Image-guided automated core biopsies of the breast, chest, abdomen, and pelvis.

Burbank, Fred; Kaye, Keith W.; Belville, J S; Ekuan, J; Blumenfeld, Michael L.

doi:10.1148/radiology.191.1.8134564

Cited by 47 publications

(20 citation statements)

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“…A significant difference wasseen only between 16-and 14-gauge needles. The slightly higher total scoreof the 18-gaugenec diescomparedwith the 16-gaugeneedlesmight be explained by the higher fragmentation score rather than the diagnostic accuracy of the 18-gaugeneedles.Nevertheless,18-gaugeneedles are known for their high diagnostic perfor mancein tissuebiopsiesin different areasof the body [4,27,28]. However,our data,like those of Nath et al [12], confirm the drawbacksof smallerneedles in malignant lesions.…”

Section: Discussionsupporting

confidence: 59%

Evaluation of needle size for breast biopsy: comparison of 14-, 16-, and 18-gauge biopsy needles.

Helbich¹,

Rudas²,

Haitel³

et al. 1998

American Journal of Roentgenology

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OBJECTIVE. Thepurpose ofourstudy wastocompare thequantity andquality oftissueharvested from breast biopsy when using 14-, 16-, and 18-gauge â€oe¿ long-throwâ€• needles. SUBJECTS AND METHODS.Weperformed aprospective randomized study in64patients with 66 breast lesions. Under stereotactic guidance, passes were made in random order with each of the three biopsy needles in each lesion. Samples were measured for tissue area and scored for their quality. All lesions, including benign and malignant lesions and lesions with and without microcalcifications, were analyzed. Findings of the biopsy samples were compared with the final diagnoses made at surgical excision.

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Section: Discussionsupporting

confidence: 59%

Evaluation of needle size for breast biopsy: comparison of 14-, 16-, and 18-gauge biopsy needles.

Helbich¹,

Rudas²,

Haitel³

et al. 1998

American Journal of Roentgenology

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“…However, new techniques with respiratory gating and CT fluoroscopy have been used to improve success rates (10,11). Automated cutting biopsy devices are currently used for the diagnosis of lesions in many solid organs (12)(13)(14). A core biopsy technique in addition to fine-needle aspiration biopsy has been shown to increase the diagnostic accuracy for non-malignant lesions and aid the characterization of cell types in patients with carcinoma (15)(16)(17)(18).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous core needle biopsy for small lung nodules with diameters ≤ 10 mm: accurate diagnosis and complication rates

Jae

June²,

Yie³

et al. 2012

Diagn Interv Radiol

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ORIGINAL ARTICLE PURPOSE To evaluate accurate diagnosis and complication rates of percutaneous core needle biopsy (PCNB) with an automated gun for small lung nodules that are 10 mm or less in diameter. MATERIALS AND METHODSForty-two cases of small lung nodules with diameters ≤10 mm (mean diameter, 9 mm) that received a PCNB were included in this study. Imaging guidance was fluoroscopy in 30 cases and computed tomography (CT) in 12 cases. RESULTSAccurate diagnosis was achieved with the initial PCNB in 88.1% (37/42) of cases. Accurate diagnosis rates were 86.7% (26/30) with fluoroscopic guidance and 91.7% (11/12) with CT guidance (P > 0.05). The complication rate of PCNB was 7.1% (3/42), including hemoptysis (n=2) and pneumothorax (n=1). The complication rate was 6.7% (2/30) with fluoroscopic guidance and 8.3% (1/12) with CT guidance (P > 0.05).CONCLUSION PCNB with an automated gun is useful for the pathologically conclusive diagnosis of small lung nodules (≤10 mm in diameter) using fluoroscopic or CT guidance. Key words: • X-ray computed tomography • fluoroscopy • lung diseases • biopsyP ercutaneous core needle biopsy (PCNB) of the lung is a well-established method for the cytological diagnosis of pulmonary nodules (1, 2). PCNB is generally regarded as a safe procedure with limited morbidity and extremely rare mortality (2-5). Biopsies of pulmonary lesions as small as 3 mm in diameter have been reported (6, 7). Diagnostic accuracy rates of 90%-100% using computed tomography (CT) guidance have been documented for pulmonary lesions greater than 10 mm in diameter (3,8). For smaller lesions, however, several studies have reported decreased diagnostic accuracy in the range of 52%-88% (3, 8, 9). Moreover, no study has reported a pathologically conclusive diagnosis of PCNB for small lung nodules using CT and fluoroscopy guidance.The purpose of this study was to evaluate the accurate diagnosis and complication rates of PCNB using an automated gun for small lung nodules with diameters <10 mm. Materials and methods PatientsBetween July 2004 and October 2011, 1467 consecutive percutaneous thoracic biopsies using automated biopsy devices or fine needle aspiration were performed at our institution. Of these cases, 81 extrapulmonary thoracic lesions, such as mediastinal (n=45), chest wall (n=21), and pleural (n=13) lesions were excluded. The remaining 1386 cases of PCNB were performed on pulmonary parenchymal lesions. The enrolled population consisted of 875 males (63.1%) and 511 females (36.9%). Patients' age ranged from 8 to 88 years (mean, 66.2 years). Using axial CT scan images, the largest transverse cross-sectional diameter of each nodule was measured on picture archiving and communication system workstations. The mean diameter of each nodule was considered as its size.Of the 1386 evaluable cases, there were 52 cases of initial PCNB and 10 cases of fine needle aspiration for small nodules with diameters <10 mm. Of these cases, 42 patients receiving an initial PCNB were enrolled in this study. The enrolled group consisted...

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“…Padia et al reported 11 complications (2%) in 539 CNBs of the liver with no procedure-related death [20]. Connor et al [9] and Burbank et al [21] reported a 19% and 27% rate of pneumothorax after CT-guided CNB of 106 and 60 thoracic lesions, respectively. Somervile et al [22] studied bleeding risk after CNB of the breast and showed no clinically important complication even when performed in patients on anticoagulation therapy.…”

Section: Discussionmentioning

confidence: 99%

How safe is the use of ultrasound-guided cutting needle biopsy in the head and neck?

Pfeiffer

Ridder

2010

Eur Radiol

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Image-guided automated core biopsies of the breast, chest, abdomen, and pelvis.

Abstract: Because of the success of this approach, the adoption of an automated biopsy gun technique that includes histologic examination of a core specimen should be considered by all radiologists who perform image-guided biopsies.

Cited by 47 publications

References 0 publications

Evaluation of needle size for breast biopsy: comparison of 14-, 16-, and 18-gauge biopsy needles.

Evaluation of needle size for breast biopsy: comparison of 14-, 16-, and 18-gauge biopsy needles.

Percutaneous core needle biopsy for small lung nodules with diameters ≤ 10 mm: accurate diagnosis and complication rates

How safe is the use of ultrasound-guided cutting needle biopsy in the head and neck?

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