Image-Guided Fine-Needle Aspiration Cytology

  • Mats GeijerEmail author
  • Henryk A. Domanski


Several factors make image guidance necessary in fine-needle aspiration cytology (FNAC): A lesion is diffuse and difficult to palpate; the cytologist requires it for all deep-seated nonpalpable lesions; there may be sampling issues in a nonhomogeneous lesion with areas of different tissue characteristics (e.g., necrosis versus viable tumor or purely fatty areas versus contrast-enhancing areas in liposarcomas); and/or the lesion may be inaccessible behind bony structures or located inside the bone. In this chapter the different imaging modalities used for guidance will be discussed, as well as their use in different anatomic regions. Special techniques to approach lesions in hard-to-reach locations are described. Several illustrative cases are provided.


Guided FNA Fluoroscopy CT Ultrasound MRI Stereotactic biopsy 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Center for Medical Imaging and PhysiologySkåne University HospitalLundSweden
  2. 2.Department of PathologySkåne University HospitalLundSweden

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