Automatic Core Needle Biopsy

Nyquist, Gurston; Tom, William David; Mui, Stanley

doi:10.1001/archoto.2007.39

Cited by 27 publications

(7 citation statements)

References 28 publications

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“…Large-gauge needles generally provide greater diagnostic value as pathologists can more readily determine the specific histological type of mass lesions from the larger tissue core; however the risk of hemorrhage may increase (15). An 18 gauge biopsy needle is widely accepted to be effective and safe in biopsies of the head and neck areas (1, 2), but no previous study has contrasted its use against 20 gauge needles. Our results showed that either an 18 or a 20 gauge biopsy needle yields similar diagnostic outcomes in the biopsy of head and neck lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical open biopsy is commonly used to achieve the diagnosis, but it is invasive and has notable risks. Ultrasound (US) guidance has been generally advocated for the biopsy of most head and neck lesions, especially for the superficial areas (2). However, this technique has limited utility for lesions in the deep suprahyoid region because the underlying intervening osseous and air-containing structures may contribute to a limited ultrasound window.…”

Section: Introductionmentioning

confidence: 99%

“…Alternatively, core needle biopsy (CNB) has been considered efficient and safe for tissue diagnosis of head and neck lesions. It can provide quality specimens for histopathologic and immunochemical studies (2, 7, 8). However, CT-guided CNB can be technically challenging for deep head and neck areas due to major vessels and nerves that often obscure the path of the needle (3).…”

Section: Introductionmentioning

confidence: 99%

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CT-Guided Core Needle Biopsy of Deep Suprahyoid Head and Neck Lesions

Chen

et al. 2013

Korean J Radiol

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Objective:To evaluate the efficacy of computer tomography (CT)-guided core needle biopsy (CNB) in the diagnosis of deep suprahyoid lesions in patients with treated head and neck cancers. Materials and Methods: Between December, 2003 and May, 2011, 28 CT-guided CNBs were performed in 28 patients with deep suprahyoid head and neck lesions. All patients had undergone treatment for head and neck cancers. Subzygomatic, paramaxillary, and retromandibular approaches were used. The surgical results, response to treatment, and clinical follow-up were used as the diagnostic reference standards. Results: All biopsies yielded adequate specimens for definitive histological diagnoses. A specimen from a right parapharyngeal lesion showed atypia, which was deemed a false negative diagnosis. Diagnostic accuracy was 27/28 (96.4%). Two minor complications were encountered: a local hematoma and transient facial palsy. Between the 18 or 20 gauge biopsy needles, there was no statistical difference in the diagnostic results. Conclusion: CT-guided core needle biopsy, with infrequent and minor complications, is an accurate and efficient method for the histological diagnosis of deep suprahyoid lesions in post-treated head and neck cancer patients. This procedure can preclude an unnecessary surgical intervention, especially in patients with head and neck cancers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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CT-Guided Core Needle Biopsy of Deep Suprahyoid Head and Neck Lesions

Chen

et al. 2013

Korean J Radiol

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“…Second, the accuracy of CNB depends on several factors, such as the operators' skills and experience. However, inherent nodule characteristics can be more important factors in inducing unsatisfactory sampling under US guidance, compared to operator factors (3031). In this study, we included 140 thyroid nodules with relatively similar characteristics of K-TIRADS category 3 or 4.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Core Needle Biopsy Techniques for Intermediate or Low Suspicion Thyroid Nodules: Which Method is Effective for Diagnosis?

Hahn

Shin

et al. 2019

Korean J Radiol

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ObjectiveTo retrospectively compare the diagnostic performances of two different ultrasound (US)-guided core needle biopsy (CNB) techniques for intermediate or low suspicion thyroid nodules.Materials and MethodsBetween August 2015 and December 2016, two different biopsy techniques were alternatively applied for 248 consecutive thyroid nodules, of which, 140 intermediate or low suspicion thyroid nodules were included in this study. In the first technique, two specimens included nodular tissue, nodular margin, and surrounding normal parenchyma (i.e., marginal target). In the second technique, two specimens were obtained from two different target areas, one for the marginal target and another for the intranodular target. The diagnostic performances of the two techniques to predict neoplasm and malignancy were compared.ResultsCNB was performed on 80 intermediate or low suspicion nodules (57.1%) using the first technique and on 60 (42.9%) using the second technique. The accuracy of the first technique for predicting neoplasm or malignancy was significantly higher than that of the second technique (100% vs. 93.3%, p = 0.032 for predicting neoplasm; 88.8% vs. 75.0%, p = 0.033 for predicting malignancy). The negative predictive value of the first technique for predicting malignancy was also significantly higher than that of the second technique (87.5% vs. 72.7%, p = 0.035).ConclusionFor intermediate or low suspicion thyroid nodules, US-guided CNB to obtain two specimens with marginal targets is more effective for diagnosing neoplasm or malignancy than is CNB for respective marginal and intranodular targets.

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“…Surgical biopsy of these lesions can be challenging with notable risk. Generally, ultrasound (uS)-guided needle biopsy is effective for superficial head and neck lesions 1,2 . however, there is a limited acoustic window for visualization of the deeper head and neck area due to intervening osseous and air-containing structures 3 .…”

Section: Introductionmentioning

confidence: 99%

CT-Guided Core Needle Biopsy of Deep Suprahyoid Head and Neck Lesions in Untreated Patients

Chen

Toh³

et al. 2013

Interv Neuroradiol

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This study aimed to evaluate the efficacy of CT-guided core needle biopsy (CNB) in the diagnosis of deep head and neck tumors in untreated patients. We retrospectively reviewed the records of ten consecutive CT-guided CNB procedures from ten patients without a related history from March 2004 to February 2012. The surgical results, treatment response and clinical follow-up were used as the diagnostic standards. All specimens were considered adequate. Nine out of ten cases matched the final diagnosis. Biopsy failed to diagnose the infratemporal meningioma en plaque in a particular case. Three cases were carcinomas. No complication was encountered. CT-guided core needle biopsy is an efficient and safe technique for histological diagnosis of skull base lesions in patients without a related history. This technique can offer a definite tissue diagnosis and avoid unnecessary surgical interventions for such patients.

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Automatic Core Needle Biopsy

Cited by 27 publications

References 28 publications

CT-Guided Core Needle Biopsy of Deep Suprahyoid Head and Neck Lesions

CT-Guided Core Needle Biopsy of Deep Suprahyoid Head and Neck Lesions

Ultrasound-Guided Core Needle Biopsy Techniques for Intermediate or Low Suspicion Thyroid Nodules: Which Method is Effective for Diagnosis?

CT-Guided Core Needle Biopsy of Deep Suprahyoid Head and Neck Lesions in Untreated Patients

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