Abstract
Percutaneous biopsy is the radiologist's most frequently performed interventional procedure. Its success is due to a number of factors, including rapid advancements in biopsy needle technology which have allowed interventionalists to improve upon the efficacy, safety, and accuracy of the procedure. The characteristics of these needles are discussed, with reference to specific applications of the different needles, and the safety and diagnostic information that can be obtained. A thorough knowledge of the different needles available is important for a well-equipped radiology department, and a better choice of the most appropriate needle for each procedure.
Similar content being viewed by others
References
Andriole JG, Haaga JR, Adams RB, Nunez C (1983) Biopsy needle characteristics assessed in the laboratory. Radiology 148:659–662
Isler RJ, Ferrucci JT Jr, Wittenberg J, Mueller PR, Simeone JF, vanSonnenberg E, Hall DA (1981) Tissue core biopsy of abdominal tumors with a 22 gauge cutting needle. AJR 136:725–728
Wittenberg J, Mueller PR, Ferrucci JT Jr, Simeone JF, vanSonnenberg E, Neff CC, Palermo RA, Isler RJ (1982) Percutaneous core biopsy of abdominal tumors using 22 gauge needles: Further observations. AJR 139:75–80
Ferrucci JT, Wittenberg J (1978) CT biopsy of abdominal tumors: Aids for lesion localization. Radiology 129:739–744
Ferrucci JT Jr, Wittenberg J, Mueller PR, Simeone JF, Harbin WP, Kirkpatrick RH, Taft PD (1980) Diagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy. AJR 134:323–330
Sundaram M, Wolverson MK, Heiberg E, Pilla T, Vas WG, Shields JB (1982) Utility of CT-guided abdominal aspiration procedures. AJR 139:1111–1115
Yamamoto R, Tatsuta M, Noguchi S, Kasugai H, Okano Y, Okuda S, Wada A, Tamura H (1985) Histocytologic diagnosis of pancreatic cancer by percutaneous aspiration biopsy under ultrasonic guidance. Am J Clin Pathol 83:409–414
Hall-Craggs MA, Lees WR (1986) Fine-needle aspiration biopsy: Pancreatic and biliary tumors. AJR 147:399–403
Dickey JE, Haaga JR, Stellato TA, Schultz CL, Hau T (1986) Evaluation of computed tomography guided percutaneous biopsy of the pancreas. Surg Gynecol Obstet 163:497–503
Pagani JJ (1983) Biopsy of focal hepatic lesions. Radiology 147:673–675
Haaga JR, LiPuma JP, Bryan PJ, Balsara VJ, Cohen AM (1983) Clinical comparison of small-and large-caliber cutting needles for biopsy. Radiology 146:665–667
Haaga JR (1988) CT-guided procedures. Mosby, St. Louis, pp 1237–1238
Martino CR, Haaga JR, Bryan PJ, LiPuma JP, El Yousef SJ, Alfidi RJ (1984) CT-guided liver biopsies: Eight year's experience. Radiology 152:755–757
Zavala DC, Schoell JE (1981) Ultrathin needle aspiration of the lung in infectious and malignant disease. Am Rev Resp Dis 123:125–131
vanSonnenberg E, Lin AS, Casola G, Nakamoto SK, Wing VW, Cubberly DA (1984) Removable hub needle system for coaxial biopsy of small and difficult lesions. Radiology 152:226
Lieberman RP, Hafez GR, Crummy AB (1982) Histology from aspiration biopsy: Turner needle experience. AJR 138:561–564
Turner AF, Sargent AN (1968) Percutaneous pulmonary needle biopsy: An improved needle for a simple direct method of diagnosis. AJR 104:846–850
Franseen CC (1941) Aspiration biopsy with a description of a new type of needle. N Engl J Med 224:1054–1058
Arnston TL, Boyd WR (1978) Percutaneous biopsy using a safe, effective needle. Radiology 127:265
Madayag MA (1982) Combined hepatic angiography and percutaneous aspiration biopsy in the evaluation of primary hepatic neoplasm. Gastrointest Radiol 7:159–163
Greene R, Szyfelbein WM, Isler RJ, Stark P, Jantsch H (1985) Supplementary tissue-core histology from fine-needle transthoracic aspiration biopsy. AJR 144:787–792
Westcott JL (1980) Direct percutaneous needle aspiration of localized pulmonary lesions: Results in 422 patients. Radiology 137:31–35
Qin D (1986) A new needle for puncture biopsy. AJR 147:543
Parker SH, Hopper KD, Yakes WF, Gibson MD, Ownbey JL, Carter TE (1989) Image-directed percutaneous biopsies with a Biopty gun. Radiology 171:663–669
Goldner F (1979) Comparison of the Menghini, Klatskin and TruCut needles in diagnostic cirrhosis. J Clin Gastroenterol 1:229–231
Littlewood E, Gilmore I, Murray-Lyon I, Stephens K, Paradinas F (1982) Comparison of the Trucut and Surecut liver biopsy needles. J Clin Pathol 35:761–763
Evans WK, Ho C-S, McLoughlin MJ, Tao L-C (1981) Fatal necrotizing pancreatitis following fine-needle aspiration biopsy of the pancreas. Radiology 141:61–62
Onodera H, Oikawa M, Abe M, Chida N, Kimura S, Satake K, Motojima T, Goto Y (1987) Cutaneous seeding of hepatocellular carcinoma after fine-needle aspiration biopsy. J Ultrasound Med 6:273–275
Rashleigh-Belcher HJC, Russell RCG, Lees WR (1986) Cutaneous seeding of pancreatic carcinoma by fine-needle aspiration biopsy. Br J Radiology 59:182–183
Ferrucci JT Jr, Wittenberg J, Margolies MN, Carey RW (1979) Malignant seeding of the tract after thin-needle aspiration biopsy. Radiology 130:345–346
Smith FP, Macdonald JS, Schein PS, Ornitz RD (1980) Cutaneous seeding of pancreatic cancer by skinny-needle aspiration biopsy. Arch Intern Med 140:855
Pagani JJ (1982) Non-small cell lung carcinoma adrenal metastases. Cancer 53:1058–1060
Pagani JJ (1983) Normal adrenal glands in small cell lung carcinoma: CT-guided biopsy. AJR 140:949–951
Yanakaskas BC, Staab EV, Craven MB, Blatt PM, Sokandan M, Carney CN (1986) Delayed complications from fine-needle biopsies of solid masses of the abdomen. Invest Radiol 21:325–328
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gazelle, G.S., Haaga, J.R. Biopsy needle characteristics. Cardiovasc Intervent Radiol 14, 13–16 (1991). https://doi.org/10.1007/BF02635525
Issue Date:
DOI: https://doi.org/10.1007/BF02635525