Quality Improvement Guidelines for Percutaneous Needle Biopsy

Gupta, Sanjay; Wallace, Michael J.; Cardella, John F.; Kundu, Sanjoy; Miller, Donald L.; Rose, Steven C.

doi:10.1016/j.jvir.2010.01.011

Cited by 299 publications

(234 citation statements)

References 99 publications

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“…While percutaneous and transjugular liver biopsies are both associated with low overall complication rates less than 3% (18,19), these are invasive procedures that may potentially result in unintended morbidities. As such, the macroscopic identification of FLD using non-invasive imaging techniques has been advocated for the diagnosis of nonalcoholic FLD (7).…”

Section: Discussionmentioning

confidence: 99%

Hepatic steatosis: correlation of bmi, CT fat measurements and liver density, and biopsy results

Gaba

Knuttinen

Brodsky

et al. 2011

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 99%

Hepatic steatosis: correlation of bmi, CT fat measurements and liver density, and biopsy results

Gaba

Knuttinen

Brodsky

et al. 2011

Diagn Interv Radiol

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“…In the case of regular taking of oral anticoagulants, the intervention was performed starting at a quick value of over 60 % or an INR ≤ 1.4. Moreover, thrombocyte count of more than 60 thousand G/l was required [12,13]. A central position of the lesion to be punctured was not an exclusion criterion.…”

mentioning

confidence: 99%

Complications in CT-Guided, Semi-Automatic Coaxial Core Biopsy of Potentially Malignant Pulmonary Lesions

Schulze

Seebacher

Enderes

et al. 2015

Fortschr Röntgenstr

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Purpose: Histological verification of pulmonary lesions is important to ensure correct treatment. Computed tomographic (CT) transthoracic core biopsy is a well-established procedure for this. Comparison of available studies is difficult though, as technical and patient characteristics vary. Using a standardized biopsy technique, we evaluated our results for CT-guided coaxial core biopsy in a semi-automatic technique. Materials and Methods: Within 2 years, 664 consecutive transpulmonary biopsies were analyzed retrospectively. All interventions were performed using a 17/18G semi-automatic core biopsy system (4 to 8 specimens). The incidence of complications and technical and patient-dependent risk factors were evaluated. Results: Comparing the histology with the final diagnosis, the sensitivity was 96.3?%, and the specificity was 100?%. 24 procedures were not diagnostic. In all others immunohistological staining was possible. The main complication was pneumothorax (PT, 21.7?%), with chest tube insertion in 6?% of the procedures (n?=?40). Bleeding without therapeutic consequences was seen in 43 patients. There was no patient mortality. The rate of PT with chest tube insertion was 9.6?% in emphysema patients and 2.8?% without emphysema (p?=?0.001). Smokers with emphysema had a 5 times higher risk of developing PT (p?=?0.001). Correlation of tumor size or biopsy angle and the risk of PT was not significant. The risk of developing a PT was associated with an increasing intrapulmonary depth of the lesion (p?=?0.001). Conclusion: CT-guided, semiautomatic coaxial core biopsy of the lung is a safe diagnostic procedure. The rate of major complications is low, and the sensitivity and specificity of the procedure are high. Smokers with emphysema are at a significantly higher risk of developing pneumothorax and should be monitored accordingly. Key points: ??Using an 18G core biopsy system with 6 specimens will allow immunohistological staining with high sensitivity and specificity. ??Smokers with emphysema are at a significantly higher risk of developing a pneumothorax. Citation Format: ??Schulze R, Seebacher G, Enderes B. et?al. Complications in CT-Guided, Semi-Automatic Coaxial Core Biopsy of Potentially Malignant Pulmonary Lesions. Fortschr R?ntgenstr 2015; 187: 697???702

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“…95 Together with biopsies, percutaneous withdrawals for microbiological studies can be performed. 96 Relative contraindications are severe coagulopathy and proximity to vital structures. 94,96 CT, fluoroscopy and ultrasound are the first-line techniques for biopsy procedures, FNA of synovial or abscess fluids, as well as for drug infiltration.…”

Section: Infectious and Rheumatologic Disordersmentioning

confidence: 99%

Paediatric musculoskeletal interventional radiology

Natali¹,

Paolantonio²,

Fruhwirth³

et al. 2016

BJR

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Interventional radiology technique is now well established and widely used in the adult population. Through minimally invasive procedures, it increasingly replaces surgical interventions that involve higher percentages of invasiveness and, consequently, of morbidity and mortality. For these advantageous reasons, interventional radiology in recent years has spread to the paediatric age as well. The aim of this study was to review the literature on the development, use and perspectives of these procedures in the paediatric musculoskeletal field. Several topics are covered: osteomuscle neoplastic malignant and benign pathologies treated with invasive diagnostic and/or therapeutic procedures such as radiofrequency ablation in the osteoid osteoma; invasive and non-invasive procedures in vascular malformations; treatment of aneurysmal bone cysts; and role of interventional radiology in paediatric inflammatory and rheumatic inflammations. The positive results that have been generated with interventional radiology procedures in the paediatric field highly encourage both the development of new ad hoc materials, obviously adapted to young patients, as well as the improvement of such techniques, in consideration of the fact that childrens' pathologies do not always correspond to those of adults. In conclusion, as these interventional procedures have proven to be less invasive, with lower morbidity and mortality rates as well, they are becoming a viable and valid alternative to surgery in the paediatric population. MUSCULOSKELETAL MALIGNANT TUMOURSOsteosarcoma, Ewing sarcoma and rhabdomyosarcoma are the most common musculoskeletal tumours of childhood and adolescence.

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Quality Improvement Guidelines for Percutaneous Needle Biopsy

Cited by 299 publications

References 99 publications

Hepatic steatosis: correlation of bmi, CT fat measurements and liver density, and biopsy results

Hepatic steatosis: correlation of bmi, CT fat measurements and liver density, and biopsy results

Complications in CT-Guided, Semi-Automatic Coaxial Core Biopsy of Potentially Malignant Pulmonary Lesions

Paediatric musculoskeletal interventional radiology

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