CardioVascular and Interventional Radiology

, Volume 40, Issue 1, pp 135–138 | Cite as

MRI-guided Wire Localization Surgical Biopsy in an Adolescent Patient with a Difficult to Diagnose Case of Lymphoma

  • Scott M. ThompsonEmail author
  • Krzysztof R. Gorny
  • Danielle E. Jondal
  • Karen L. Rech
  • Samir Mardini
  • David A. Woodrum
Case Report


A 17-year-old previously healthy female presented with a progressive soft tissue infiltrative process involving the neck and thorax. Extensive diagnostic evaluation including multiple imaging, laboratory, and biopsy studies was nondiagnostic. Due to an urgent need to establish a diagnosis and several previous nondiagnostic biopsies, she was referred to interventional radiology for MRI-guided wire localization immediately prior to open surgical biopsy. Under general anesthesia, wires were placed in the areas of increased T2 signal within the bilateral splenius capitis muscles using intermittent MRI-guidance followed by immediate surgical biopsy down to the wires. Pathology confirmed the diagnosis of diffuse large B-cell lymphoma.


MRI-guided Wire localization Biopsy Lymphoma Pediatric 


Compliance with Ethical Standards

Human subjects research

For this type of study, formal consent is not required. This HIPAA-compliant study was approved by the Institutional Review Board, and a waiver of informed consent was granted.

Conflict of interest

All authors declare that they have no biomedical or financial conflicts of interest related to the content of this manuscript.


  1. 1.
    Hochberg J, El-Mallawany NK, Abla O. Adolescent and young adult non-Hodgkin lymphoma. Br J Haematol. 2016;173:637–50.CrossRefPubMedGoogle Scholar
  2. 2.
    Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin. 2016;66:7–30.CrossRefPubMedGoogle Scholar
  3. 3.
    Gossmann A, Bangard C, Warm M, Schmutzler RK, Mallmann P, Lackner KJ. Real-time MR-guided wire localization of breast lesions by using an open 1.0-T imager: initial experience. Radiology. 2008;247:535–42.CrossRefPubMedGoogle Scholar
  4. 4.
    Lampe D, Hefler L, Alberich T, et al. The clinical value of preoperative wire localization of breast lesions by magnetic resonance imaging–a multicenter study. Breast Cancer Res Treat. 2002;75:175–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Fischbach F, Eggemann H, Bunke J, Wonneberger U, Ricke J, Strach K. MR-guided freehand biopsy of breast lesions in a 1.0-T open MR imager with a near-real-time interactive platform: preliminary experience. Radiology. 2012;265:359–70.CrossRefPubMedGoogle Scholar
  6. 6.
    Garnon J, Schlier A, Buy X, et al. Evaluation of percutaneous biopsies of renal masses under MRI-guidance: a retrospective study about 26 cases. Eur Radiol. 2015;25:617–23.CrossRefPubMedGoogle Scholar
  7. 7.
    Garnon J, Ramamurthy N, Caudrelier JJ, et al. MRI-Guided percutaneous biopsy of mediastinal masses using a large bore magnet: technical feasibility. Cardiovasc Intervent Radiol. 2016;39:761–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Tuen VC, Zingula SN, Moir C, Reed AM, Matsumoto JM, Woodrum DA. MRI guided wire localization muscle biopsy in a child with juvenile dermatomyositis. Pediatr Rheumatol Online J. 2013;11:15.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Gibreel WO, Selcen D, Zeidan MM, Ishitani MB, Moir CR, Zarroug AE. Safety and yield of muscle biopsy in pediatric patients in the modern era. J Pediatr Surg. 2014;49:1429–32.CrossRefPubMedGoogle Scholar
  10. 10.
    Van De Vlekkert J, Maas M, Hoogendijk JE, De Visser M, Van Schaik IN. Combining MRI and muscle biopsy improves diagnostic accuracy in subacute-onset idiopathic inflammatory myopathy. Muscle Nerve. 2015;51:253–8.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016

Authors and Affiliations

  • Scott M. Thompson
    • 1
    Email author
  • Krzysztof R. Gorny
    • 1
  • Danielle E. Jondal
    • 1
  • Karen L. Rech
    • 2
  • Samir Mardini
    • 3
  • David A. Woodrum
    • 4
  1. 1.Department of RadiologyMayo Clinic College of MedicineRochesterUSA
  2. 2.Department of Laboratory Medicine and PathologyMayo Clinic College of MedicineRochesterUSA
  3. 3.Division of Plastic and Reconstructive Surgery, Department of SurgeryMayo Clinic College of MedicineRochesterUSA
  4. 4.Division of Vascular and Interventional Radiology, Department of RadiologyMayo Clinic College of MedicineRochesterUSA

Personalised recommendations