prostate biopsies. Eur Urol 66:22–29CrossRefPubMed
18.
Pinto PA, Chung PH, Rastinehad AR, et al. (2011) Magnetic resonance imaging/ultrasound fusion guided prostate biopsy improves cancer detection following transrectal ultrasound biopsy and correlates with multiparametric magnetic resonance imaging. J Urol 186:1281–1285CrossRefPubMedPubMedCentral
19.
Bitencourt AG, Tyng CJ, Pinto PN, et al. (2012) Percutaneous biopsy based on PET/CT findings in cancer patients: technique, indications, and results. Clin Nucl Med 37:e95–e97CrossRefPubMed
20.
Tatli S, Gerbaudo VH, Mamede M, et al. (2010) Abdominal masses sampled at PET/CT-guided percutaneous biopsy: initial experience with registration of prior PET/CT images. Radiology 256:305–311CrossRefPubMed
21.
Shyn PB, Tatli S, Sahni VA, et al. (2014) PET/CT-guided percutaneous liver mass biopsies and ablations: targeting accuracy of a single 20 s breath-hold PET acquisition. Clin Radiol 69:410–415CrossRefPubMed
22.
Stewart CJ, Coldewey J, Stewart IS (2002) Comparison of fine needle aspiration cytology and needle core biopsy in the diagnosis of radiologically detected abdominal lesions. J Clin Pathol 55:93–97CrossRefPubMedPubMedCentral
23.
Kupnicka D, Sztajer S, Kordek R, Piekarski J (2008) Comparison of core and fine needle aspiration biopsies for diagnosis of liver masses. Hepato-gastroenterol 55:1710–1715
24.
Livraghi T, Sangalli G, Giordano F, Vettori C (1988) Fine aspiration versus fine cutting needle, and comparison between smear cytology, inclusion cytology and microhistology in abdominal lesions. Tumori 74:361–364PubMed
25.
Moulton JS, Moore PT (1993) Coaxial percutaneous biopsy technique with automated biopsy devices: value in improving accuracy and negative predictive value. Radiology 186:515–522CrossRefPubMed
26.
Baumgarten RK (1995) Importance of the needle bevel during spinal and epidural anesthesia. Reg Anesthesia 20:234–238
27.
Maturen KE, Nghiem HV, Marrero JA, et al. (2006) Lack of tumor seeding of hepatocellular carcinoma after percutaneous needle biopsy using coaxial cutting needle technique. Am J Roentgenol 187:1184–1187CrossRef
28.
Gervais DA, Gazelle GS, Lu DS, Han PF, Mueller PR (1996) Percutaneous transpulmonary CT-guided liver biopsy: a safe and technically easy approach for lesions located near the diaphragm. Am J Roentgenol 167:482–483CrossRef
29.
McInnes MD, Kielar AZ, Macdonald DB (2011) Percutaneous image-guided biopsy of the spleen: systematic review and meta-analysis of the complication rate and diagnostic accuracy. Radiology 260:699–708CrossRefPubMed
30.
Keogan MT, Freed KS, Paulson EK, Nelson RC, Dodd LG (1999) Imaging-guided percutaneous biopsy of focal splenic lesions: update on safety and effectiveness. Am J Roentgenol 172:933–937CrossRef
31.
Paulsen SD, Nghiem HV, Negussie E, et al. (2006) Evaluation of imaging-guided core biopsy of pancreatic masses. Am J Roentgenol 187:769–772CrossRef
32.
Gazelle GS, Haaga JR (1989) Guided percutaneous biopsy of intraabdominal lesions. Am J Roentgenol 153:929–935CrossRef
33.
Winter TC, Lee FT Jr, Hinshaw JL (2008) Ultrasound-guided biopsies in the abdomen and pelvis. Ultrasound Q 24:45–68CrossRefPubMed
34.
Sainani NI, Arellano RS, Shyn PB, et al. (2013) The challenging image-guided abdominal mass biopsy: established and emerging techniques ‘if you can see it, you can biopsy it’. Abdom Imaging 38:672–696CrossRefPubMed
35.
Akan H, Ozen N, Incesu L, Gumus S, Gunes M (1998) Are percutaneous transgastric biopsies using 14-, 16- and 18-G Tru-Cut needles safe? An experimental study in the rabbit. Aust Radiol 42:99–101CrossRef
36.
Martino CR, Haaga JR, Bryan PJ (1984) Secondary infection of an endometrioma following fine-needle aspiration. Radiology 151:53–54CrossRefPubMed
37.
Brandt KR, Charboneau JW, Stephens DH, Welch TJ, Goellner JR (1993) CT- and US-guided biopsy of the pancreas. Radiology 187:99–104CrossRefPubMed
38.
Gianfelice D, Lepanto L, Perreault P, Chartrand-Lefebvre C, Milette PC (2000) Value of CT fluoroscopy for percutaneous biopsy procedures. J Vasc Interv Radiol 11:879–884CrossRefPubMed
39.
Fisher AJ, Paulson EK, Sheafor DH, Simmons CM, Nelson RC (1997) Small lymph nodes of the abdomen, pelvis, and retroperitoneum: usefulness of sonographically guided biopsy. Radiology 205:185–190CrossRefPubMed
40.
Park SY, Tak WY, Jeon SW, et al. (2010) The efficacy of intraperitoneal saline infusion for percutaneous radiofrequency ablation for hepatocellular carcinoma. Eur J Radiol 74:536–540CrossRefPubMed
41.
Rhim H, Lim HK, Kim YS, Choi D (2008) Percutaneous radiofrequency ablation with artificial ascites for hepatocellular carcinoma in the hepatic dome: initial experience. Am J Roentgenol 190:91–98CrossRef
42.
Harisinghani MG, Gervais DA, Hahn PF, et al. (2002) CT-guided transgluteal drainage of deep pelvic abscesses: indications, technique, procedure-related complications, and clinical outcome. Radiographics 22:1353–1367CrossRefPubMed
43.
Maher MM, Gervais DA, Kalra MK, et al. (2004) The inaccessible or undrainable abscess: how to drain it. Radiographics 24:717–735CrossRefPubMed
44.
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. Am J Roentgenol 199:677–682CrossRef
45.
Tyng CJ, Bitencourt AG, Martins EB, Pinto PN, Chojniak R (2012) Technical note: CT-guided paravertebral adrenal biopsy using hydrodissection—a safe and technically easy approach. Br J Radiol 85:e339–e342CrossRefPubMedPubMedCentral
46.
Arellano RS, Gervais DA, Mueller PR (2011) CT-guided drainage of abdominal abscesses: hydrodissection to create access routes for percutaneous drainage. Am J Roentgenol 196:189–191CrossRef
47.
McKean D, Hart M, Grant D, Meagher T (2012) Dynamic intravenous contrast bolus in CT fluoroscopy guided biopsy. Clin Radiol 67:S6CrossRef
48.
Gobble RM, Hoang HL, Kachniarz B, Orgill DP (2014) Ketorolac does not increase perioperative bleeding: a meta-analysis of randomized controlled trials. Plast Reconstr Surg 133:741–755CrossRefPubMed
Metadaten
Titel
Percutaneous biopsy in the abdomen and pelvis: a step-by-step approach
verfasst von
George A. Carberry
Meghan G. Lubner
Shane A. Wells
J. Louis Hinshaw
Publikationsdatum
16.02.2016
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 4/2016
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-016-0667-1

Weitere Artikel der Ausgabe 4/2016

Abdominal Radiology 4/2016 Zur Ausgabe

Commentary

Serrated colonic polyps: dispelling myths

OriginalPaper

Microwave ablation for liver tumors

Invited article

Image-guided intervention in the coagulopathic patient

OriginalPaper

Image fusion and navigation platforms for percutaneous image-guided interventions

OriginalPaper

Risk factors for bleeding after liver biopsy

Review Paper

Abdominal radiology in the era of the Interventional Radiology/Diagnostic Radiology certificate

Neu im Fachgebiet Radiologie

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.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

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

Newsletter bestellen
Bildnachweise