Abstract
With today's imaging technology, relatively invasive procedures can be performed in the radiology department without significant complication. Biopsies, in particular, are frequently performed using computed tomography (CT) or ultrasound (US) guidance. In this article, both the indications and methods for imaging-guided percutaneous biopsy of the kidney and adrenal gland are reviewed. Citing the experience of several authors, the accuracy and complications of such procedures are also discussed.
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Baumgartner BR, Bernardino ME (1986) Radiology: Diagnostic and interventional. In: Graham SD (ed) Urologic oncology, Raven Press, New York, pp 143–182
Wallace S, Charnsangavej C, Carrasco CH, Richli W, Swanson D (1987) Interventional radiology in renal neoplasms. Sem Roentgen 22:303–315
Bernardino ME (1988) Management of the asymtomatic patient with a unilateral adrenal mass. Radiology 166:121–123
Thomas JL, Barnes PA, Bernardino ME, Lewis E (1982) Diagnostic approaches to adrenal and renal metastases. Rad Clinics North Am 20:531–544
Mitnick JS, Bosniak MA, Megibow AJ, Nardich DP (1983) Non-functioning adrenal adenomas discovered incidentally on computed tomography. Radiology 148:495–499
Glazer HS, Weyman PJ, Sagel SS, Levitt RG, McClennan BL (1982) Non-functioning adrenal masses: Incidental discovery on computed tomography. AJR 139:81–85
Oliver TW, Bernardino ME, Miller JI, Mansour K, Greene D, Davis WA (1984) Isolated adrenal masses in nonsmall-cell bronchogenic carcinoma. Radiology 153:217–218
Reinig JW, Doppman JL, Dwyer AJ, Johnson AR, Knop RH (1986) Adrenal masses differentiated by MR. Radiology 158:81–84
Glaxer GM, Woolsey EJ, Borello J, Francis IR, Aisen AM, Bookstein F, Amendola MA, Gross MD, Bree RL, Martell W (1986) Adrenal tissue characterization using MR imaging Radiology 158:73–79
Chezmar JL, Robbins SM, Nelson RC, Steinberg HV, Torres WE, Bernardino ME (1988) Adrenal masses: Characterization with T1-weighted MR imaging. Radiology 166:357–359
Chang A, Glazer HS, Lee JKT, Ling D, Heiken JP (1987) Adrenal gland: MR imaging. Radiology 163:123–128
Ubhi CS, Irving HC, Gillou PJ, Giles GR (1987) A new technique for renal allograft biopsy. Br J Radiology 60:599–600
Price RB, Bernardino ME, Berkman WA, Sones, PJ, Torres WE (1983) Biopsy of the right adrenal gland by the transhepatic approach. Radiology 148:566
Zornoza J, Ordonoz N, Bernardino ME, Cohen MA (1981) Percutaneous biopsy of adrenal tumors. Urology 18:412–416
Heaston DK, Handel DB, Ashton PR, Korobkin M (1982) Narrow gauge needle aspiration of solid adrenal masses. AJR 138:1143–1148
Bernardino ME, Walther MM, Phillips VM, Graham SD, Sewell CW, Gedgaudas-McClees K, Baumgartner BR, Torres WE, Erwin BC (1985) CT-guided adrenal biopsy: Accuracy, safety, and indications. AJR 144:67–69
Heiberg E, Wolverson MK (1985) Ipsilateral decubitus position for percutaneous CT-guided adrenal biopsy. JCAT 9:217–218
Kristensen JK, Holm HH, Rasmussen SN, Barlebo H (1972) Ultrasonically guided percutaneous puncture of renal masses. Scand J Urol Nephrol (Suppl 15) 6:49–56
Nosher JL, Amorosa JK, Leiman S, Plafker J (1982) Fine needle aspiration of the kidney and adrenal gland. Urology 128:895–899
Sundaram M, Wolverson MK, Heiberg E, Pilla T, Vas W, Shields JB (1982) Utility of CT-guided abdominal aspiration procedures. AJR 139:1111–1115
Nadel L, Baumgartner BR, Bernardino ME (1986) Percutaneous renal biopsies: Accuracy, Safety, and indications. Urol Radiol 8:67–71
Pagani JJ (1983) Normal adrenal glands in small cell lung carcinoma: CT-guided biopsy AJR 140:949–951
Wickre CG, Golpor TA (1982) Complications of percutaneous needle biopsy of the kidney. Am J Nephrol 2:173–178
Altebarmakian VK, Guthinger WP, Yakub YN, Gutierrez OH, Linke CA (1981) Percutaneous kidney biopsies—complications and their management. Urology 28:118–122
Low RN, Jeffrey RB (1988) Intraperitoneal hemorrhage after renal biopsy: A grave prognostic sign. AJR 151:113–114
Diaz-Buxo JA, Donadio JV (1975) Complications of percutaneous renal biopsy: An analysis of 1000 consecutive biopsies. Clin Nephrol 4:223–227
Ralls PW, Barakos JA, Kaptein EM, Friedman PE, Fouladian G, Boswell WD, Halls J, Massry SG (1987) Renal biopsy—related hemorrhage: Frequency and comparison at CT and sonography. JCAT 11:1031–1034
Casola G, Nicolet V, vanSonnenberg E, Withers C, Bretagnolle M, Saba RM, Bret PM (1986) Suspected pheochromocytoma: Risk of blood-pressure alterations during percutaneous adrenal biopsy. Radiology 159:733–735
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Vassiliades, V.G., Bernardino, M.E. Percutaneous renal and adrenal biopsies. Cardiovasc Intervent Radiol 14, 50–54 (1991). https://doi.org/10.1007/BF02635531
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DOI: https://doi.org/10.1007/BF02635531