Biopsy of Pelvic Lesions

  • Efe Ozkan
  • Sanjay Gupta


Access route planning for image-guided biopsy of deep pelvic masses is challenging because vital structures such as the bowel, bladder, uterus, adnexa, iliac vessels, and osseous structures can intervene in the projected needle path. Thus, a thorough understanding of the cross-sectional anatomy of the pelvis is needed, and the best approach and techniques to use for each patient will depend on the characteristics and exact location of the patient’s lesion. In this article we provide an overview of the relevant anatomy of the pelvic region and discuss the various types of imaging (computed tomography [CT], ultrasound, CT fluoroscopy, magnetic resonance imaging, and magnetic field-based electronic guidance system), needles (aspiration and small- and large-caliber cutting needles; single or coaxial), and approaches (anterior or anterolateral transabdominal, transgluteal, anterolateral extraperitoneal, transosseous, transvaginal, and transrectal) that can be used in image-guided pelvic biopsy, along with the advantages and limitations of each technique.


Percutaneous Biopsy Psoas Muscle Iliac Vessel Compute Tomography Guidance Sacrospinous Ligament 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of RadiologyThe Ohio State UniversityColumbusUSA
  2. 2.Department of Interventional Radiology, Department of Diagnostic RadiologyThe University of Texas MD Anderson Cancer CenterHoustonUSA

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