Korean Journal of Radiology

  • 제12권3호
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  • Pages.351-357
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  • 2011
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

Clinical Value of CT-Guided Needle Biopsy for Retroperitoneal Lesions

  • Tomozawa, Yuki (Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital) ;
  • Inaba, Yoshitaka (Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital) ;
  • Yamaura, Hidekazu (Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital) ;
  • Sato, Yozo (Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital) ;
  • Kato, Mina (Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital) ;
  • Kanamoto, Takaaki (Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital) ;
  • Sakane, Makoto (Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital)
  • 발행 : 2011.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The purpose of this study was to investigate retrospectively the clinical procedural performance of CT-guided needle biopsy for retroperitoneal lesions. Materials and Methods: CT-guided needle biopsy was performed in 74 consecutive patients (M:F = 44:30; mean age, 59.7 years) with retroperitoneal lesions between April 1998 and June 2009. The target lesion ranged from 1.5 to 12.5 cm in size. The biopsy access path ranged from 3.5 to 11.5 cm in depth. A biopsy specimen was obtained using an 18-gauge core needle under a CT or CT-fluoroscopy guidance and with the patient under local anesthesia. The histopathological diagnoses from the biopsies were obtained. The diagnostic confirmation of the subtype of lymphoma was evaluated. Results: Satisfactory biopsy samples were obtained in 73 (99%) of 74 patients and a pathological diagnosis was made in 70 (95%) of 74 patients. Sixty three lesions were malignant (45 lymphomas, nine primary tumors, nine lymph node metastases) and seven were benign. The subtype of lymphoma was specified in 43 (96%) of 45 patients who were diagnosed with lymphoma. Analysis of the value of CT-guided biopsy in this series indicated 63 true positives, zero false positive, six true negatives and five false negatives. This test had a sensitivity of 93%, a specificity of 100% and an accuracy of 93%. No major complications were seen and minor complications were noted in seven patients (five with local hematomas, two with transient pain at the puncture site). Conclusion: CT-guided needle biopsy for retroperitoneal lesions is highly practical and useful, and particularly for determining the subtypes in patients with lymphoma.

키워드

참고문헌

  1. Hopper KD. Percutaneous, radiographically guided biopsy: a history. Radiology 1995;196:329-333 https://doi.org/10.1148/radiology.196.2.7617841
  2. Gazelle GS, Haaga JR. Guided percutaneous biopsy of intraabdominal lesions. AJR Am J Roentgenol 1989;153:929-935 https://doi.org/10.2214/ajr.153.5.929
  3. Ben-Yehuda D, Polliack A, Okon E, Sherman Y, Fields S, Lebenshart P, et al. Image-guided core-needle biopsy in malignant lymphoma: experience with 100 patients that suggests the technique is reliable. J Clin Oncol 1996;14:2431-2434 https://doi.org/10.1200/JCO.1996.14.9.2431
  4. Guimaraes AC, Chapchap P, de Camargo B, Chojniak R. Computed tomography-guided needle biopsies in pediatric oncology. J Pediatr Surg 2003;38:1066-1068 https://doi.org/10.1016/S0022-3468(03)00194-5
  5. Husband JE, Golding SJ. The role of computed tomography-guided needle biopsy in an oncology service. Clin Radiol 1983;34:255-260 https://doi.org/10.1016/S0009-9260(83)80323-7
  6. Sklair-Levy M, Polliack A, Shaham D, Applbaum YH, Gillis S, Ben-Yehuda D, et al. CT-guided core-needle biopsy in the diagnosis of mediastinal lymphoma. Eur Radiol 2000;10:714-718 https://doi.org/10.1007/s003300050991
  7. Demharter J, Muller P, Wagner T, Schlimok G, Haude K, Bohndorf K. Percutaneous core-needle biopsy of enlarged lymph nodes in the diagnosis and subclassification of malignant lymphomas. Eur Radiol 2001;11:276-283 https://doi.org/10.1007/s003300000540
  8. Pappa VI, Hussain HK, Reznek RH, Whelan J, Norton AJ, Wilson AM, et al. Role of image-guided core-needle biopsy in the management of patients with lymphoma. J Clin Oncol 1996;14:2427-2430 https://doi.org/10.1200/JCO.1996.14.9.2427
  9. Irie T, Kajitani M, Matsueda K, Arai Y, Inaba Y, Kujiraoka Y, et al. Biopsy of lung nodules with use of I-I device under intermittent CT fluoroscopic guidance: preliminary clinical study. J Vasc Interv Radiol 2001;12:215-219 https://doi.org/10.1016/S1051-0443(07)61828-4
  10. Welch TJ, Sheedy PF 2nd, Johnson CD, Johnson CM, Stephens DH. CT-guided biopsy: prospective analysis of 1,000 procedures. Radiology 1989;171:493-496 https://doi.org/10.1148/radiology.171.2.2704815
  11. Chojniak R, Isberner RK, Viana LM, Yu LS, Aita AA, Soares FA. Computed tomography guided needle biopsy: experience from 1,300 procedures. Sao Paulo Med J 2006;124:10-14 https://doi.org/10.1590/S1516-31802006000100003
  12. Libicher M, Noldge G, Radeleff B, Gholipur F, Richter GM. Value of CT-guided biopsy in malignant lymphoma. Radiologe 2002;42:1009-1012 https://doi.org/10.1007/s00117-002-0843-x
  13. Knelson M, Haaga J, Lazarus H, Ghosh C, Abdul-Karim F, Sorenson K. Computed tomography-guided retroperitoneal biopsies. J Clin Oncol 1989;7:1169-1173 https://doi.org/10.1200/JCO.1989.7.8.1169
  14. Agid R, Sklair-Levy M, Bloom AI, Lieberman S, Polliack A, Ben-Yehuda D, et al. CT-guided biopsy with cutting-edge needle for the diagnosis of malignant lymphoma: experience of 267 biopsies. Clin Radiol 2003;58:143-147 https://doi.org/10.1053/crad.2002.1061
  15. Stattaus J, Kalkmann J, Kuehl H, Metz KA, Nowrousian MR, Forsting M, et al. Diagnostic yield of computed tomography-guided coaxial core biopsy of undetermined masses in the free retroperitoneal space: single-center experience. Cardiovasc Intervent Radiol 2008;31:919-925 https://doi.org/10.1007/s00270-008-9317-5
  16. Carlson SK, Felmlee JP, Bender CE, Ehman RL, Classic KL, Hoskin TL, et al. CT fluoroscopy-guided biopsy of the lung or upper abdomen with a breath-hold monitoring and feedback system: a prospective randomized controlled clinical trial. Radiology 2005;237:701-708 https://doi.org/10.1148/radiol.2372041323
  17. Cheung JY, Kim Y, Shim SS, Lim SM. Combined fluoroscopyand CT-guided transthoracic needle biopsy using a C-arm cone-beam CT system: comparison with fluoroscopy-guided biopsy. Korean J Radiol 2011;12:89-96 https://doi.org/10.3348/kjr.2011.12.1.89
  18. de Bazelaire C, Farges C, Mathieu O, Zagdanski AM, Bourrier P, Frija J, et al. Blunt-tip coaxial introducer: a revisited tool for difficult CT-guided biopsy in the chest and abdomen. AJR Am J Roentgenol 2009;193:W144-148 https://doi.org/10.2214/AJR.08.2125
  19. Memel DS, Dodd GD 3rd, Esola CC. Efficacy of sonography as a guidance technique for biopsy of abdominal, pelvic, and retroperitoneal lymph nodes. AJR Am J Roentgenol 1996;167:957-962 https://doi.org/10.2214/ajr.167.4.8819394
  20. al-Mofleh IA. Ultrasound-guided fine needle aspiration of retroperitoneal, abdominal and pelvic lymph nodes. Diagnostic reliability. Acta Cytol 1992;36:413-415
  21. Adam G, Bucker A, Nolte-Ernsting C, Tacke J, Gunther RW. Interventional MR imaging: percutaneous abdominal and skeletal biopsies and drainages of the abdomen. Eur Radiol 1999;9:1471-1478 https://doi.org/10.1007/s003300050873
  22. Lee MH, Lufkin RB, Borges A, Lu DS, Sinha S, Farahani K, et al. MR-guided procedures using contemporaneous imaging frameless stereotaxis in an open-configuration system. J Comput Assist Tomogr 1998;22:998-1005 https://doi.org/10.1097/00004728-199811000-00030
  23. Kariniemi J, Blanco Sequeiros R, Ojala R, Tervonen O. MRI-guided abdominal biopsy in a 0.23-T open-configuration MRI system. Eur Radiol 2005;15:1256-1262 https://doi.org/10.1007/s00330-004-2566-z
  24. Zangos S, Eichler K, Wetter A, Lehnert T, Hammerstingl R, Diebold T, et al. MR-guided biopsies of lesions in the retroperitoneal space: technique and results. Eur Radiol 2006;16:307-312 https://doi.org/10.1007/s00330-005-2870-2
  25. Alanen J, Keski-Nisula L, Blanco-Sequeiros R, Tervonen O. Cost comparison analysis of low-field (0.23 T) MRI- and CT-guided bone biopsies. Eur Radiol 2004;14:123-128 https://doi.org/10.1007/s00330-003-1960-2

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