Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지

Interventional Procedures in Superficial Lesions: The Value of 2D with Additional Coronal Reformatted 4D Ultrasonography Guidance

  • Chang, Cheng-Yen (Department of Radiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University) ;
  • Wang, Hsin-Kai (Department of Radiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University) ;
  • Chiou, Hong-Jen (Department of Radiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University) ;
  • Chou, Yi-Hong (Department of Radiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University) ;
  • Chen, Tain-Hsiung (Department of Orthopedics, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University) ;
  • Chiou, See-Ying (Department of Radiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University)
  • Published : 2006.03.31
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Abstract

Objective: We wanted to assess the usefulness of four-dimensional (40) ultrasonography (US), i.e., real-time three-dimensional US, as an adjunct for performing various US-guided interventional procedures in superficial lesions. Materials and Methods: Thirty-three patients were referred for US-guided interventional procedures for superficial lesions, including core biopsy in 19, fine-needle aspiration in eight, therapeutic drug injection in four and needle puncture in two. The procedures were performed under 40 US guidance. We reviewed the pathologic/cytologic results of the core biopsies or needle aspirations, and also the outcomes of drug injection or needle puncture. Results: For all the patients who underwent 40 US-guided core biopsy, the specimens were adequate for making the pathological diagnosis, and specimens were successfully obtained for those patients who underwent 40 US-guided aspiration. The patients treated with 40 US-guided therapeutic drug injection or needle puncture had a good response. No major procedure-related complications occurred. The procedural times were similar to those procedural times with using two-dimensional US. Conclusion: Combining the two dimensional and 40 US techniques aids the physician when performing US-guided interventional procedures for the superficial lesions.

Keywords

References

  1. Cho N, Moon WK, Cha JH. Sonographically guided core biopsy of the breast: comparison of 14-gauge automated gun and 11- gauge directional vacuum-assisted biopsy methods. Korean J Radiol 2005;6:102-109 https://doi.org/10.3348/kjr.2005.6.2.102
  2. Lim HK. Radiofrequency thermal ablation of hepatocellular carcinomas. Korean J Radiol 2000;1:175-184 https://doi.org/10.3348/kjr.2000.1.4.175
  3. Lees W. Ultrasound imaging in three and four dimensions. Semin Ultrasound CT MR 2001;22:85-105
  4. Downey DB, Fenster A, Williams JC. Clinical utility of threedimensional US. RadioGraphics 2000;20:559-571 https://doi.org/10.1148/radiographics.20.2.g00mc19559
  5. Rose SC, Pretorius DH, Nelson TR, Kinney TB, Huynh TV, Roberts AC, et al. Adjunctive 3D US for achieving portal vein access during transjugular intrahepatic portosystemic shunt procedures. J Vasc Interv Radiol 2000;11:611-621 https://doi.org/10.1016/S1051-0443(07)61614-5
  6. Rose SC, Roberts AC, Kinney TB, Pretorius DH, Nelson TR. Three-dimensional ultrasonography for planning percutaneous drainage of complex abdominal fluid collections. J Vasc Interv Radiol 2003;14:451-459 https://doi.org/10.1097/01.RVI.0000064847.87207.E2
  7. Smith WL, Surry KJ, Mills GR, Downey DB, Fenster A. Threedimensional ultrasound-guided core needle breast biopsy. Ultrasound Med Biol 2001;27:1025-1034 https://doi.org/10.1016/S0301-5629(01)00396-9
  8. Rose SC, Hassanein TI, Easter DW, Gamagami RA, Bouvet M, Pretorius DH, et al. Value of three-dimensional US for optimizing guidance for ablating focal liver tumors. J Vasc Interv Radiol 2001;12:507-515 https://doi.org/10.1016/S1051-0443(07)61892-2
  9. Strasser H, Janetschek G, Horninger W, Bartsch G. Three-dimensional sonographic guidance for interstitial laser therapy in benign prostatic hyperplasia. J Endourol 1995;9:497-501 https://doi.org/10.1089/end.1995.9.497
  10. Weismann CF, Forstner R, Prokop E, Rettenbacher T. Three-dimensional targeting: a new three-dimensional ultrasound technique to evaluate needle position during breast biopsy. Ultrasound Obstet Gynecol 2000;16:359-364 https://doi.org/10.1046/j.1469-0705.2000.00182.x
  11. Chin JL, Downey DB, Mulligan M, Fenster A. Three-dimensional transrectal ultrasound guided cryoablation for localized prostate cancer in nonsurgical candidates: a feasibility study and report of early results. J Urol 1998;159:910-914 https://doi.org/10.1016/S0022-5347(01)63769-8
  12. Won HJ, Han JK, Do KH, Lee KH, Kim KW, Kim SH, et al. Value of four-dimensional ultrasonography in ultrasonographically guided biopsy of hepatic masses. J Ultrasound Med 2003; 22:215-220
  13. Liu JC, Chiou HJ, Chen WM, Chou YH, Chen TH, Chen W, et al. Sonographically guided core needle biopsy of soft tissue neoplasms. J Clin Ultrasound 2004;32:294-298 https://doi.org/10.1002/jcu.20038