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Renal Mass Biopsy

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Percutaneous Image-Guided Biopsy

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Abstract

Several factors have led to renewed interest in percutaneous renal mass biopsy, including an increase in incidental detection of small renal masses on routine cross-sectional imaging studies, the availability of conservative and minimally invasive treatment options for selected patients with renal cell carcinoma, and advances in molecular targeted therapy for patients with advanced renal cancer. Percutaneous renal mass biopsy is a safe procedure with low complication rates. Previously feared potential complications such as severe hemorrhage and needle tract seeding have not been encountered in the largest contemporary series published. Advances in cross-sectional imaging technologies, including ultrasonography, computed tomography, and magnetic resonance imaging, have enabled greater precision in localizing and targeting renal tumors for biopsy. Fine-needle aspiration or core needle biopsy is performed through a guiding cannula in a coaxial fashion, allowing the operator to obtain multiple tissue samples without reinserting the needle through the entire tract. Core needle biopsy has a diagnostic accuracy of greater than 90 %; thus, percutaneous biopsy can in many instances have a significant impact on the clinical management of a patient with a renal mass.

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References

  1. Skinner DG, Colvin RB, Vermillion CD, Pfister RC, Leadbetter WF. Diagnosis and management of renal cell carcinoma. A clinical and pathologic study of 309 cases. Cancer. 1971;28:1165–77.

    Article  PubMed  CAS  Google Scholar 

  2. Chow WH, Devesa SS, Warren JL, Fraumeni Jr JF. Rising incidence of renal cell cancer in the United States. JAMA. 1999;281:1628–31.

    Article  PubMed  CAS  Google Scholar 

  3. Frank I, Blute ML, Cheville JC, Lohse CM, Weaver AL, Zincke H. Solid renal tumors: an analysis of pathological features related to tumor size. J Urol. 2003;170:2217–20.

    Article  PubMed  Google Scholar 

  4. Link RE, Bhayani SB, Allaf ME, et al. Exploring the learning curve, pathological outcomes and perioperative morbidity of laparoscopic partial nephrectomy performed for renal mass. J Urol. 2005;173:1690–4.

    Article  PubMed  Google Scholar 

  5. Gill IS, Matin SF, Desai MM, et al. Comparative analysis of laparoscopic versus open partial nephrectomy for renal tumors in 200 patients. J Urol. 2003;170:64–8.

    Article  PubMed  Google Scholar 

  6. Lane BR, Samplaski MK, Herts BR, Zhou M, Novick AC, Campbell SC. Renal mass biopsy–a renaissance? J Urol. 2008;179:20–7.

    Article  PubMed  Google Scholar 

  7. Silverman SG, Gan YU, Mortele KJ, Tuncali K, Cibas ES. Renal masses in the adult patient: the role of percutaneous biopsy. Radiology. 2006;240:6–22.

    Article  PubMed  Google Scholar 

  8. Volpe A, Jewett MA. Current role, techniques and outcomes of percutaneous biopsy of renal tumors. Expert Rev Anticancer Ther. 2009;9:773–83.

    Article  PubMed  Google Scholar 

  9. Truong LD, Caraway N, Ngo T, Laucirica R, Katz R, Ramzy I. Renal lymphoma. The diagnostic and therapeutic roles of fine-needle aspiration. Am J Clin Pathol. 2001;115:18–31.

    Article  PubMed  CAS  Google Scholar 

  10. Gattuso P, Ramzy I, Truong LD, et al. Utilization of fine-needle aspiration in the diagnosis of metastatic tumors to the kidney. Diagn Cytopathol. 1999;21:35–8.

    Article  PubMed  CAS  Google Scholar 

  11. Atkins MB. Treatment selection for patients with metastatic renal cell carcinoma: identification of features favoring upfront IL-2-based immunotherapy. Med Oncol. 2009;26 Suppl 1:18–22.

    Article  PubMed  Google Scholar 

  12. Samplaski MK, Zhou M, Lane BR, Herts B, Campbell SC. Renal mass sampling: an enlightened perspective. Int J Urol. 2011;18:5–19.

    Article  PubMed  Google Scholar 

  13. Bracken RB, Chica G, Johnson DE, Luna M. Secondary renal neoplasms: an autopsy study. South Med J. 1979;72:806–7.

    Article  PubMed  CAS  Google Scholar 

  14. Rybicki FJ, Shu KM, Cibas ES, Fielding JR, van Sonnenberg E, Silverman SG. Percutaneous biopsy of renal masses: sensitivity and negative predictive value stratified by clinical setting and size of masses. AJR Am J Roentgenol. 2003;180:1281–7.

    Article  PubMed  Google Scholar 

  15. Richmond J, Sherman RS, Diamond HD, Craver LF. Renal lesions associated with malignant lymphomas. Am J Med. 1962;32:184–207.

    Article  PubMed  CAS  Google Scholar 

  16. Hartman DS, David Jr CJ, Goldman SM, Friedman AC, Fritzsche P. Renal lymphoma: radiologic-pathologic correlation of 21 cases. Radiology. 1982;144:759–66.

    PubMed  CAS  Google Scholar 

  17. Reznek RH, Mootoosamy I, Webb JA, Richards MA. CT in renal and perirenal lymphoma: a further look. Clin Radiol. 1990;42:233–8.

    Article  PubMed  CAS  Google Scholar 

  18. El-Sharkawy MS, Siddiqui N, Aleem A, Diab AA. Renal involvement in lymphoma: prevalence and various patterns of involvement on abdominal CT. Int Urol Nephrol. 2007;39:929–33.

    Article  PubMed  CAS  Google Scholar 

  19. Lohse CM, Cheville JC. A review of prognostic pathologic features and algorithms for patients treated surgically for renal cell carcinoma. Clin Lab Med. 2005;25:433–64.

    Article  PubMed  Google Scholar 

  20. Cohen HT, McGovern FJ. Renal-cell carcinoma. N Engl J Med. 2005;353:2477–90.

    Article  PubMed  CAS  Google Scholar 

  21. Cho D, Signoretti S, Dabora S, et al. Potential histologic and molecular predictors of response to temsirolimus in patients with advanced renal cell carcinoma. Clin Genitourin Cancer. 2007;5:379–85.

    Article  PubMed  CAS  Google Scholar 

  22. Renshaw AA, Granter SR, Cibas ES. Fine-needle aspiration of the adult kidney. Cancer. 1997;81:71–88.

    Article  PubMed  CAS  Google Scholar 

  23. Rosenfield AT, Glickman MG, Taylor KJ, Crade M, Hodson J. Acute focal bacterial nephritis (acute lobar nephronia). Radiology. 1979;132:553–61.

    PubMed  CAS  Google Scholar 

  24. Nguyen GK. Percutaneous fine-needle aspiration biopsy cytology of the kidney and adrenal. Pathol Annu. 1987;22(Pt 1):163–91.

    PubMed  Google Scholar 

  25. Lee JK, McClennan BL, Melson GL, Stanley RJ. Acute focal bacterial nephritis: emphasis on gray scale sonography and computed tomography. AJR Am J Roentgenol. 1980;135:87–92.

    Article  PubMed  CAS  Google Scholar 

  26. McKinstry CS. Acute lobar nephronia. Br J Radiol. 1985;58:1217–19.

    Article  PubMed  CAS  Google Scholar 

  27. Harisinghani MG, Maher MM, Gervais DA, et al. Incidence of malignancy in complex cystic renal masses (Bosniak category III): should imaging-guided biopsy precede surgery? AJR Am J Roentgenol. 2003;180:755–8.

    Article  PubMed  Google Scholar 

  28. Israel GM, Bosniak MA. An update of the Bosniak renal cyst classification system. Urology. 2005;66:484–8.

    Article  PubMed  Google Scholar 

  29. Richter F, Kasabian NG, Irwin Jr RJ, Watson RA, Lang EK. Accuracy of diagnosis by guided biopsy of renal mass lesions classified indeterminate by imaging studies. Urology. 2000;55:348–52.

    Article  PubMed  CAS  Google Scholar 

  30. Lang EK, Macchia RJ, Gayle B, et al. CT-guided biopsy of indeterminate renal cystic masses (Bosniak 3 and 2F): accuracy and impact on clinical management. Eur Radiol. 2002;12:2518–24.

    PubMed  Google Scholar 

  31. Campbell SC, Novick AC, Herts B, et al. Prospective evaluation of fine needle aspiration of small, solid renal masses: accuracy and morbidity. Urology. 1997;50:25–9.

    Article  PubMed  CAS  Google Scholar 

  32. Neuzillet Y, Lechevallier E, Andre M, Daniel L, Coulange C. Accuracy and clinical role of fine needle percutaneous biopsy with computerized tomography guidance of small (less than 4.0 cm) renal masses. J Urol. 2004;171:1802–5.

    Article  PubMed  Google Scholar 

  33. Wood BJ, Khan MA, McGovern F, Harisinghani M, Hahn PF, Mueller PR. Imaging guided biopsy of renal masses: indications, accuracy and impact on clinical management. J Urol. 1999;161:1470–4.

    Article  PubMed  CAS  Google Scholar 

  34. Gervais DA, McGovern FJ, Arellano RS, McDougal WS, Mueller PR. Radiofrequency ablation of renal cell carcinoma: Part 1, Indications, results, and role in patient management over a 6-year period and ablation of 100 tumors. AJR Am J Roentgenol. 2005;185:64–71.

    Article  PubMed  Google Scholar 

  35. Zagoria RJ, Traver MA, Werle DM, Perini M, Hayasaka S, Clark PE. Oncologic efficacy of CT-guided percutaneous radiofrequency ablation of renal cell carcinomas. AJR Am J Roentgenol. 2007;189:429–36.

    Article  PubMed  Google Scholar 

  36. Atwell TD, Farrell MA, Leibovich BC, et al. Percutaneous renal cryoablation: experience treating 115 tumors. J Urol. 2008;179:2136–40. discussion 2140–2131.

    Article  PubMed  Google Scholar 

  37. Gill IS, Remer EM, Hasan WA, et al. Renal cryoablation: outcome at 3 years. J Urol. 2005;173:1903–7.

    Article  PubMed  Google Scholar 

  38. Tuncali K, vanSonnenberg E, Shankar S, Mortele KJ, Cibas ES, Silverman SG. Evaluation of patients referred for percutaneous ablation of renal tumors: importance of a preprocedural diagnosis. AJR Am J Roentgenol. 2004;183:575–82.

    Article  PubMed  Google Scholar 

  39. Gervais DA, Arellano RS, McGovern FJ, McDougal WS, Mueller PR. Radiofrequency ablation of renal cell carcinoma: Part 2, Lessons learned with ablation of 100 tumors. AJR Am J Roentgenol. 2005;185:72–80.

    Article  PubMed  Google Scholar 

  40. Javadi S, Matin SF, Tamboli P, Ahrar K. Unexpected atypical findings on CT after radiofrequency ablation for small renal-cell carcinoma and the role of percutaneous biopsy. J Vasc Interv Radiol. 2007;18:1186–91.

    Article  PubMed  Google Scholar 

  41. Weight CJ, Kaouk JH, Hegarty NJ, et al. Correlation of radiographic imaging and histopathology following cryoablation and radio frequency ablation for renal tumors. J Urol. 2008;179:1277–81. discussion 1281–1273.

    Article  PubMed  Google Scholar 

  42. Shah RB, Bakshi N, Hafez KS, Wood Jr DP, Kunju LP. Image-guided biopsy in the evaluation of renal mass lesions in contemporary urological practice: indications, adequacy, clinical impact, and limitations of the pathological diagnosis. Hum Pathol. 2005;36:1309–15.

    PubMed  Google Scholar 

  43. Silverman SG, Coughlin BF, Seltzer SE, Swensson RG, Mueller PR. Current use of screening laboratory tests before abdominal interventions: a survey of 603 radiologists. Radiology. 1991;181:669–73.

    PubMed  CAS  Google Scholar 

  44. Hara I, Miyake H, Hara S, Arakawa S, Hanioka K, Kamidono S. Role of percutaneous image-guided biopsy in the evaluation of renal masses. Urol Int. 2001;67:199–202.

    Article  PubMed  CAS  Google Scholar 

  45. Johnson PT, Nazarian LN, Feld RI, et al. Sonographically guided renal mass biopsy: indications and efficacy. J Ultrasound Med. 2001;20:749–53. quiz 755.

    PubMed  CAS  Google Scholar 

  46. Tang S, Li JH, Lui SL, Chan TM, Cheng IK, Lai KN. Free-hand, ultrasound-guided percutaneous renal biopsy: experience from a single operator. Eur J Radiol. 2002;41:65–9.

    Article  PubMed  Google Scholar 

  47. Lechevallier E, Andre M, Barriol D, et al. Fine-needle percutaneous biopsy of renal masses with helical CT guidance. Radiology. 2000;216:506–10.

    PubMed  CAS  Google Scholar 

  48. Silverman SG, Collick BD, Figueira MR, et al. Interactive MR-guided biopsy in an open-configuration MR imaging system. Radiology. 1995;197:175–81.

    PubMed  CAS  Google Scholar 

  49. Volpe A, Mattar K, Finelli A, et al. Contemporary results of percutaneous biopsy of 100 small renal masses: a single center experience. J Urol. 2008;180:2333–7.

    Article  PubMed  Google Scholar 

  50. Appelbaum AH, Kamba TT, Cohen AS, Qaisi WG, Amirkhan RH. Effectiveness and safety of image-directed biopsies: coaxial technique versus conventional fine-needle aspiration. South Med J. 2002;95:212–17.

    PubMed  Google Scholar 

  51. Wunderlich H, Hindermann W, Al Mustafa AM, Reichelt O, Junker K, Schubert J. The accuracy of 250 fine needle biopsies of renal tumors. J Urol. 2005;174:44–6.

    Article  PubMed  Google Scholar 

  52. Caoili EM, Bude RO, Higgins EJ, Hoff DL, Nghiem HV. Evaluation of sonographically guided percutaneous core biopsy of renal masses. AJR Am J Roentgenol. 2002;179:373–8.

    Article  PubMed  Google Scholar 

  53. Eshed I, Elias S, Sidi AA. Diagnostic value of CT-guided biopsy of indeterminate renal masses. Clin Radiol. 2004;59:262–7.

    Article  PubMed  CAS  Google Scholar 

  54. Volpe A, Kachura JR, Geddie WR, et al. Techniques, safety and accuracy of sampling of renal tumors by fine needle aspiration and core biopsy. J Urol. 2007;178:379–86.

    Article  PubMed  Google Scholar 

  55. Ralls PW, Barakos JA, Kaptein EM, et al. Renal biopsy-related hemorrhage: frequency and comparison of CT and sonography. J Comput Assist Tomogr. 1987;11:1031–4.

    Article  PubMed  CAS  Google Scholar 

  56. Nadel L, Baumgartner BR, Bernardino ME. Percutaneous renal biopsies: accuracy, safety, and indications. Urol Radiol. 1986;8:67–71.

    Article  PubMed  CAS  Google Scholar 

  57. Chung J, Caumartin Y, Warren J, Luke PP. Acute Page kidney following renal allograft biopsy: a complication requiring early recognition and treatment. Am J Transplant. 2008;8:1323–8.

    Article  PubMed  CAS  Google Scholar 

  58. Vassiliades VG, Bernardino ME. Percutaneous renal and adrenal biopsies. Cardiovasc Intervent Radiol. 1991;14:50–4.

    Article  PubMed  CAS  Google Scholar 

  59. Maturen KE, Nghiem HV, Caoili EM, Higgins EG, Wolf Jr JS, Wood Jr DP. Renal mass core biopsy: accuracy and impact on clinical management. AJR Am J Roentgenol. 2007;188:563–70.

    Article  PubMed  Google Scholar 

  60. Silver TM, Thornbury JR. Pneumothorax: a complication of percutaneous aspiration of upper pole renal masses. AJR Am J Roentgenol. 1977;128:451–2.

    Article  PubMed  CAS  Google Scholar 

  61. Hopper KD, Yakes WF. The posterior intercostal approach for percutaneous renal procedures: risk of puncturing the lung, spleen, and liver as determined by CT. AJR Am J Roentgenol. 1990;154:115–17.

    Article  PubMed  CAS  Google Scholar 

  62. vanSonnenberg E, Wittenberg J, Ferrucci Jr JT, Mueller PR, Simeone JF. Triangulation method for percutaneous needle guidance: the angled approach to upper abdominal masses. AJR Am J Roentgenol. 1981;137:757–61.

    Article  PubMed  CAS  Google Scholar 

  63. Herts BR, Baker ME. The current role of percutaneous biopsy in the evaluation of renal masses. Semin Urol Oncol. 1995;13:254–61.

    PubMed  CAS  Google Scholar 

  64. Lebret T, Poulain JE, Molinie V, et al. Percutaneous core biopsy for renal masses: indications, accuracy and results. J Urol. 2007;178:1184–8. discussion 1188.

    Article  PubMed  Google Scholar 

  65. Vasudevan A, Davies RJ, Shannon BA, Cohen RJ. Incidental renal tumours: the frequency of benign lesions and the role of preoperative core biopsy. BJU Int. 2006;97:946–9.

    Article  PubMed  Google Scholar 

  66. Brierly RD, Thomas PJ, Harrison NW, Fletcher MS, Nawrocki JD, Ashton-Key M. Evaluation of fine-needle aspiration cytology for renal masses. BJU Int. 2000;85:14–8.

    Article  PubMed  CAS  Google Scholar 

  67. Beland MD, Mayo-Smith WW, Dupuy DE, Cronan JJ, DeLellis RA. Diagnostic yield of 58 consecutive imaging-guided biopsies of solid renal masses: should we biopsy all that are indeterminate? AJR Am J Roentgenol. 2007;188:792–7.

    Article  PubMed  Google Scholar 

  68. Schmidbauer J, Remzi M, Memarsadeghi M, et al. Diagnostic accuracy of computed tomography-guided percutaneous biopsy of renal masses. Eur Urol. 2008;53:1003–11.

    Article  PubMed  Google Scholar 

  69. Somani BK, Nabi G, Thorpe P, N’Dow J, Swami S, McClinton S. Image-guided biopsy-diagnosed renal cell carcinoma: critical appraisal of technique and long-term follow-up. Eur Urol. 2007;51:1289–95. discussion 1296–1287.

    Article  PubMed  Google Scholar 

  70. Slywotzky C, Maya M. Needle tract seeding of transitional cell carcinoma following fine-needle aspiration of a renal mass. Abdom Imaging. 1994;19:174–6.

    Article  PubMed  CAS  Google Scholar 

  71. Jain V, Ganpule A, Vyas J, et al. Management of non-neoplastic renal hemorrhage by transarterial embolization. Urology. 2009;74:522–6.

    Article  PubMed  Google Scholar 

  72. Shannon BA, Cohen RJ, de Bruto H, Davies RJ. The value of preoperative needle core biopsy for diagnosing benign lesions among small, incidentally detected renal masses. J Urol. 2008;180:1257–61. discussion 1261.

    Article  PubMed  Google Scholar 

  73. Wang R, Wolf Jr JS, Wood Jr DP, Higgins EJ, Hafez KS. Accuracy of percutaneous core biopsy in management of small renal masses. Urology. 2009;73:586–90. discussion 590–581.

    Article  PubMed  Google Scholar 

  74. Truong LD, Todd TD, Dhurandhar B, Ramzy I. Fine-needle aspiration of renal masses in adults: analysis of results and diagnostic problems in 108 cases. Diagn Cytopathol. 1999;20:339–49.

    Article  PubMed  CAS  Google Scholar 

  75. Garcia-Solano J, Acosta-Ortega J, Perez-Guillermo M, Benedicto-Orovitg JM, Jimenez-Penick FJ. Solid renal masses in adults: image-guided fine-needle aspiration cytology and imaging techniques–“two heads better than one?”. Diagn Cytopathol. 2008;36:8–12.

    Article  PubMed  Google Scholar 

  76. Cajulis RS, Katz RL, Dekmezian R, el-Naggar A, Ro JY. Fine needle aspiration biopsy of renal cell carcinoma. Cytologic parameters and their concordance with histology and flow cytometric data. Acta Cytol. 1993;37:367–72.

    PubMed  CAS  Google Scholar 

  77. Cheville JC, Lohse CM, Zincke H, Weaver AL, Blute ML. Comparisons of outcome and prognostic features among histologic subtypes of renal cell carcinoma. Am J Surg Pathol. 2003;27:612–24.

    Article  PubMed  Google Scholar 

  78. Patard JJ, Leray E, Rioux-Leclercq N, et al. Prognostic value of histologic subtypes in renal cell carcinoma: a multicenter experience. J Clin Oncol. 2005;23:2763–71.

    Article  PubMed  Google Scholar 

  79. Upton MP, Parker RA, Youmans A, McDermott DF, Atkins MB. Histologic predictors of renal cell carcinoma response to interleukin-2-based therapy. J Immunother. 2005;28:488–95.

    Article  PubMed  CAS  Google Scholar 

  80. Atkins M, Regan M, McDermott D, et al. Carbonic anhydrase IX expression predicts outcome of interleukin 2 therapy for renal cancer. Clin Cancer Res. 2005;11:3714–21.

    Article  PubMed  CAS  Google Scholar 

  81. Barocas DA, Rohan SM, Kao J, et al. Diagnosis of renal tumors on needle biopsy specimens by histological and molecular analysis. J Urol. 2006;176:1957–62.

    Article  PubMed  CAS  Google Scholar 

  82. Al-Aynati M, Chen V, Salama S, Shuhaibar H, Treleaven D, Vincic L. Interobserver and intraobserver variability using the Fuhrman grading system for renal cell carcinoma. Arch Pathol Lab Med. 2003;127:593–6.

    PubMed  Google Scholar 

  83. Liu J, Fanning CV. Can renal oncocytomas be distinguished from renal cell carcinoma on fine-needle aspiration specimens? A study of conventional smears in conjunction with ancillary studies. Cancer. 2001;93:390–7.

    Article  PubMed  CAS  Google Scholar 

  84. Fridman E, Dotan Z, Barshack I, et al. Accurate molecular classification of renal tumors using microRNA expression. J Mol Diagn. 2010;12:687–96.

    Article  PubMed  CAS  Google Scholar 

  85. Vieira J, Henrique R, Ribeiro FR, et al. Feasibility of differential diagnosis of kidney tumors by comparative genomic hybridization of fine needle aspiration biopsies. Genes Chromosomes Cancer. 2010;49:935–47.

    Article  PubMed  CAS  Google Scholar 

  86. Johnson NB, Johnson MM, Selig MK, Nielsen GP. Use of electron microscopy in core biopsy diagnosis of oncocytic renal tumors. Ultrastruct Pathol. 2010;34:189–94.

    Article  PubMed  CAS  Google Scholar 

  87. L’Hostis H, Deminiere C, Ferriere JM, Coindre JM. Renal angiomyolipoma: a clinicopathologic, immunohistochemical, and follow-up study of 46 cases. Am J Surg Pathol. 1999;23:1011–20.

    Article  PubMed  Google Scholar 

  88. Kim JK, Park SY, Shon JH, Cho KS. Angiomyolipoma with minimal fat: differentiation from renal cell carcinoma at biphasic helical CT. Radiology. 2004;230:677–84.

    Article  PubMed  Google Scholar 

  89. Jinzaki M, Tanimoto A, Narimatsu Y, et al. Angiomyolipoma: imaging findings in lesions with minimal fat. Radiology. 1997;205:497–502.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Interventional Radiology, Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1471, Houston, TX, 77030, USA

    Kamran Ahrar MD, FSIR

  2. Department of Radiology, Baylor College of Medicine, One Baylor Plaza, Unit 360, Houston, TX, 77030, USA

    Sanaz Javadi MD

  3. Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1471, Houston, TX, 77030, USA

    Judy U. Ahrar MD

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  1. Kamran Ahrar MD, FSIR
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  2. Sanaz Javadi MD
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  3. Judy U. Ahrar MD
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Correspondence to Kamran Ahrar MD, FSIR .

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  1. Dept. Vascular & Interventional Radiol., University of Texas MD Anderson Cancer Center, Houston, Texas, USA

    Kamran Ahrar

  2. Department of Diagnostic Radiology Section of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA

    Sanjay Gupta

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Ahrar, K., Javadi, S., Ahrar, J.U. (2014). Renal Mass Biopsy. In: Ahrar, K., Gupta, S. (eds) Percutaneous Image-Guided Biopsy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8217-8_17

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