Skip to main content
Log in

New Techniques in Image-Guided Percutaneous Biopsy

  • OriginalPaper
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Image-guided percutaneous biopsy is a well-established and safe technique for obtaining tissue specimens from various regions of the body and plays a crucial role in patient management. Improvements in needle designs, development of new biopsy techniques, and continual advances in image-guidance technology have improved the safety and efficacy of the procedure. Lesions previously considered relatively inaccessible can now be safely biopsied. This review looks at the recent technologic developments in image guidance for percutaneous biopsy procedures. Improvements in needle design and other innovations intended to enhance the diagnostic yield of biopsy specimens are briefly discussed. Also described are some new techniques and unconventional approaches that help provide safe access to difficult-to-reach lesions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.
Fig. 6.

Similar content being viewed by others

References

  1. RW Gunther A Bucker G Adam (1999) ArticleTitleInterventional magnetic resonance: Realistic prospect or wishful thinking Cardiovasc Intervent Radiol 22 187–195 Occurrence Handle10.1007/s002709900364 Occurrence Handle1:STN:280:DyaK1MzhtFSmtA%3D%3D Occurrence Handle10382047

    Article  CAS  PubMed  Google Scholar 

  2. RS Hinks MJ Bronskill W Kucharczyk M Bernstein BD Collick RM Henkelman (1998) ArticleTitleMR systems for image-guided therapy J Magn Reson Imaging 8 19–25 Occurrence Handle1:STN:280:DyaK1c7lvFyqsA%3D%3D Occurrence Handle9500256

    CAS  PubMed  Google Scholar 

  3. RB Lufkin DH Gronemeyer RM Seibel (1997) ArticleTitleInterventional MRI: Update Eur Radiol 7 IssueIDSuppl 5 187–200 Occurrence Handle10.1007/s003300050132

    Article  Google Scholar 

  4. G Adam J Neuerburg A Bucker et al. (1997) ArticleTitleInterventional magnetic resonance: Initial clinical experience with a 1.5-tesla magnetic resonance system combined with c-arm fluoroscopy Invest Radiol 32 191–197 Occurrence Handle10.1097/00004424-199704000-00001 Occurrence Handle1:STN:280:ByiB2Mngt1Y%3D Occurrence Handle9101353

    Article  CAS  PubMed  Google Scholar 

  5. JM Neuerburg G Adam A Buecker et al. (1998) ArticleTitleMRI-guided biopsy of bone in a hybrid system J Magn Reson Imaging 8 85–90 Occurrence Handle1:STN:280:DyaK1c7lvF2jsw%3D%3D Occurrence Handle9500265

    CAS  PubMed  Google Scholar 

  6. ME Ladd JF Debatin (1999) ArticleTitleInstrument visualization in a magnetic resonance imaging environment Semin Interv Radiol 16 13–21

    Google Scholar 

  7. JS Lewin SG Nour JL Duerk (2000) ArticleTitleMagnetic resonance image-guided biopsy and aspiration Top Magn Reson Imaging 11 173–183 Occurrence Handle10.1097/00002142-200006000-00003 Occurrence Handle1:STN:280:DC%2BD3M7hsFKlsg%3D%3D Occurrence Handle11145209

    Article  CAS  PubMed  Google Scholar 

  8. JR Reichenbach S Wurdinger SO Pfleiderer WA Kaiser (2000) ArticleTitleComparison of artifacts produced from carbon fiber and titanium alloy needles at 1.5 T MR imaging J Magn Reson Imaging 11 69–74 Occurrence Handle10.1002/(SICI)1522-2586(200001)11:1<69::AID-JMRI11>3.0.CO;2-8 Occurrence Handle1:STN:280:DC%2BD3c7jvFOqtg%3D%3D Occurrence Handle10676624

    Article  CAS  PubMed  Google Scholar 

  9. R Blanco Sequeiros R Klemola R Ojala et al. (2002) ArticleTitleMRI-guided trephine biopsy and fine-needle aspiration in the diagnosis of bone lesions in low-field (0.23 T) MRI system using optical instrument tracking Eur Radiol 12 830–835 Occurrence Handle10.1007/s003300101104 Occurrence Handle11960234

    Article  PubMed  Google Scholar 

  10. P Steiner P Erhart N Heske CL Dumoulin GK von Schulthess JF Debatin (1997) ArticleTitleActive biplanar MR tracking for biopsies in humans AJR Am J Roentgenol 169 735–738 Occurrence Handle1:STN:280:ByiH387nslU%3D Occurrence Handle9275888

    CAS  PubMed  Google Scholar 

  11. SG Silverman BD Collick MR Figueira et al. (1995) ArticleTitleInteractive MR-guided biopsy in an open-configuration MR imaging system Radiology 197 175–181 Occurrence Handle1:STN:280:BymD38zhsVY%3D Occurrence Handle7568819

    CAS  PubMed  Google Scholar 

  12. GM Kacl FR Carls C Moll JF Debatin (1999) ArticleTitleInteractive MR-guided biopsies of maxillary and skull-base lesions in an open-MR system: First clinical results Eur Radiol 9 487–492 Occurrence Handle10.1007/s003300050700 Occurrence Handle1:STN:280:DyaK1M7oslektQ%3D%3D Occurrence Handle10087124

    Article  CAS  PubMed  Google Scholar 

  13. JW Genant JE Vandevenne AG Bergman et al. (2002) ArticleTitleInterventional musculoskeletal procedures performed by using MR imaging guidance with a vertically open MR unit: Assessment of techniques and applicability Radiology 223 127–136 Occurrence Handle11930057

    PubMed  Google Scholar 

  14. CW Koenig SH Duda J Truebenbach et al. (2001) ArticleTitleMR-guided biopsy of musculoskeletal lesions in a low-field system J Magn Reson Imaging 13 761–768 Occurrence Handle10.1002/jmri.1106 Occurrence Handle1:STN:280:DC%2BD3Mvitlemtg%3D%3D Occurrence Handle11329199

    Article  CAS  PubMed  Google Scholar 

  15. R Ojala RB Sequeiros R Klemola E Vahala L Jyrkinen O Tervonen (2002) ArticleTitleMR-guided bone biopsy: Preliminary report of a new guiding method J Magn Reson Imaging 15 82–86 Occurrence Handle10.1002/jmri.10041 Occurrence Handle11793461

    Article  PubMed  Google Scholar 

  16. RK Parkkola KT Mattila JT Heikkila et al. (2001) ArticleTitleMR-guided core biopsies of soft tissue tumours on an open 0.23 T imager Acta Radiol 42 302–305 Occurrence Handle1:STN:280:DC%2BD3M3ltF2quw%3D%3D Occurrence Handle11350289

    CAS  PubMed  Google Scholar 

  17. S Ueno S Yokoyama H Hirakawa et al. (2002) ArticleTitleUse of real-time magnetic resonance guidance to assist bone biopsy in pediatric malignancy Pediatrics 109 E18 Occurrence Handle10.1542/peds.109.1.e18 Occurrence Handle11773586

    Article  PubMed  Google Scholar 

  18. AM Pitt JL Fleckenstein RG Jr Greenlee DK Burns WW Bryan R Haller (1993) ArticleTitleMRI-guided biopsy in inflammatory myopathy: Initial results Magn Reson Imaging 11 1093–1099 Occurrence Handle10.1016/0730-725X(93)90236-7 Occurrence Handle1:STN:280:ByuD1MjhsFI%3D Occurrence Handle8271895

    Article  CAS  PubMed  Google Scholar 

  19. AJ Schmidt ST Kee DY Sze et al. (1999) ArticleTitleDiagnostic yield of MR-guided liver biopsies compared with CT- and US-guided liver biopsies J Vasc Interv Radiol 10 1323–1329 Occurrence Handle1:STN:280:DC%2BD3c%2FkvFensw%3D%3D Occurrence Handle10584646

    CAS  PubMed  Google Scholar 

  20. NM Rofsky BM Yang P Schlossberg A Goldenberg LW Teperman JC Weinreb (1998) ArticleTitleMR-guided needle aspiration biopsies of hepatic masses using a closed bore magnet J Comput Assist Tomogr 22 633–637 Occurrence Handle10.1097/00004728-199807000-00024 Occurrence Handle1:STN:280:DyaK1czktFaisQ%3D%3D Occurrence Handle9676459

    Article  CAS  PubMed  Google Scholar 

  21. DS Lu H Lee K Farahani S Sinha R Lufkin (1997) ArticleTitleBiopsy of hepatic dome lesions: Semi-real-time coronal MR guidance technique AJR Am J Roentgenol 168 737–739 Occurrence Handle1:STN:280:ByiB3M%2FksFc%3D Occurrence Handle9057526

    CAS  PubMed  Google Scholar 

  22. N Hata M Jinzaki D Kacher et al. (2001) ArticleTitleMR imaging-guided prostate biopsy with surgical navigation software: Device validation and feasibility Radiology 220 263–268 Occurrence Handle1:STN:280:DC%2BD3MzmsVyitA%3D%3D Occurrence Handle11426008

    CAS  PubMed  Google Scholar 

  23. K Katada R Kato H Anno et al. (1996) ArticleTitleGuidance with real-time CT fluoroscopy: Early clinical experience Radiology 200 851–856 Occurrence Handle1:STN:280:BymA2cjos1c%3D Occurrence Handle8756943

    CAS  PubMed  Google Scholar 

  24. R Kato K Katada H Anno S Suzuki Y Ida S Koga (1996) ArticleTitleRadiation dosimetry at CT fluoroscopy: Physician’s hand dose and development of needle holders Radiology 201 576–578 Occurrence Handle1:STN:280:ByiD2czgs1I%3D Occurrence Handle8888264

    CAS  PubMed  Google Scholar 

  25. B Daly PA Templeton (1999) ArticleTitleReal-time CT fluoroscopy: Evolution of an interventional tool Radiology 211 309–315 Occurrence Handle1:STN:280:DyaK1M3ksFWqsA%3D%3D Occurrence Handle10228508

    CAS  PubMed  Google Scholar 

  26. RD Nawfel PF Judy SG Silverman S Hooton K Tuncali DF Adams (2000) ArticleTitlePatient and personnel exposure during CT fluoroscopy-guided interventional procedures Radiology 216 180–184 Occurrence Handle1:STN:280:DC%2BD3czksl2ksg%3D%3D Occurrence Handle10887246

    CAS  PubMed  Google Scholar 

  27. JJ Froelich HJ Wagner (2001) ArticleTitleCT-fluoroscopy: Tool or gimmick Cardiovasc Intervent Radiol 24 297–305 Occurrence Handle10.1007/s00270-001-0042-6 Occurrence Handle1:STN:280:DC%2BD38%2FosFymtg%3D%3D Occurrence Handle11815834

    Article  CAS  PubMed  Google Scholar 

  28. K Nishizawa T Uruma Y Takiguchi et al. (2001) ArticleTitleDose evaluation and effective dose estimation from CT fluoroscopy-guided lung biopsy Igaku Butsuri 21 233–244 Occurrence Handle12424389

    PubMed  Google Scholar 

  29. EK Paulson DH Sheafor DS Enterline HP McAdams TT Yoshizumi (2001) ArticleTitleCT fluoroscopy-guided interventional procedures: Techniques and radiation dose to radiologists Radiology 220 161–167 Occurrence Handle1:STN:280:DC%2BD3MzmsVOquw%3D%3D Occurrence Handle11425990

    CAS  PubMed  Google Scholar 

  30. B Daly PA Templeton TL Krebs K Carroll JJ Wong-You-Cheong (1998) ArticleTitleEvaluation of biopsy needles and prototypic needle guide devices for percutaneous biopsy with CT fluoroscopic guidance in simulated organ tissue Radiology 209 850–855 Occurrence Handle1:STN:280:DyaK1M%2FmtVKktA%3D%3D Occurrence Handle9844686

    CAS  PubMed  Google Scholar 

  31. T Irie M Kajitani H Yoshioka et al. (2000) ArticleTitleCT fluoroscopy for lung nodule biopsy: A new device for needle placement and a phantom study J Vasc Interv Radiol 11 359–364 Occurrence Handle1:STN:280:DC%2BD3c7pslCkuw%3D%3D Occurrence Handle10735432

    CAS  PubMed  Google Scholar 

  32. SK Carlson CE Bender KL Classic et al. (2001) ArticleTitleBenefits and safety of CT fluoroscopy in interventional radiologic procedures Radiology 219 515–520 Occurrence Handle1:STN:280:DC%2BD3M3mt1ehsg%3D%3D Occurrence Handle11323481

    CAS  PubMed  Google Scholar 

  33. J de Mey B Op de Beeck M Meysman et al. (2000) ArticleTitleReal time CT-fluoroscopy: Diagnostic and therapeutic applications Eur J Radiol 34 32–40 Occurrence Handle10.1016/S0720-048X(00)00157-1 Occurrence Handle1:STN:280:DC%2BD3cvgtlyisw%3D%3D Occurrence Handle10802205

    Article  CAS  PubMed  Google Scholar 

  34. JJ Froelich N Ishaque J Regn B Saar EM Walthers KJ Klose (2002) ArticleTitleGuidance of percutaneous pulmonary biopsies with real-time CT fluoroscopy Eur J Radiol 42 74–79 Occurrence Handle10.1016/S0720-048X(01)00391-6 Occurrence Handle12039025

    Article  PubMed  Google Scholar 

  35. J Kirchner R Kickuth U Laufer EM Schilling S Adams D Liermann (2002) ArticleTitleCT fluoroscopy-assisted puncture of thoracic and abdominal masses: A randomized trial Clin Radiol 57 188–192 Occurrence Handle10.1053/crad.2001.0716 Occurrence Handle11952312

    Article  PubMed  Google Scholar 

  36. M Muehlstaedt R Bruening J Diebold A Mueller T Helmberger M Reiser (2002) ArticleTitleCT/fluoroscopy-guided transthoracic needle biopsy: Sensitivity and complication rate in 98 procedures J Comput Assist Tomogr 26 191–196 Occurrence Handle10.1097/00004728-200203000-00005 Occurrence Handle11884772

    Article  PubMed  Google Scholar 

  37. CS White CA Meyer PA Templeton (2000, viii) ArticleTitleCT fluoroscopy for thoracic interventional procedures Radiol Clin North Am 38 303–322

    Google Scholar 

  38. D Gianfelice L Lepanto P Perreault C Chartrand-Lefebvre PC Milette (2000) ArticleTitleValue of CT fluoroscopy for percutaneous biopsy procedures J Vasc Interv Radiol 11 879–884 Occurrence Handle1:STN:280:DC%2BD3M%2FjsVClug%3D%3D Occurrence Handle10928526

    CAS  PubMed  Google Scholar 

  39. SG Silverman K Tuncali DF Adams RD Nawfel KH Zou PF Judy (1999) ArticleTitleCT fluoroscopy-guided abdominal interventions: Techniques, results, and radiation exposure Radiology 212 673–681 Occurrence Handle1:STN:280:DyaK1MvgslKluw%3D%3D Occurrence Handle10478231

    CAS  PubMed  Google Scholar 

  40. D Liermann R Kickuth (2003) ArticleTitleCT fluoroscopy-guided abdominal interventions Abdom Imaging 28 129–134 Occurrence Handle10.1007/s00261-001-0154-0 Occurrence Handle1:STN:280:DC%2BD38jitFCmsQ%3D%3D Occurrence Handle12483400

    Article  CAS  PubMed  Google Scholar 

  41. GD Schweiger BP Brown RE Pelsang RS Dhadha TJ Barloon G Wang (2000) ArticleTitleCT fluoroscopy: Technique and utility in guiding biopsies of transiently enhancing hepatic masses Abdom Imaging 25 81–85 Occurrence Handle10.1007/s002619910016 Occurrence Handle1:STN:280:DC%2BD3c7hvVGhsw%3D%3D Occurrence Handle10652928

    Article  CAS  PubMed  Google Scholar 

  42. GD Schweiger VY Yip BP Brown (2000) ArticleTitleCT fluoroscopic guidance for percutaneous needle placement into abdominopelvic lesions with difficult access routes Abdom Imaging 25 633–637 Occurrence Handle10.1007/s002610000072 Occurrence Handle1:STN:280:DC%2BD3M%2FjsFGisw%3D%3D Occurrence Handle11029098

    Article  CAS  PubMed  Google Scholar 

  43. MH Howard RC Nelson EK Paulson MA Kliewer DH Sheafor (2001) ArticleTitleAn electronic device for needle placement during sonographically guided percutaneous intervention Radiology 218 905–911 Occurrence Handle1:STN:280:DC%2BD3M3gs1Chsg%3D%3D Occurrence Handle11230674

    CAS  PubMed  Google Scholar 

  44. Y Paltieli S Degani A Zrayek et al. (2002) ArticleTitleA new guidance system for freehand, obstetric ultrasound-guided procedures Ultrasound Obstet Gynecol 19 269–273 Occurrence Handle10.1046/j.1469-0705.2002.00607.x Occurrence Handle1:STN:280:DC%2BD387ms1Sluw%3D%3D Occurrence Handle11896949

    Article  CAS  PubMed  Google Scholar 

  45. N Holzknecht T Helmberger UJ Schoepf et al. (2001) ArticleTitleEvaluation of an electromagnetic virtual target system (CT-guide) for CT-guided interventions Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 173 612–618 Occurrence Handle10.1055/s-2001-15841 Occurrence Handle1:STN:280:DC%2BD3MvmvVSktg%3D%3D Occurrence Handle11512233

    Article  CAS  PubMed  Google Scholar 

  46. UJ Schoepf TK Helmberger N Holzknecht G Ezekiel V Segalescu MF Reiser (2001) ArticleTitleCT-guided biopsies and interventions: Evaluation of a magnetic field navigation system Radiology 218 615

    Google Scholar 

  47. G Bartal R Karpf R Gepstein R Carlin JM Gomori (2001) ArticleTitleRadiation-free real-time guidance system for minimally invasive musculoskeletal procedures in the CT suite Radiology 218 610

    Google Scholar 

  48. RI Field AS Lev-Toaff DA Merton L Needleman SR Segal (1999) ArticleTitleA computerized system for ultrasound-guided interventional procedures J Ultrasound Med 18 S47

    Google Scholar 

  49. G Fichtinger TL DeWeese A Patriciu et al. (2002) ArticleTitleSystem for robotically assisted prostate biopsy and therapy with intraoperative CT guidance Acad Radiol 9 60–74 Occurrence Handle10.1016/S1076-6332(03)80297-0 Occurrence Handle11918360

    Article  PubMed  Google Scholar 

  50. K Masamune G Fichtinger A Patriciu et al. (2001) ArticleTitleSystem for robotically assisted percutaneous procedures with computed tomography guidance Comput Aided Surg 6 370–383 Occurrence Handle10.1002/igs.10024 Occurrence Handle1:STN:280:DC%2BD383kvVWktQ%3D%3D Occurrence Handle11954068

    Article  CAS  PubMed  Google Scholar 

  51. SB Solomon A Patriciu ME Bohlman LR Kavoussi D Stoianovici (2002) ArticleTitleRobotically driven interventions: A method of using CT fluoroscopy without radiation exposure to the physician Radiology 225 277–282 Occurrence Handle12355016

    PubMed  Google Scholar 

  52. AL Jacob P Messmer A Kaim N Suhm P Regazzoni B Baumann (2000) ArticleTitleA whole-body registration-free navigation system for image-guided surgery and interventional radiology Invest Radiol 35 279–288 Occurrence Handle10.1097/00004424-200005000-00001 Occurrence Handle1:STN:280:DC%2BD3c3mtVyisQ%3D%3D Occurrence Handle10803668

    Article  CAS  PubMed  Google Scholar 

  53. M Bisceglia TA Matalon B Silver (1990) ArticleTitleThe pump maneuver: An atraumatic adjunct to enhance US needle tip localization Radiology 176 867–868 Occurrence Handle1:STN:280:By%2BA2MnotVQ%3D Occurrence Handle2202015

    CAS  PubMed  Google Scholar 

  54. CC Reading JW Charboneau JP Felmlee EM James (1987) ArticleTitleUS-guided percutaneous biopsy: Use of a screw biopsy stylet to aid needle detection Radiology 163 280–281 Occurrence Handle1:STN:280:BiiC2cfgtV0%3D Occurrence Handle3547495

    CAS  PubMed  Google Scholar 

  55. F Winsberg HA Mitty RS Shapiro HC Yeh (1991) ArticleTitleUse of an acoustic transponder for US visualization of biopsy needles Radiology 180 877–878 Occurrence Handle1:STN:280:By6A3svnvF0%3D Occurrence Handle1871312

    CAS  PubMed  Google Scholar 

  56. RR Perrella C Kimme-Smith FN Tessler N Ragavendra EG Grant (1992) ArticleTitleA new electronically enhanced biopsy system: Value in improving needle-tip visibility during sonographically guided interventional procedures AJR Am J Roentgenol 158 195–198 Occurrence Handle1:STN:280:By2D1c7lt1w%3D Occurrence Handle1727345

    CAS  PubMed  Google Scholar 

  57. R Feld L Needleman BB Goldberg (1997) ArticleTitleUse of needle-vibrating device and color Doppler imaging for sonographically guided invasive procedures AJR Am J Roentgenol 168 255–256 Occurrence Handle1:STN:280:ByiC3s7jtVc%3D Occurrence Handle8976955

    CAS  PubMed  Google Scholar 

  58. WC Culp TC McCowan TC Goertzen et al. (2000) ArticleTitleRelative ultrasonographic echogenicity of standard, dimpled, and polymeric-coated needles J Vasc Interv Radiol 11 351–358 Occurrence Handle1:STN:280:DC%2BD3c7pslCkug%3D%3D Occurrence Handle10735431

    CAS  PubMed  Google Scholar 

  59. RE Hopkins M Bradley (2001) ArticleTitleIn-vitro visualization of biopsy needles with ultrasound: A comparative study of standard and echogenic needles using an ultrasound phantom Clin Radiol 56 499–502 Occurrence Handle10.1053/crad.2000.0707 Occurrence Handle1:STN:280:DC%2BD3Mznt1Cqtg%3D%3D Occurrence Handle11428801

    Article  CAS  PubMed  Google Scholar 

  60. CJ Harvey MJ Blomley RJ Eckersley RA Heckemann J Butler-Barnes DO Cosgrove (2000) ArticleTitlePulse-inversion mode imaging of liver specific microbubbles: Improved detection of subcentimetre metastases Lancet 355 807–808 Occurrence Handle10.1016/S0140-6736(99)04545-6 Occurrence Handle1:STN:280:DC%2BD3c7nsFSqtA%3D%3D Occurrence Handle10711932

    Article  CAS  PubMed  Google Scholar 

  61. B Skjoldbye MH Pedersen J Struckmann F Burcharth T Larsen (2002) ArticleTitleImproved detection and biopsy of solid liver lesions using pulse-inversion ultrasound scanning and contrast agent infusion Ultrasound Med Biol 28 439–444 Occurrence Handle10.1016/S0301-5629(02)00484-2 Occurrence Handle12049956

    Article  PubMed  Google Scholar 

  62. JY Meuwly P Schnyder F Gudinchet AL Denys (2003) ArticleTitlePulse-inversion harmonic imaging improves lesion conspicuity during US-guided biopsy J Vasc Interv Radiol 14 335–341 Occurrence Handle12631638

    PubMed  Google Scholar 

  63. N Bang M Bachmann Nielsen I Vejborg A Mellon Mogensen (2000) ArticleTitleClinical report: Contrast enhancement of tumor perfusion as a guidance for biopsy Eur J Ultrasound 12 159–161 Occurrence Handle10.1016/S0929-8266(00)00108-7 Occurrence Handle1:STN:280:DC%2BD3MzgsVyktw%3D%3D Occurrence Handle11118924

    Article  CAS  PubMed  Google Scholar 

  64. I Kaplan NE Oldenburg P Meskell M Blake P Church EJ Holupka (2002) ArticleTitleReal time MRI-ultrasound image guided stereotactic prostate biopsy Magn Reson Imaging 20 295–299 Occurrence Handle10.1016/S0730-725X(02)00490-3 Occurrence Handle12117612

    Article  PubMed  Google Scholar 

  65. E vanSonnenberg AS Lin G Casola SK Nakamoto VW Wing DA Cubberly (1984) ArticleTitleRemovable hub needle system for coaxial biopsy of small and difficult lesions Radiology 152 226 Occurrence Handle1:STN:280:BiuB383ntF0%3D Occurrence Handle6729122

    CAS  PubMed  Google Scholar 

  66. LS Broderick KK Kopecky H Cramer (2002) ArticleTitleImage-guided coaxial fine needle aspiration biopsy with a side-exiting guide J Comput Assist Tomogr 26 292–297 Occurrence Handle10.1097/00004728-200203000-00023 Occurrence Handle11884790

    Article  PubMed  Google Scholar 

  67. KK Kopecky LS Broderick DD Davidson BT Burney (1996) ArticleTitleSide-exiting coaxial needle for aspiration biopsy AJR Am J Roentgenol 167 661–662 Occurrence Handle1:STN:280:BymA2M%2Fgt10%3D Occurrence Handle8751675

    CAS  PubMed  Google Scholar 

  68. S Gupta K Ahrar FA Jr Morello MJ Wallace DC Madoff ME Hicks (2002) ArticleTitleUsing a coaxial technique with a curved inner needle for CT-guided fine-needle aspiration biopsy AJR Am J Roentgenol 179 109–112 Occurrence Handle12076915

    PubMed  Google Scholar 

  69. JS Moulton PT Moore (1993) ArticleTitleCoaxial percutaneous biopsy technique with automated biopsy devices: Value in improving accuracy and negative predictive value Radiology 186 515–522 Occurrence Handle1:STN:280:ByyC3svgs1E%3D Occurrence Handle8421758

    CAS  PubMed  Google Scholar 

  70. F Laurent V Latrabe B Vergier M Montaudon JM Vernejoux J Dubrez (2000) ArticleTitleCT-guided transthoracic needle biopsy of pulmonary nodules smaller than 20 mm: Results with an automated 20-gauge coaxial cutting needle Clin Radiol 55 281–287 Occurrence Handle10.1053/crad.1999.0368 Occurrence Handle1:STN:280:DC%2BD3c3ktF2jtQ%3D%3D Occurrence Handle10767187

    Article  CAS  PubMed  Google Scholar 

  71. F Laurent V Latrabe B Vergier P Michel (2000) ArticleTitlePercutaneous CT-guided biopsy of the lung: Comparison between aspiration and automated cutting needles using a coaxial technique Cardiovasc Intervent Radiol 23 266–272 Occurrence Handle10.1007/s002700010067 Occurrence Handle1:STN:280:DC%2BD3M%2FisVWmsQ%3D%3D Occurrence Handle10960539

    Article  CAS  PubMed  Google Scholar 

  72. J Wittenberg PR Mueller JT Jr Ferrucci et al. (1982) ArticleTitlePercutaneous core biopsy of abdominal tumors using 22 gauge needles: Further observations AJR Am J Roentgenol 139 75–80 Occurrence Handle1:STN:280:Bi2B38jjsVU%3D Occurrence Handle6979869

    CAS  PubMed  Google Scholar 

  73. R Greene WM Szyfelbein RJ Isler P Stark H Janstsch (1985) ArticleTitleSupplementary tissue- core histology from fine-needle transthoracic aspiration biopsy AJR Am J Roentgenol 144 787–792 Occurrence Handle1:STN:280:BiqC2crjvVA%3D Occurrence Handle3872039

    CAS  PubMed  Google Scholar 

  74. JR Haaga JP LiPuma PJ Bryan VJ Balsara AM Cohen (1983) ArticleTitleClinical comparison of small- and large-caliber cutting needles for biopsy Radiology 146 665–667 Occurrence Handle1:STN:280:BiyC2crhtVQ%3D Occurrence Handle6828680

    CAS  PubMed  Google Scholar 

  75. BC Erwin RK Brynes WC Chan et al. (1986) ArticleTitlePercutaneous needle biopsy in the diagnosis and classification of lymphoma Cancer 57 1074–1078 Occurrence Handle1:STN:280:BimC3crntFM%3D Occurrence Handle3943023

    CAS  PubMed  Google Scholar 

  76. TJ Welch PF 2nd Sheedy CD Johnson CM Johnson DH Stephens (1989) ArticleTitleCT-guided biopsy: Prospective analysis of 1,000 procedures Radiology 171 493–496 Occurrence Handle1:STN:280:BiaB3c3ntFQ%3D Occurrence Handle2704815

    CAS  PubMed  Google Scholar 

  77. KD Hopper CS Abendroth KW Sturtz YL Matthews LA Stevens SJ Shirk (1993) ArticleTitleAutomated biopsy devices: A blinded evaluation Radiology 187 653–660 Occurrence Handle1:STN:280:ByyB28fovVA%3D Occurrence Handle8497611

    CAS  PubMed  Google Scholar 

  78. KD Hopper CS Abendroth KW Sturtz YL Matthews SJ Shirk LA Stevens (1993) ArticleTitleBlinded comparison of biopsy needles and automated devices in vitro. 1. Biopsy of diffuse hepatic disease AJR Am J Roentgenol 161 1293–1297 Occurrence Handle1:STN:280:ByuD2s%2FlsVM%3D Occurrence Handle8249745

    CAS  PubMed  Google Scholar 

  79. KD Hopper CS Abendroth KW Sturtz YL Matthews SJ Shirk LA Stevens (1993) ArticleTitleBlinded comparison of biopsy needles and automated devices in vitro. 2. Biopsy of medical renal disease AJR Am J Roentgenol 161 1299–1301 Occurrence Handle1:STN:280:ByuD2s%2FlsVw%3D Occurrence Handle8249746

    CAS  PubMed  Google Scholar 

  80. KD Hopper CS Abendroth KW Sturtz YL Matthews JS Hartzel PS Potok (1995) ArticleTitleCT percutaneous biopsy guns: Comparison of end-cut and side-notch devices in cadaveric specimens AJR Am J Roentgenol 164 195–199 Occurrence Handle1:STN:280:ByqD1M7hvVE%3D Occurrence Handle7998539

    CAS  PubMed  Google Scholar 

  81. L Haggarth P Ekman L Egevad (2002) ArticleTitleA new core-biopsy instrument with an end-cut technique provides prostate biopsies with increased tissue yield BJU Int 90 51–55 Occurrence Handle10.1046/j.1464-410X.2002.02809.x Occurrence Handle1:STN:280:DC%2BD38zjvFCitg%3D%3D Occurrence Handle12081770

    Article  CAS  PubMed  Google Scholar 

  82. JS Klein MA Zarka (1997) ArticleTitleTransthoracic needle biopsy: an overview J Thorac Imaging 12 232–249 Occurrence Handle1:STN:280:DyaK1c%2FjsVGruw%3D%3D Occurrence Handle9368219

    CAS  PubMed  Google Scholar 

  83. O Lucidarme N Howarth JF Finet PA Grenier (1998) ArticleTitleIntrapulmonary lesions: Percutaneous automated biopsy with a detachable, 18-gauge, coaxial cutting needle Radiology 207 759–765 Occurrence Handle1:STN:280:DyaK1c3nt1yhsw%3D%3D Occurrence Handle9609901

    CAS  PubMed  Google Scholar 

  84. E vanSonnenberg J Wittenberg JT Jr Ferrucci PR Mueller JF Simeone (1981) ArticleTitleTriangulation method for percutaneous needle guidance: The angled approach to upper abdominal masses AJR Am J Roentgenol 137 757–761 Occurrence Handle1:STN:280:Bi2D2czhtFM%3D Occurrence Handle6974972

    CAS  PubMed  Google Scholar 

  85. N Yueh RA Jr Halvorsen JG Letourneau JR Crass (1989) ArticleTitleGantry tilt technique for CT-guided biopsy and drainage J Comput Assist Tomogr 13 182–184 Occurrence Handle1:STN:280:BiaD1MzmtFQ%3D Occurrence Handle2910943

    CAS  PubMed  Google Scholar 

  86. EJ Stern WR Webb G Gamsu (1993) ArticleTitleCT gantry tilt: Utility in transthoracic fine-needle aspiration biopsy. Work in progress Radiology 187 873–874 Occurrence Handle1:STN:280:ByyB28fpt1M%3D Occurrence Handle8497650

    CAS  PubMed  Google Scholar 

  87. S Hussain (1996) ArticleTitleGantry angulation in CT-guided percutaneous adrenal biopsy AJR Am J Roentgenol 166 537–539 Occurrence Handle1:STN:280:BymB3c7jslU%3D Occurrence Handle8623623

    CAS  PubMed  Google Scholar 

  88. JR Haaga SM Beale (1986) ArticleTitleUse of CO2 to move structures as an aid to percutaneous procedures Radiology 161 829–830 Occurrence Handle1:STN:280:BiiD28fjvFQ%3D Occurrence Handle3097752

    CAS  PubMed  Google Scholar 

  89. HJ Langen M Jochims RW Gunther (1995) ArticleTitleArtificial displacement of kidneys, spleen, and colon by injection of physiologic saline and CO2 as an aid to percutaneous procedures: Experimental results J Vasc Interv Radiol 6 411–416 Occurrence Handle1:STN:280:ByqA2srktFU%3D Occurrence Handle7647443

    CAS  PubMed  Google Scholar 

  90. HJ Langen KC Klose P Keulers G Adam M Jochims RW Gunther (1995) ArticleTitleArtificial widening of the mediastinum to gain access for extrapleural biopsy: Clinical results Radiology 196 703–706 Occurrence Handle1:STN:280:ByqA2s3lt1Q%3D Occurrence Handle7644632

    CAS  PubMed  Google Scholar 

  91. S Karampekios AA Hatjidakis J Drositis N Gourtsoyiannis (1998) ArticleTitleArtificial paravertebral widening for percutaneous CT-guided adrenal biopsy J Comput Assist Tomogr 22 308–310 Occurrence Handle10.1097/00004728-199803000-00028 Occurrence Handle1:STN:280:DyaK1c7ptFCkug%3D%3D Occurrence Handle9530400

    Article  CAS  PubMed  Google Scholar 

  92. P Carlson AB Crummy M Wojtowycz JC McDermott (1991) ArticleTitleA safe route for deep pelvic biopsy with distention of the iliacus muscle J Vasc Interv Radiol 2 277–278 Occurrence Handle1:STN:280:By2C1M%2FotFw%3D Occurrence Handle1799767

    CAS  PubMed  Google Scholar 

  93. LM Ho J Thomas SA Fine EK Paulson (2003) ArticleTitleUsefulness of sonographic guidance during percutaneous biopsy of mesenteric masses AJR Am J Roentgenol 180 1563–1566 Occurrence Handle12760920

    PubMed  Google Scholar 

  94. AJ Fisher EK Paulson DH Sheafor CM Simmons RC Nelson (1997) ArticleTitleSmall lymph nodes of the abdomen, pelvis, and retroperitoneum: Usefulness of sonographically guided biopsy Radiology 205 185–190 Occurrence Handle1:STN:280:ByiH28%2FmtVU%3D Occurrence Handle9314983

    CAS  PubMed  Google Scholar 

  95. DS Memel GD 3rd Dodd CC Esola (1996) ArticleTitleEfficacy of sonography as a guidance technique for biopsy of abdominal, pelvic, and retroperitoneal lymph nodes AJR Am J Roentgenol 167 957–962 Occurrence Handle1:STN:280:BymH3MnlvF0%3D Occurrence Handle8819394

    CAS  PubMed  Google Scholar 

  96. CH Carrasco S Wallace C Charnsangavej (1985) ArticleTitleAspiration biopsy: Use of a curved needle Radiology 155 254 Occurrence Handle1:STN:280:BiqC2c%2FpsVA%3D Occurrence Handle3975409

    CAS  PubMed  Google Scholar 

  97. DY Sze (2001) ArticleTitleUse of curved needles to perform biopsies and drainages of inaccessible targets J Vasc Interv Radiol 12 1441–1444 Occurrence Handle1:STN:280:DC%2BD3MjgtFWnuw%3D%3D Occurrence Handle11742022

    CAS  PubMed  Google Scholar 

  98. EL Bressler JA Kirkham (1994) ArticleTitleMediastinal masses: Alternative approaches to CT-guided needle biopsy Radiology 191 391–396 Occurrence Handle1:STN:280:ByuB3cvitV0%3D Occurrence Handle8153311

    CAS  PubMed  Google Scholar 

  99. J Bar-Ziv A Solomon (1989) ArticleTitleThe use of a modified direct coronal computed tomographic technique for assessing thoraco-abdominal problems Gastrointest Radiol 14 205–208 Occurrence Handle1:STN:280:BiaB2snotFE%3D Occurrence Handle2731691

    CAS  PubMed  Google Scholar 

  100. G Belfiore L Camera G Moggio A Vetrani G Fraioli M Salvatore (1997) ArticleTitleMiddle mediastinum lesions: Preliminary experience with CT-guided fine-needle aspiration biopsy with a suprasternal approach Radiology 202 870–873 Occurrence Handle1:STN:280:ByiB3czkslM%3D Occurrence Handle9051049

    CAS  PubMed  Google Scholar 

  101. S Gupta M Gulati A Rajwanshi D Gupta S Suri (1998) ArticleTitleSonographically guided fine-needle aspiration biopsy of superior mediastinal lesions by the suprasternal route AJR Am J Roentgenol 171 1303–1306 Occurrence Handle1:STN:280:DyaK1M%2FhtlaisA%3D%3D Occurrence Handle9798868

    CAS  PubMed  Google Scholar 

  102. HB D’Agostino RB Sanchez RM Laoide et al. (1993) ArticleTitleAnterior mediastinal lesions: Transsternal biopsy with CT guidance. Work in progress Radiology 189 703–705 Occurrence Handle1:STN:280:ByuD2M3lvFA%3D Occurrence Handle8234694

    CAS  PubMed  Google Scholar 

  103. KG Astrom KH Ahlstrom A Magnusson (1996) ArticleTitleCT-guided transsternal core biopsy of anterior mediastinal masses Radiology 199 564–567 Occurrence Handle1:STN:280:BymB3c3otVc%3D Occurrence Handle8668813

    CAS  PubMed  Google Scholar 

  104. S Gupta MJ Wallace FA Jr Morello K Ahrar ME Hicks (2002) ArticleTitleCT-guided percutaneous needle biopsy of intrathoracic lesions by using the transsternal approach: experience in 37 patients Radiology 222 57–62 Occurrence Handle11756705

    PubMed  Google Scholar 

  105. KG Astrom KH Ahlstrom HE Hagberg (1997) ArticleTitleCT-guided transvertebral core biopsy of a retrocrural mass AJR Am J Roentgenol 169 991–993 Occurrence Handle1:STN:280:ByiH2Mzot10%3D Occurrence Handle9308449

    CAS  PubMed  Google Scholar 

  106. KR Brandt JW Charboneau DH Stephens TJ Welch JR Goellner (1993) ArticleTitleCT- and US- guided biopsy of the pancreas Radiology 187 99–104 Occurrence Handle1:STN:280:ByyC1MjltlM%3D Occurrence Handle8451443

    CAS  PubMed  Google Scholar 

  107. JT Jr Ferrucci J Wittenberg PR Mueller et al. (1980) ArticleTitleDiagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy AJR Am J Roentgenol 134 323–330 Occurrence Handle6766240

    PubMed  Google Scholar 

  108. PR Mueller (1993) ArticleTitlePancreatic biopsy: Striving for excellence Radiology 187 15–16 Occurrence Handle1:STN:280:ByyC1MjkvFE%3D Occurrence Handle8451402

    CAS  PubMed  Google Scholar 

  109. JE Dickey JR Haaga TA Stellato CL Schultz T Hau (1986) ArticleTitleEvaluation of computed tomography guided percutaneous biopsy of the pancreas Surg Gynecol Obstet 163 497–503 Occurrence Handle1:STN:280:BiiD2s%2FjtVU%3D Occurrence Handle3787424

    CAS  PubMed  Google Scholar 

  110. PR Mueller LM Miketic JF Simeone et al. (1988) ArticleTitleSevere acute pancreatitis after percutaneous biopsy of the pancreas AJR Am J Roentgenol 151 493–494 Occurrence Handle1:STN:280:BieA3cjhvVQ%3D Occurrence Handle3261508

    CAS  PubMed  Google Scholar 

  111. S Gupta K Ahrar FA Jr Morello MJ Wallace ME Hicks (2002) ArticleTitleMasses in or around the pancreatic head: CT-guided coaxial fine-needle aspiration biopsy with a posterior transcaval approach Radiology 222 63–69 Occurrence Handle11756706

    PubMed  Google Scholar 

  112. EH Smith (1991) ArticleTitleComplications of percutaneous abdominal fine-needle biopsy. Review Radiology 178 253–258 Occurrence Handle1:STN:280:By6D2svpvFU%3D Occurrence Handle1984314

    CAS  PubMed  Google Scholar 

  113. PC Yang DB Chang YC Lee CJ Yu SH Kuo KT Luh (1992) ArticleTitleMediastinal malignancy: Ultrasound guided biopsy through the supraclavicular approach Thorax 47 377–380 Occurrence Handle1:STN:280:By2A3c3psVY%3D Occurrence Handle1609382

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sanjay Gupta.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gupta, S. New Techniques in Image-Guided Percutaneous Biopsy. CVIR 27, 91–104 (2004). https://doi.org/10.1007/s00270-003-0056-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-003-0056-3

Navigation