PMID- 36284760
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221028
IS  - 2432-0935 (Electronic)
IS  - 2432-0935 (Linking)
VI  - 5
IP  - 3
DP  - 2020 Oct 30
TI  - Computed Tomography Fluoroscopy-guided Core Needle Biopsy of Abdominal 
      Para-aortic Lesions: A Retrospective Evaluation of the Diagnostic Yield and 
      Safety.
PG  - 128-133
LID - 10.22575/interventionalradiology.2020-0009 [doi]
AB  - PURPOSE: To retrospectively evaluate the diagnostic yield and safety of computed 
      tomography (CT) fluoroscopy-guided biopsy of abdominal para-aortic lesions. 
      MATERIAL AND METHODS: CT fluoroscopy-guided biopsy was performed for 30 lesions 
      (median long diameter 2.4 cm; range, 1.3-12.4 cm) in 30 patients (11 women and 19 
      men; median age 64.5 years; age range 37-90 years) using 18- and/or 20-gauge 
      needles. The median length of the biopsy needle tracts was 9.3 cm (range, 
      5.5-13.0 cm). The median number of biopsy fires was 3 (range, 2-6). The median 
      duration of the procedures was 33 min (range, 14-80 min). The diagnostic yield 
      and adverse events (AEs) were retrospectively evaluated. The AEs were categorized 
      using the Society of Interventional Radiology classification system. Technical 
      success was determined by the acquisition of a sufficient number of specimens for 
      pathological diagnosis. Diagnostic yield was defined as the match between the 
      pathological and final diagnoses. RESULTS: In all 30 procedures, CT 
      fluoroscopy-guided biopsies of the abdominal para-aortic lesions were technically 
      successful. Twenty-six lesions were malignant (9 malignant lymphomas and 17 lymph 
      node [LN] metastases) and four were benign (one schwannoma, one granular cell 
      tumor, and two normal LNs). One case was insufficiently diagnosed as a B-cell 
      lymphoma; thus, the diagnostic yield of the biopsy was 96.7%. AEs occurred in 
      seven procedures (23.3%), including six cases of class A hemorrhage and one case 
      of class B vasovagal reaction. CONCLUSIONS: CT fluoroscopy-guided biopsy of 
      abdominal para-aortic lesions is a safe procedure and provides a high diagnostic 
      yield.
CI  - (c) 2020 Japanese Society of Interventional Radiology.
FAU - Tomita, Koji
AU  - Tomita K
AD  - Department of Radiology, Okayama University Medical School, Japan.
FAU - Iguchi, Toshihiro
AU  - Iguchi T
AD  - Department of Radiology, Okayama University Medical School, Japan.
FAU - Hiraki, Takao
AU  - Hiraki T
AD  - Department of Radiology, Okayama University Medical School, Japan.
FAU - Matsui, Yusuke
AU  - Matsui Y
AD  - Department of Radiology, Okayama University Medical School, Japan.
FAU - Uka, Mayu
AU  - Uka M
AD  - Department of Radiology, Okayama University Medical School, Japan.
FAU - Komaki, Toshiyuki
AU  - Komaki T
AD  - Department of Radiology, Okayama University Medical School, Japan.
FAU - Gobara, Hideo
AU  - Gobara H
AD  - Department of Radiology, Okayama University Medical School, Japan.
FAU - Kanazawa, Susumu
AU  - Kanazawa S
AD  - Department of Radiology, Okayama University Medical School, Japan.
LA  - eng
PT  - Journal Article
DEP - 20200903
PL  - Japan
TA  - Interv Radiol (Higashimatsuyama)
JT  - Interventional radiology (Higashimatsuyama-shi (Japan)
JID - 101745449
PMC - PMC9550396
OTO - NOTNLM
OT  - Lymph node
OT  - aorta
OT  - biopsy
OT  - computed tomography
OT  - fluoroscopy
COIS- The authors declare that they have no conflict of interest.
EDAT- 2020/09/03 00:00
MHDA- 2020/09/03 00:01
PMCR- 2020/09/03
CRDT- 2022/10/26 02:08
PHST- 2020/03/18 00:00 [received]
PHST- 2020/06/20 00:00 [accepted]
PHST- 2022/10/26 02:08 [entrez]
PHST- 2020/09/03 00:00 [pubmed]
PHST- 2020/09/03 00:01 [medline]
PHST- 2020/09/03 00:00 [pmc-release]
AID - 10.22575/interventionalradiology.2020-0009 [doi]
PST - epublish
SO  - Interv Radiol (Higashimatsuyama). 2020 Sep 3;5(3):128-133. doi: 
      10.22575/interventionalradiology.2020-0009. eCollection 2020 Oct 30.