Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical Vessels
Purpose To evaluate the safety and efficacy of ultrasound-guided percutaneous core needle biopsy (USPCB) of pancreatic and peripancreatic lesions adjacent to critical vessels. Materials and Methods Data were collected retrospectively from 162 patients who underwent USPCB of the pancreas (n = 98),...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2021-09-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2020.0159 |
| _version_ | 1819127155327500288 |
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| author | Sun Hwa Chung Hyun Ji Kang Hyo Jeong Lee Jin Sil Kim Jeong Kyong Lee |
| author_facet | Sun Hwa Chung Hyun Ji Kang Hyo Jeong Lee Jin Sil Kim Jeong Kyong Lee |
| author_sort | Sun Hwa Chung |
| collection | DOAJ |
| description | Purpose To evaluate the safety and efficacy of ultrasound-guided percutaneous core needle
biopsy (USPCB) of pancreatic and peripancreatic lesions adjacent to critical vessels.
Materials and Methods Data were collected retrospectively from 162 patients who underwent
USPCB of the pancreas (n = 98), the peripancreatic area adjacent to the portal vein, the paraaortic
area adjacent to pancreatic uncinate (n = 34), and lesions on the third duodenal portion
(n = 30) during a 10-year period. An automated biopsy gun with an 18-gauge needle was used
for biopsies under US guidance. The USPCB results were compared with those of the final follow-
up imaging performed postoperatively. The diagnostic accuracy and major complication
rate of the USPCB were calculated. Multiple factors were evaluated for the prediction of successful
biopsies using univariate and multivariate analyses.
Results The histopathologic diagnosis from USPCB was correct in 149 (92%) patients. The major
complication rate was 3%. Four cases of mesenteric hematomas and one intramural hematoma
of the duodenum occurred during the study period. The following factors were significantly associated
with successful biopsies: a transmesenteric biopsy route rather than a transgastric or
transenteric route; good visualization of targets; and evaluation of the entire US pathway. In addition,
the number of biopsies required was less when the biopsy was successful.
Conclusion USPCB demonstrated high diagnostic accuracy and a low complication rate for the
histopathologic diagnosis of pancreatic and peripancreatic lesions adjacent to critical vessels. |
| first_indexed | 2024-12-22T08:07:26Z |
| format | Article |
| id | doaj.art-d4543c4d154e430282312f24aa69ffab |
| institution | Directory Open Access Journal |
| issn | 2288-2928 |
| language | English |
| last_indexed | 2024-12-22T08:07:26Z |
| publishDate | 2021-09-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-d4543c4d154e430282312f24aa69ffab2022-12-21T18:33:06ZengThe Korean Society of Radiology대한영상의학회지2288-29282021-09-0182512071217https://doi.org/10.3348/jksr.2020.0159Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical VesselsSun Hwa ChungHyun Ji KangHyo Jeong LeeJin Sil KimJeong Kyong LeePurpose To evaluate the safety and efficacy of ultrasound-guided percutaneous core needle biopsy (USPCB) of pancreatic and peripancreatic lesions adjacent to critical vessels. Materials and Methods Data were collected retrospectively from 162 patients who underwent USPCB of the pancreas (n = 98), the peripancreatic area adjacent to the portal vein, the paraaortic area adjacent to pancreatic uncinate (n = 34), and lesions on the third duodenal portion (n = 30) during a 10-year period. An automated biopsy gun with an 18-gauge needle was used for biopsies under US guidance. The USPCB results were compared with those of the final follow- up imaging performed postoperatively. The diagnostic accuracy and major complication rate of the USPCB were calculated. Multiple factors were evaluated for the prediction of successful biopsies using univariate and multivariate analyses. Results The histopathologic diagnosis from USPCB was correct in 149 (92%) patients. The major complication rate was 3%. Four cases of mesenteric hematomas and one intramural hematoma of the duodenum occurred during the study period. The following factors were significantly associated with successful biopsies: a transmesenteric biopsy route rather than a transgastric or transenteric route; good visualization of targets; and evaluation of the entire US pathway. In addition, the number of biopsies required was less when the biopsy was successful. Conclusion USPCB demonstrated high diagnostic accuracy and a low complication rate for the histopathologic diagnosis of pancreatic and peripancreatic lesions adjacent to critical vessels.https://doi.org/10.3348/jksr.2020.0159biopsyimage-guided biopsypancreatic neoplasmsultrasonographyretroperitoneal neoplasms |
| spellingShingle | Sun Hwa Chung Hyun Ji Kang Hyo Jeong Lee Jin Sil Kim Jeong Kyong Lee Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical Vessels 대한영상의학회지 biopsy image-guided biopsy pancreatic neoplasms ultrasonography retroperitoneal neoplasms |
| title | Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical Vessels |
| title_full | Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical Vessels |
| title_fullStr | Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical Vessels |
| title_full_unstemmed | Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical Vessels |
| title_short | Safety and Efficacy of Ultrasound-Guided Percutaneous Core Needle Biopsy of Pancreatic and Peripancreatic Lesions Adjacent to Critical Vessels |
| title_sort | safety and efficacy of ultrasound guided percutaneous core needle biopsy of pancreatic and peripancreatic lesions adjacent to critical vessels |
| topic | biopsy image-guided biopsy pancreatic neoplasms ultrasonography retroperitoneal neoplasms |
| url | https://doi.org/10.3348/jksr.2020.0159 |
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