Abstract
There are various methods and techniques that can be utilize for abdominal biopsy. Some of these techniques have been utilized for over four decades. However, there are different variations to these techniques that have been recently developed to increase tissue retrieval and decrease complications. This manuscript will review a number of different modifications of prior CT or ultrasound techniques utilized with either CT or ultrasound that are helpful to be more effective in tissue retrieval. Newer guidance systems including the use of contrast-enhanced sonography and multi-modality image fusion biopsy guidance are reviewed. These different techniques can increase tissues retrieval, increase accuracy of needle placement, decrease the time for the procedure, and minimize complications.
Similar content being viewed by others
References
Goldberg BB, Pollack HM (1972) Ultrasonic aspiration transducer. Radiology 102(1):187–189
Holm HH, Kristensen JK, Rasmussen SN, Northeved A, Barlebo H (1972) Ultrasound as a guide in percutaneous puncture technique. Ultrasonics 10(2):83–86
Park BK, Morrison PR, Tatli S, et al. (2012) Estimated effective dose of CT-guided percutaneous cryoablation of liver tumors. Eur J Radiol 81(8):1702–1706. doi:10.1016/j.ejrad.2011.04.067
McGahan JP, Richards J, Fogata ML (2004) Emergency ultrasound in trauma patients. Radiol Clin N Am 42(2):417–425. doi:10.1016/j.rcl.2003.12.005
Kim KW, Kim MJ, Kim HC, et al. (2007) Value of “patent track” sign on Doppler sonography after percutaneous liver biopsy in detection of postbiopsy bleeding: a prospective study in 352 patients. AJR Am J Roentgenol 189(1):109–116. doi:10.2214/AJR.07.2071
McGahan JP, Wright L, Brock J (2011) Occurrence and value of the color Doppler “line sign” after radiofrequency ablation of solid abdominal organs. J Ultrasound Med 30(11):1491–1497
Werner M, Osadchy A, Plotkin E, Berheim J, Rathaus V (2007) Increased detection of early vascular abnormalities after renal biopsies by color Doppler sonography. J Ultrasound Med 26(9):1221–1226
Axel L (1984) Simple method for performing oblique CT-guided needle biopsies. AJR Am J Roentgenol 143(2):341–342
Frederick PR, Brown TH, Miller MH, Bahr AL, Taylor KH (1985) A light-guidance system to be used for CT-guided biopsy. Radiology 154(2):535–536
Gangi A, Kastler B, Arhan JM, et al. (1994) A compact laser beam guidance system for interventional CT. J Computr Assist Tomogr 18(2):326–328
Gerzof SG (1981) Triangulation: indirect CT guidance for abscess drainage. AJR Am J Roentgenol 137(5):1080–1081
Odisio BC, Tam AL, Avritscher R, Gupta S, Wallace MJ (2012) CT-guided adrenal biopsy: comparison of ipsilateral decubitus versus prone patient positioning for biopsy approach. Eur Radiol 22(6):1233–1239. doi:10.1007/s00330-011-2363-4
Elvin A, Andersson T, Scheibenpflug L, Lindgren PG (1990) Biopsy of the pancreas with a biopsy gun. Radiology 176(3):677–679
Welch TJ, Sheedy PF 2nd, Johnson CD, Johnson CM, Stephens DH (1989) CT-guided biopsy: prospective analysis of 1,000 procedures. Radiology 171(2):493–496
McGahan JP, Loh S, Fitzgerald E, et al. (2011) Pretreatment imaging can be used to select imaging guidance, ultrasound alone versus CT plus ultrasound, for percutaneous renal radiofrequency ablation. AJR Am J Roentgenol 197(5):1244–1250. doi:10.2214/AJR.10.6071
Campbell C, Lubner MG, Hinshaw JL, Munoz del Rio A, Brace CL (2012) Contrast media-doped hydrodissection during thermal ablation: optimizing contrast media concentration for improved visibility on CT images. AJR Am J Roentgenol 199(3):677–682. doi:10.2214/AJR.11.7999
McGahan JP, Ro KM, Evans CP, Ellison LM (2006) Efficacy of transhepatic radiofrequency ablation of renal cell carcinoma. AJR Am J Roentgenol 186(5 Suppl):S311–S315. doi:10.2214/AJR.05.0176
Favelier S, Guiu S, Cherblanc V, et al. (2012) Transthoracic adrenal biopsy procedure using artificial carbon dioxide pneumothorax as outpatient procedure. Cardiovasc Interv Radiology. doi:10.1007/s00270-012-0508-8
Porter B, Karp W, Forsberg L (1981) Percutaneous cytodiagnosis of abdominal masses by ultrasound guided fine needle aspiration biopsy. Acta Radiol 22(6):663–668
Hancke S, Holm HH, Koch F (1975) Ultrasonically guided percutaneous fine needle biopsy of the pancreas. Surg, Gynecol, Obstet 140(3):361–364
Cook Medical (2012) Interventional radiology, Hawkins-Akins Blunt needles. North and South America. Cook Medical Inc. http://www.cookmedical.com/ir/dataSheet.do?id=5038. Accessed 15 Dec 2012
McGahan JP, Wu C (2008) Sonographically guided transvaginal or transrectal pelvic abscess drainage using the trocar method with a new drainage guide attachment. AJR Am J Roentgenol 191(5):1540–1544. doi:10.2214/AJR.07.3830
Probst P, Rysavy JA, Amplatz K (1978) Improved safety of splenoportography by plugging of the needle tract. AJR Am J Roentgenol 131(3):445–449. doi:10.2214/ajr.131.3.445
Riddle C, Ahmed B, Doyle J, Connolly BL (2008) Migration of Gelfoam to the gallbladder after liver biopsy. Pediatr Radiol 38(7):806–809. doi:10.1007/s00247-008-0818-9
Wu W, Chen MH, Yan K, et al. (2006) Application of contrast-enhanced ultrasound to increase the diagnostic rate of liver tumor by biopsy. Zhonghua Yi Xue Za Zhi 86(2):116–120
Masuzaki R, Shiina S, Tateishi R, et al. (2011) Utility of contrast-enhanced ultrasonography with Sonazoid in radiofrequency ablation for hepatocellular carcinoma. J Gastroenterol Hepatol 26(4):759–764. doi:10.1111/j.1440-1746.2010.06559.x
Kunishi Y, Numata K, Morimoto M, et al. (2012) Efficacy of fusion imaging combining sonography and hepatobiliary phase MRI with Gd-EOB-DTPA to detect small hepatocellular carcinoma. AJR Am J Roentgenol 198(1):106–114. doi:10.2214/AJR.10.6039
Amalou H, Wood BJ (2012) Multimodality fusion with MRI, CT, and ultrasound contrast for ablation of renal cell carcinoma. Case Rep Urol 2012:390912. doi:10.1155/2012/390912
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
McGahan, J.P. Challenges in abdominal/pelvic biopsy techniques. Abdom Imaging 38, 1043–1056 (2013). https://doi.org/10.1007/s00261-013-0006-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-013-0006-8