Skip to main content
SpringerLink
Log in

CT-Guided Biopsy and Drainage

  • Chapter
  • First Online:
Multislice CT

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 3242 Accesses

Abstract

CT-guided percutaneous biopsies are performed in patients with a known primary tumor in order to rule out metastatic malignancy, to establish the final diagnosis, or to differentiate between tumor necrosis and potential vital tumor tissue in residual lesions after therapy. CT-guided aspiration, punch, and drill biopsy may be performed in essentially every organ system and location, and overall complication rates are low. Fine-needle aspiration (needle diameter 20–25 gauge) biopsy requires availability of an on-site cytopathologist, while transgression of bowels is usually possible without an increased infection rate. In comparison, punch biopsy (needle diameter 12–19 gauge) – especially if performed with a Tru-Cut needle and an automated biopsy gun – facilitates quick histopathological sampling with comparably low complication rates. For biopsy of musculoskeletal structures, CT provides an excellent visualization of bone with the exception of some bone marrow lesions only detectable in MR imaging. Given an experienced operator using repeated single-shot CT-fluoroscopic acquisitions for needle positioning, in comparison to sequential CT guidance, CTF can markedly reduce both the in-room time and radiation dose for the patient.

Improved availability and imaging quality of computed tomography (CT), modified techniques of percutaneous drainage, and more effective antibiotic regimens have made CT-guided drainage a common means for percutaneous therapy of abscesses and abnormal fluid collections, representing a dramatic improvement of patient care during the last 30 years. Primary and postoperative fluid collections in nearly every organ system and multiple locations can now be safely treated percutaneously. This includes a wide variety of abdominal fluid collections not easily accessible by ultrasound like pancreatic, enteric, splenic, deep pelvic, and subdiaphragmatic abscesses and hematomas, as well as lung and mediastinal abscesses and loculated pleural empyemas. In a collective of severely ill patients, the instant postoperative detection and consecutive therapy of abscesses under CT guidance have resulted in reduced morbidity and mortality and have helped to reduce length of hospital stay and hospital costs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  • Arslan S, Yilmaz A, Bayramgurler B, Uzman O, Nver E, Akkaya E (2002) CT- guided transthoracic fine needle aspiration of pulmonary lesions: accuracy and complications in 294 patients. Med Sci Monit 8(7):CR493–CR497

    PubMed  Google Scholar 

  • Assaad MW, Pantanowitz L, Otis CN (2007) Diagnostic accuracy of image-guided percutaneous fine needle aspiration biopsy of the mediastinum. Diagn Cytopathol 35(11):705–709

    PubMed  Google Scholar 

  • Atwell TD, Smith RL, Hesley GK, Callstrom MR, Schleck CD, Harmsen WS et al (2010) Incidence of bleeding after 15,181 percutaneous biopsies and the role of aspirin. AJR Am J Roentgenol 194(3):784–789

    PubMed  Google Scholar 

  • Barton P, Schurawitzki H, Karnel F, Klepetko W (1992) Percutaneous CT-guided catheter drainage of intrathoracic fluid accumulations. Rofo 156(1):47–52

    CAS  PubMed  Google Scholar 

  • Baudin G, Chassang M, Gelsi E, Novellas S, Bernardin G, Hebuterne X et al (2012) CT-guided percutaneous catheter drainage of acute infectious necrotizing pancreatitis: assessment of effectiveness and safety. AJR Am J Roentgenol 199(1):192–199

    PubMed  Google Scholar 

  • Beland MD, Sternick LA, Baird GL, Dupuy DE, Cronan JJ, Mayo-Smith WW (2016) Optimizing modality selection for image-guided procedures: an analysis of the challenges to ultrasound guidance. Abdom Radiol (NY). 41(4):590–599

    PubMed  Google Scholar 

  • Beslic S, Zukic F, Milisic S (2012) Percutaneous transthoracic CT guided biopsies of lung lesions; fine needle aspiration biopsy versus core biopsy. Radiol Oncol 46(1):19–22

    PubMed  PubMed Central  Google Scholar 

  • Boskovic T, Stanic J, Pena-Karan S, Zarogoulidis P, Drevelegas K, Katsikogiannis N et al (2014) Pneumothorax after transthoracic needle biopsy of lung lesions under CT guidance. J Thorac Dis 6(Suppl 1):S99–S107

    PubMed  PubMed Central  Google Scholar 

  • Brandt KR, Charboneau JW, Stephens DH, Welch TJ, Goellner JR (1993) CT- and US-guided biopsy of the pancreas. Radiology 187(1):99–104

    CAS  PubMed  Google Scholar 

  • Bret PM, Labadie M, Bretagnolle M, Paliard P, Fond A, Valette PJ (1988) Hepatocellular carcinoma: diagnosis by percutaneous fine needle biopsy. Gastrointest Radiol 13(3):253–255

    CAS  PubMed  Google Scholar 

  • Brierly RD, Thomas PJ, Harrison NW, Fletcher MS, Nawrocki JD, Ashton-Key M (2000) Evaluation of fine-needle aspiration cytology for renal masses. BJU Int 85(1):14–18

    CAS  PubMed  Google Scholar 

  • Cantasdemir M, Kara B, Cebi D, Selcuk ND, Numan F (2003) Computed tomography-guided percutaneous catheter drainage of primary and secondary iliopsoas abscesses. Clin Radiol 58(10):811–815

    CAS  PubMed  Google Scholar 

  • Carlson SK, Bender CE, Classic KL, Zink FE, Quam JP, Ward EM et al (2001) Benefits and safety of CT fluoroscopy in interventional radiologic procedures. Radiology 219(2):515–520

    CAS  PubMed  Google Scholar 

  • Caturelli E, Solmi L, Anti M, Fusilli S, Roselli P, Andriulli A et al (2004a) Ultrasound guided fine needle biopsy of early hepatocellular carcinoma complicating liver cirrhosis: a multicentre study. Gut 53(9):1356–1362

    CAS  PubMed  PubMed Central  Google Scholar 

  • Caturelli E, Ghittoni G, Roselli P, De Palo M, Anti M (2004b) Fine needle biopsy of focal liver lesions: the hepatologist’s point of view. Liver Transpl 10(2 Suppl 1):S26–S29

    PubMed  Google Scholar 

  • Chang CY, Simeone FJ, Nelson SB, Taneja AK, Huang AJ (2015a) Is biopsying the paravertebral soft tissue as effective as biopsying the disk or vertebral endplate? 10-year retrospective review of CT-guided biopsy of diskitis-osteomyelitis. AJR Am J Roentgenol 205(1):123–129

    PubMed  Google Scholar 

  • Chang CY, Simeone FJ, Huang AJ (2015b) Battery-powered bone drill: caution needed in densely blastic lesions. Skelet Radiol 44(12):1845–1848

    Google Scholar 

  • Chintapalli KN, Montgomery RS, Hatab M, Katabathina VS, Guiy K (2012) Radiation dose management: part 1, minimizing radiation dose in CT-guided procedures. AJR Am J Roentgenol 198(4):W347–W351

    PubMed  Google Scholar 

  • Choi SH, Chae EJ, Kim JE, Kim EY, Oh SY, Hwang HJ et al (2013) Percutaneous CT-guided aspiration and core biopsy of pulmonary nodules smaller than 1 cm: analysis of outcomes of 305 procedures from a tertiary referral center. AJR Am J Roentgenol 201(5):964–970

    PubMed  Google Scholar 

  • Coelho RF, Schneider-Monteiro ED, Mesquita JL, Mazzucchi E, Marmo Lucon A, Srougi M (2007) Renal and perinephric abscesses: analysis of 65 consecutive cases. World J Surg 31(2):431–436

    PubMed  Google Scholar 

  • Coley SM, Crapanzano JP, Saqi A (2015) FNA, core biopsy, or both for the diagnosis of lung carcinoma: obtaining sufficient tissue for a specific diagnosis and molecular testing. Cancer Cytopathol 123(5):318–326

    PubMed  Google Scholar 

  • Das C, Mukhopadhyay M, Sengupta M, Saha AK, Mukhopadhyay B (2014) Impact of image guided fine needle aspiration cytology in diagnosis of pediatric hepatic mass and cytohistologic concordance. J Indian Assoc Pediatr Surg 19(2):90–95

    PubMed  PubMed Central  Google Scholar 

  • De Filippo M, Saba L, Silva M, Zagaria R, Concari G, Nizzoli R et al (2014) CT-guided biopsy of pulmonary nodules: is pulmonary hemorrhage a complication or an advantage? Diagn Interv Radiol 20(5):421–425

    PubMed  PubMed Central  Google Scholar 

  • De Filippo M, Saba L, Rossi E, Nizzoli R, Tiseo M, Pedrazzi G et al (2015) Curved needles in CT-guided fine needle biopsies of abdominal and retroperitoneal small lesions. Cardiovasc Intervent Radiol 38(6):1611–1616

    PubMed  Google Scholar 

  • Dulku G, Mohan G, Samuelson S, Ferguson J, Tibballs J (2015) Percutaneous aspiration versus catheter drainage of liver abscess: a retrospective review. Australas Med J 8(1):7–18

    PubMed  PubMed Central  Google Scholar 

  • Elvin A, Andersson T, Scheibenpflug L, Lindgren PG (1990) Biopsy of the pancreas with a biopsy gun. Radiology 176(3):677–679

    CAS  PubMed  Google Scholar 

  • Ferrucci JT Jr, Wittenberg J, Mueller PR, Simeone JF, Harbin WP, Kirkpatrick RH et al (1980) Diagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy. AJR Am J Roentgenol 134(2):323–330

    PubMed  Google Scholar 

  • Frederick-Dyer K, Ahmad A, Arora SS, Wile G (2016) Difficult biopsy and drainage: just say yes. Abdom Radiol (NY) 41(4):706–719

    PubMed  Google Scholar 

  • Freund MC, Petersen J, Goder KC, Bunse T, Wiedermann F, Glodny B (2012) Systemic air embolism during percutaneous core needle biopsy of the lung: frequency and risk factors. BMC Pulm Med 12:2

    PubMed  PubMed Central  Google Scholar 

  • Gasparini D, Basadonna PT, Di Donna A (1994) Splenic abscesses. Their percutaneous treatment and the role of the interventional radiologist. Radiol Med 87(6):803–807

    CAS  PubMed  Google Scholar 

  • Gazelle GS, Haaga JR, Stellato TA, Gauderer MW, Plecha DT (1991) Pelvic abscesses: CT-guided transrectal drainage. Radiology 181(1):49–51

    CAS  PubMed  Google Scholar 

  • Gouzi JL, Bloom E, Julio C, Labbe F, Sans N, el Rassi Z et al (1999) Percutaneous drainage of infected pancreatic necrosis: an alternative to surgery. Chirurgie 124(1):31–37

    CAS  PubMed  Google Scholar 

  • Grant A, Neuberger J (1999) Guidelines on the use of liver biopsy in clinical practice. British Society of Gastroenterology. Gut 45(Suppl 4):IV1–IV11

    PubMed  PubMed Central  Google Scholar 

  • Guo Q, Li A, Hu W (2016) Predictive factors for successful ultrasound-guided percutaneous drainage in necrotizing pancreatitis. Surg Endosc 30(7):2929–2934

    PubMed  Google Scholar 

  • Gupta S, Wallace MJ, Cardella JF, Kundu S, Miller DL, Rose SC (2010) Quality improvement guidelines for percutaneous needle biopsy. J Vasc Interv Radiol 21(7):969–975

    PubMed  Google Scholar 

  • Haage P, Piroth W, Staatz G, Adam G, Gunther RW (1999) CT-guided percutaneous biopsies for the classification of focal liver lesions: a comparison between 14 G and 18 G puncture biopsy needles. Rofo. 171(1):44–48

    CAS  PubMed  Google Scholar 

  • Harisinghani MG, Gervais DA, Maher MM, Cho CH, Hahn PF, Varghese J et al (2003) Transgluteal approach for percutaneous drainage of deep pelvic abscesses: 154 cases. Radiology 228(3):701–705

    PubMed  Google Scholar 

  • Hashimoto L, Hermann R, Grundfest-Broniatowski S (1995) Pyogenic hepatic abscess: results of current management. Am Surg 61(5):407–411

    CAS  PubMed  Google Scholar 

  • Hillen TJ, Baker JC, Jennings JW, Wessell DE (2013) Image-guided biopsy and treatment of musculoskeletal tumors. Semin Musculoskelet Radiol 17(2):189–202

    PubMed  Google Scholar 

  • Hopper KD, Abendroth CS, Sturtz KW, Matthews YL, Stevens LA, Shirk SJ (1993) Automated biopsy devices: a blinded evaluation. Radiology 187(3):653–660

    CAS  PubMed  Google Scholar 

  • Hsu MY, Pan KT, Chen CM, Lui KW, Chu SY, Hung CF et al (2014) Trans-organ versus trans-mesenteric computed tomography-guided percutaneous fine-needle aspiration biopsy of pancreatic masses: feasibility and safety. Clin Radiol 69(10):1050–1055

    PubMed  Google Scholar 

  • Irie T, Kajitani M, Matsueda K, Arai Y, Inaba Y, Kujiraoka Y et al (2001) Biopsy of lung nodules with use of I-I device under intermittent CT fluoroscopic guidance: preliminary clinical study. J Vasc Interv Radiol 12(2):215–219

    CAS  PubMed  Google Scholar 

  • Jae LI, June IH, Miyeon Y, Kwanseop L, Yul L, Hoon BS (2012) Percutaneous core needle biopsy for small (</= 10 mm) lung nodules: accurate diagnosis and complication rates. Diagn Interv Radiol 18(6):527–530

    PubMed  Google Scholar 

  • Kajiwara K, Yamagami T, Ishikawa M, Yoshimatsu R, Baba Y, Nakamura Y et al (2016) CT fluoroscopy-guided percutaneous drainage: comparison of the one step and the Seldinger techniques. Minim Invasive Ther Allied Technol 16:1–6

    Google Scholar 

  • Kang M, Kalra N, Gulati M, Lal A, Kochhar R, Rajwanshi A (2007) Image guided percutaneous splenic interventions. Eur J Radiol 64(1):140–146

    PubMed  Google Scholar 

  • Katada K, Kato R, Anno H, Ogura Y, Koga S, Ida Y et al (1996) Guidance with real-time CT fluoroscopy: early clinical experience. Radiology 200(3):851–856

    CAS  PubMed  Google Scholar 

  • Kettenbach J, Blum M, El-RaBadi K, Langenberger H, Happel B, Berger J et al (2005) Percutaneous liver biopsy. Overview of different techniques. Radiologe 45(1):44–54

    CAS  PubMed  Google Scholar 

  • Kim GR, Hur J, Lee SM, Lee HJ, Hong YJ, Nam JE et al (2011) CT fluoroscopy-guided lung biopsy versus conventional CT-guided lung biopsy: a prospective controlled study to assess radiation doses and diagnostic performance. Eur Radiol 21(2):232–239

    PubMed  Google Scholar 

  • Klein JS, Salomon G, Stewart EA (1996) Transthoracic needle biopsy with a coaxially placed 20-gauge automated cutting needle: results in 122 patients. Radiology 198(3):715–720

    CAS  PubMed  Google Scholar 

  • Kloeckner R, dos Santos DP, Schneider J, Kara L, Dueber C, Pitton MB (2013) Radiation exposure in CT-guided interventions. Eur J Radiol 82(12):2253–2257

    PubMed  Google Scholar 

  • Kocjan G (2010) Fine needle aspiration cytology of the pancreas: a guide to the diagnostic approach. Coll Anthropol 34(2):749–756

    Google Scholar 

  • Kothary N, Lock L, Sze DY, Hofmann LV (2009) Computed tomography-guided percutaneous needle biopsy of pulmonary nodules: impact of nodule size on diagnostic accuracy. Clin Lung Cancer 10(5):360–363

    PubMed  Google Scholar 

  • Laurent F, Latrabe V, Vergier B, Montaudon M, Vernejoux JM, Dubrez J (2000) CT-guided transthoracic needle biopsy of pulmonary nodules smaller than 20 mm: results with an automated 20-gauge coaxial cutting needle. Clin Radiol 55(4):281–287

    CAS  PubMed  Google Scholar 

  • Lechevallier E, Andre M, Barriol D, Daniel L, Eghazarian C, De Fromont M et al (2000) Fine-needle percutaneous biopsy of renal masses with helical CT guidance. Radiology 216(2):506–510

    CAS  PubMed  Google Scholar 

  • Lee MJ (2014) Chapter 17: Image-guided percutaneous biopsy. In: Kaufman JA, Lee MJ (eds) Vascular and interventional radiology, 2nd edn. Elsevier Saunders, Philadelphia

    Google Scholar 

  • Lee MJ, Wittich GR, Mueller PR (1998) Percutaneous intervention in acute pancreatitis. Radiographics 18(3):711–724. discussion 28

    CAS  PubMed  Google Scholar 

  • Lerner RM, Spataro RF (1984) Splenic abscess: percutaneous drainage. Radiology 153(3):643–645

    CAS  PubMed  Google Scholar 

  • Li H, Boiselle PM, Shepard JO, Trotman-Dickenson B, McLoud TC (1996) Diagnostic accuracy and safety of CT-guided percutaneous needle aspiration biopsy of the lung: comparison of small and large pulmonary nodules. AJR Am J Roentgenol 167(1):105–109

    CAS  PubMed  Google Scholar 

  • Li L, Liu LZ, Wu QL, Mo YX, Liu XW, Cui CY et al (2008) CT-guided core needle biopsy in the diagnosis of pancreatic diseases with an automated biopsy gun. J Vasc Interv Radiol 19(1):89–94

    CAS  PubMed  Google Scholar 

  • Lipnik AJ, Brown DB (2015) Image-guided percutaneous abdominal mass biopsy: technical and clinical considerations. Radiol Clin N Am 53(5):1049–1059

    PubMed  Google Scholar 

  • Llovet JM, Vilana R, Bru C, Bianchi L, Salmeron JM, Boix L et al (2001) Increased risk of tumor seeding after percutaneous radiofrequency ablation for single hepatocellular carcinoma. Hepatology 33(5):1124–1129

    CAS  PubMed  Google Scholar 

  • Lomas DJ, Dixon AK, Thomson HJ, St John Collier D (1992) CT-guided drainage of pelvic abscesses: the peranal transrectal approach. Clin Radiol 45(4):246–249

    CAS  PubMed  Google Scholar 

  • Longo JM, Bilbao JI, de Villa VH, Iglesias A, Pueyo J, Lecumberri FJ et al (1993) CT-guided paracoccygeal drainage of pelvic abscesses. J Comput Assist Tomogr 17(6):909–914

    CAS  PubMed  Google Scholar 

  • Lucey BC, Boland GW, Maher MM, Hahn PF, Gervais DA, Mueller PR (2002) Percutaneous nonvascular splenic intervention: a 10-year review. AJR Am J Roentgenol 179(6):1591–1596

    PubMed  Google Scholar 

  • Lumachi F, Borsato S, Brandes AA, Boccagni P, Tregnaghi A, Angelini F et al (2001) Fine-needle aspiration cytology of adrenal masses in noncancer patients: clinicoradiologic and histologic correlations in functioning and nonfunctioning tumors. Cancer 93(5):323–329

    CAS  PubMed  Google Scholar 

  • Lumachi F, Borsato S, Tregnaghi A, Basso SM, Marchesi P, Ciarleglio F et al (2003) CT-scan, MRI and image-guided FNA cytology of incidental adrenal masses. Eur J Surg Oncol 29(8):689–692

    CAS  PubMed  Google Scholar 

  • Luning M, Schmeisser B, Wolff H, Schopke W, Hoppe E, Meyer R (1984) Analysis of the results of 96 CT-guided fine needle biopsies of liver masses. Rofo 141(3):267–275

    CAS  PubMed  Google Scholar 

  • Luning M, Kursawe R, Schopke W, Lorenz D, Menzel A, Hoppe E et al (1985) CT guided percutaneous fine-needle biopsy of the pancreas. Eur J Radiol 5(2):104–108

    CAS  PubMed  Google Scholar 

  • Mahnken AH (2014) Invasive procedure for clarification of pulmonary nodules. Radiologe 54(5):478–484

    CAS  PubMed  Google Scholar 

  • McKay T, Ingraham CR, Johnson GE, Kogut MJ, Vaidya S, Padia SA (2016) Cone-beam CT with fluoroscopic overlay versus conventional CT guidance for percutaneous abdominopelvic abscess drain placement. J Vasc Interv Radiol 27(1):52–57

    PubMed  Google Scholar 

  • Memel DS, Dodd GD 3rd, Esola CC (1996) Efficacy of sonography as a guidance technique for biopsy of abdominal, pelvic, and retroperitoneal lymph nodes. AJR Am J Roentgenol 167(4):957–962

    CAS  PubMed  Google Scholar 

  • Minot DM, Jaben E, Aubry MC, Voss JS, Vine RL, Lee PU et al (2012) Evolution of transthoracic fine needle aspiration and core needle biopsy practice: a comparison of two time periods, 1996-1998 and 2003-2005. Diagn Cytopathol 40(10):876–881

    PubMed  Google Scholar 

  • Mueller PR (1993) Pancreatic biopsy: striving for excellence. Radiology 187(1):15–16

    CAS  PubMed  Google Scholar 

  • Mueller PR, Miketic LM, Simeone JF, Silverman SG, Saini S, Wittenberg J et al (1988) Severe acute pancreatitis after percutaneous biopsy of the pancreas. AJR Am J Roentgenol 151(3):493–494

    CAS  PubMed  Google Scholar 

  • Murgu SD (2015) Diagnosing and staging lung cancer involving the mediastinum. Chest 147(5):1401–1412

    PubMed  Google Scholar 

  • Nahar Saikia U, Khirdwadkar N, Saikia B, Sood B, Goldsmith R, Dey P et al (2002) Image-guided fine-needle aspiration cytology of deep-seated enlarged lymph nodes. Acta Radiol 43(2):230–234

    CAS  PubMed  Google Scholar 

  • Nour-Eldin NE, Alsubhi M, Naguib NN, Lehnert T, Emam A, Beeres M et al (2014) Risk factor analysis of pulmonary hemorrhage complicating CT-guided lung biopsy in coaxial and non-coaxial core biopsy techniques in 650 patients. Eur J Radiol 83(10):1945–1952

    PubMed  Google Scholar 

  • Nour-Eldin NE, Alsubhi M, Emam A, Lehnert T, Beeres M, Jacobi V et al (2016) Pneumothorax complicating coaxial and non-coaxial CT-guided lung biopsy: comparative analysis of determining risk factors and management of pneumothorax in a retrospective review of 650 patients. Cardiovasc Intervent Radiol 39(2):261–270

    PubMed  Google Scholar 

  • Omura MC, Motamedi K, UyBico S, Nelson SD, Seeger LL (2011) Revisiting CT-guided percutaneous core needle biopsy of musculoskeletal lesions: contributors to biopsy success. AJR Am J Roentgenol 197(2):457–461

    PubMed  Google Scholar 

  • Pagani JJ (1983) Biopsy of focal hepatic lesions. Comparison of 18 and 22 gauge needles. Radiology 147(3):673–675

    CAS  PubMed  Google Scholar 

  • Paris S, Weiss SM, Ayers WH Jr, Clarke LE (1994) Splenic abscess. Am Surg 60(5):358–361

    CAS  PubMed  Google Scholar 

  • Patel IJ, Davidson JC, Nikolic B, Salazar GM, Schwartzberg MS, Walker TG et al (2012) Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol 23(6):727–736

    PubMed  Google Scholar 

  • Piccinino F, Sagnelli E, Pasquale G, Giusti G (1986) Complications following percutaneous liver biopsy. A multicentre retrospective study on 68,276 biopsies. J Hepatol 2(2):165–173

    CAS  PubMed  Google Scholar 

  • Poulou LS, Tsagouli P, Ziakas PD, Politi D, Trigidou R, Thanos L (2013) Computed tomography-guided needle aspiration and biopsy of pulmonary lesions: a single-center experience in 1000 patients. Acta Radiol 54(6):640–645

    PubMed  Google Scholar 

  • Pramesh CS, Deshpande MS, Pardiwala DN, Agarwal MG, Puri A (2001) Core needle biopsy for bone tumours. Eur J Surg Oncol 27(7):668–671

    CAS  PubMed  Google Scholar 

  • Preece SR, Nelson RC, Bashir MR, Jaffe TA, Kim CY, Haystead CM (2014) Safety of an intercostal approach for imaging-guided percutaneous drainage of subdiaphragmatic abscesses. AJR Am J Roentgenol 202(6):1349–1354

    PubMed  Google Scholar 

  • Rafiei P, Kim SK, Kamran M, Saad NE (2015) Retrospective study in 40 patients of utility of C-arm FDCT as an adjunctive modality in technically challenging image-guided percutaneous drainage procedures. Cardiovasc Intervent Radiol 38(6):1589–1594

    PubMed  Google Scholar 

  • Rimondi E, Rossi G, Bartalena T, Ciminari R, Alberghini M, Ruggieri P et al (2011) Percutaneous CT-guided biopsy of the musculoskeletal system: results of 2027 cases. Eur J Radiol 77(1):34–42

    PubMed  Google Scholar 

  • Risse JH, Keulers P, Gunther RW (1998) CT guided percutaneous drainage of retro- and extraperitoneal abscesses and fluid collection. Rofo 168(3):281–286

    CAS  PubMed  Google Scholar 

  • Roupie E, Bouabdallah K, Delclaux C, Brun-Buisson C, Lemaire F, Vasile N et al (1996) Intrapleural administration of streptokinase in complicated purulent pleural effusion: a CT-guided strategy. Intensive Care Med 22(12):1351–1353

    CAS  PubMed  Google Scholar 

  • Rubin D (2014) Anesthesia for ambulatory diagnostic and therapeutic radiology procedures. Anesthesiol Clin 32(2):371–380

    PubMed  Google Scholar 

  • Salomonowitz E (2001) MR imaging-guided biopsy and therapeutic intervention in a closed-configuration magnet: single-center series of 361 punctures. AJR Am J Roentgenol 177(1):159–163

    CAS  PubMed  Google Scholar 

  • Sarti M, Brehmer WP, Gay SB (2012) Low-dose techniques in CT-guided interventions. Radiographics. 32(4):1109–1119. discussion 19-20

    PubMed  Google Scholar 

  • Scheppers I, Wollschlager D (2011) CT-guided biopsies and drainage. Radiologe 51(11):979–988. quiz 89-90

    CAS  PubMed  Google Scholar 

  • Schoth F, Plumhans C, Kraemer N, Mahnken A, Friebe M, Gunther RW et al (2010) Evaluation of an interactive breath-hold control system in CT-guided lung biopsy. Rofo 182(6):507–511

    CAS  PubMed  Google Scholar 

  • Siewert B, Tye G, Kruskal J, Sosna J, Opelka F, Raptopoulos V et al (2006) Impact of CT-guided drainage in the treatment of diverticular abscesses: size matters. AJR Am J Roentgenol 186(3):680–686

    PubMed  Google Scholar 

  • Smith EH (1991) Complications of percutaneous abdominal fine-needle biopsy. Rev Radiol 178(1):253–258

    CAS  Google Scholar 

  • Smith KA, Carrino JA (2008) MRI-guided interventions of the musculoskeletal system. J Magn Reson Imaging 27(2):339–346

    PubMed  Google Scholar 

  • Soyer P, Boudiaf M, Alves A, Abitbol M, Hamzi L, Panis Y et al (2005) CT-Guided transgluteal approach for percutaneous drainage of pelvic abscesses: results in 21 patients. Ann Chir 130(3):162–168

    CAS  PubMed  Google Scholar 

  • Spivak H, Galloway JR, Amerson JR, Fink AS, Branum GD, Redvanly RD et al (1998) Management of pancreatic pseudocysts. J Am Coll Surg 186(5):507–511

    CAS  PubMed  Google Scholar 

  • Stattaus J, Kalkmann J, Kuehl H, Metz KA, Nowrousian MR, Forsting M et al (2008) Diagnostic yield of computed tomography-guided coaxial core biopsy of undetermined masses in the free retroperitoneal space: single-center experience. Cardiovasc Intervent Radiol 31(5):919–925

    PubMed  Google Scholar 

  • Stoeckelhuber BM, Leibecke T, Schulz E, Melchert UH, Bergmann-Koester CU, Helmberger T et al (2005) Radiation dose to the radiologist’s hand during continuous CT fluoroscopy-guided interventions. Cardiovasc Intervent Radiol 28(5):589–594

    PubMed  Google Scholar 

  • Strobl FF, Schwarz JB, Haeussler SM, Paprottka PM, Rist C, Thierfelder KM, et al. (2016) Percutaneous CT fluoroscopy-guided core biopsy of pancreatic lesions: technical and clinical outcome of 104 procedures during a 10-year period. Acta Radiol. pii: 0284185116678274

    Google Scholar 

  • Strotzer M, Manke C, Lock G, Bregenzer N, Scholmerich J, Feuerbach S (1998) Percutaneous abscess drainage in Crohn disease. Rofo 169(5):510–514

    CAS  PubMed  Google Scholar 

  • Sugimoto M, Sonntag DP, Flint GS, Boyce CJ, Kirkham JC, Harris TJ et al (2016) Better outcomes if percutaneous drainage is used early and proactively in the course of necrotizing pancreatitis. J Vasc Interv Radiol 27(3):418–425

    PubMed  Google Scholar 

  • Swischuk JL, Castaneda F, Patel JC, Li R, Fraser KW, Brady TM et al (1998) Percutaneous transthoracic needle biopsy of the lung: review of 612 lesions. J Vasc Interv Radiol 9(2):347–352

    CAS  PubMed  Google Scholar 

  • Takamori R, Wong LL, Dang C, Wong L (2000) Needle-tract implantation from hepatocellular cancer: is needle biopsy of the liver always necessary? Liver Transpl 6(1):67–72

    CAS  PubMed  Google Scholar 

  • Takeshita J, Masago K, Kato R, Hata A, Kaji R, Fujita S et al (2015) CT-guided fine-needle aspiration and core needle biopsies of pulmonary lesions: a single-center experience with 750 biopsies in Japan. AJR Am J Roentgenol 204(1):29–34

    PubMed  Google Scholar 

  • Tanaka J, Sonomura T, Shioyama Y, Kutsukake Y, Tomita K, Ushimi T et al (1996) “Oblique path” – the optimal needle path for computed tomography-guided biopsy of small subpleural lesions. Cardiovasc Intervent Radiol 19(5):332–334

    CAS  PubMed  Google Scholar 

  • Tatli S, Gerbaudo VH, Mamede M, Tuncali K, Shyn PB, Silverman SG (2010) Abdominal masses sampled at PET/CT-guided percutaneous biopsy: initial experience with registration of prior PET/CT images. Radiology 256(1):305–311

    PubMed  Google Scholar 

  • Thanos L, Dailiana T, Papaioannou G, Nikita A, Koutrouvelis H, Kelekis DA (2002) Percutaneous CT-guided drainage of splenic abscess. AJR Am J Roentgenol 179(3):629–632

    PubMed  Google Scholar 

  • Tomiyama N, Mihara N, Maeda M, Johkoh T, Kozuka T, Honda O et al (2000) CT-guided needle biopsy of small pulmonary nodules: value of respiratory gating. Radiology 217(3):907–910

    CAS  PubMed  Google Scholar 

  • Tomiyama N, Yasuhara Y, Nakajima Y, Adachi S, Arai Y, Kusumoto M et al (2006) CT-guided needle biopsy of lung lesions: a survey of severe complication based on 9783 biopsies in Japan. Eur J Radiol 59(1):60–64

    PubMed  Google Scholar 

  • Tomozawa Y, Inaba Y, Yamaura H, Sato Y, Kato M, Kanamoto T et al (2011) Clinical value of CT-guided needle biopsy for retroperitoneal lesions. Korean J Radiol 12(3):351–357

    PubMed  PubMed Central  Google Scholar 

  • Torzilli G, Minagawa M, Takayama T, Inoue K, Hui AM, Kubota K et al (1999) Accurate preoperative evaluation of liver mass lesions without fine-needle biopsy. Hepatology (Baltimore, MD) 30(4):889–893

    CAS  PubMed  Google Scholar 

  • Trieu J, Schlicht SM, Choong PF (2016) Diagnosing musculoskeletal tumours: how accurate is CT-guided core needle biopsy? Eur J Surg Oncol 42(7):1049–1056

    CAS  PubMed  Google Scholar 

  • Tseng HS, Chen CY, Chan WP, Chiang JH (2009) Percutaneous transgastric computed tomography-guided biopsy of the pancreas using large needles. World J Gastroenterol 15(47):5972–5975

    PubMed  PubMed Central  Google Scholar 

  • Tsukada H, Satou T, Iwashima A, Souma T (2000) Diagnostic accuracy of CT-guided automated needle biopsy of lung nodules. AJR Am J Roentgenol 175(1):239–243

    CAS  PubMed  Google Scholar 

  • Tyng CJ, Almeida MF, Barbosa PN, Bitencourt AG, Berg JA, Maciel MS et al (2015) Computed tomography-guided percutaneous core needle biopsy in pancreatic tumor diagnosis. World J Gastroenterol 21(12):3579–3586

    PubMed  PubMed Central  Google Scholar 

  • vanSonnenberg E, Casola G (1988) Interventional radiology 1988. Investig Radiol 23(2):75–92

    CAS  Google Scholar 

  • Wallace MJ, Krishnamurthy S, Broemeling LD, Gupta S, Ahrar K, Morello FA Jr et al (2002) CT-guided percutaneous fine-needle aspiration biopsy of small (< or =1-cm) pulmonary lesions. Radiology 225(3):823–828

    PubMed  Google Scholar 

  • Wallace MJ, Chin KW, Fletcher TB, Bakal CW, Cardella JF, Grassi CJ et al (2010) Quality improvement guidelines for percutaneous drainage/aspiration of abscess and fluid collections. J Vasc Interv Radiol 21(4):431–435

    PubMed  Google Scholar 

  • Welch TJ, Sheedy PF 2nd, Johnson CD, Johnson CM, Stephens DH (1989) CT-guided biopsy: prospective analysis of 1,000 procedures. Radiology 171(2):493–496

    CAS  PubMed  Google Scholar 

  • Wildberger JE, Biesterfeld S, Adam GB, Hulsmeier L, Schmitz-Rode T, Gunther RW (2003) Refinement of cytopathology of CT-guided fine needle aspiration biopsies with additional histologic examination of formalin-fixed blood-clots. Rofo. 175(11):1532–1538

    CAS  PubMed  Google Scholar 

  • Yao X, Gomes MM, Tsao MS, Allen CJ, Geddie W, Sekhon H (2012) Fine-needle aspiration biopsy versus core-needle biopsy in diagnosing lung cancer: a systematic review. Curr Oncol 19(1):e16–e27

    CAS  PubMed  PubMed Central  Google Scholar 

  • Zahedi R, Uppal S, Mendiratta-Lala M, Higgins EJ, Nettles AN, Maturen KE (2016) Percutaneous image-guided pelvic procedures in women with gynecologic cancers: utilization, complications, and impact on patient management. Abdom Radiol (NY). 41(12):2460–2465

    PubMed  Google Scholar 

  • Zangos S, Kiefl D, Eichler K, Engelmann K, Heller M, Herzog C et al (2003) MR-guided biopsies of undetermined liver lesions: technique and results. Rofo 175(5):688–694

    CAS  PubMed  Google Scholar 

  • Zwischenberger JB, Savage C, Alpard SK, Anderson CM, Marroquin S, Goodacre BW (2002) Mediastinal transthoracic needle and core lymph node biopsy: should it replace mediastinoscopy? Chest 121(4):1165–1170

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Clinical Radiology, Ludwig-Maximilians-University Munich, Großhadern Campus, Marchioninistrasse 15, 81377, Munich, Germany

    Giovanna Negrão de Figueiredo MD & Christoph G. Trumm MD, EBIR

Authors
  1. Giovanna Negrão de Figueiredo MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Christoph G. Trumm MD, EBIR
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Giovanna Negrão de Figueiredo MD .

Editor information

Editors and Affiliations

  1. Department of Radiology, Universitätsklinikum Tübingen, Tübingen, Baden-Württemberg, Germany

    Konstantin Nikolaou

  2. Department of Diagnostic and Interventional Radiology, University of Freiburg, Freiburg, Germany

    Fabian Bamberg

  3. Department of Surgical and Medical Sciences and Translational Medicine, “Sapienza” – University of Rome, Rome, Italy

    Andrea Laghi

  4. Department of Radiology, Duke University School of Medicine, Durham, NC, USA

    Geoffrey D. Rubin

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

de Figueiredo, G.N., Trumm, C.G. (2017). CT-Guided Biopsy and Drainage. In: Nikolaou, K., Bamberg, F., Laghi, A., Rubin, G.D. (eds) Multislice CT. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_20

Download citation

  • DOI: https://doi.org/10.1007/174_2017_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42585-6

  • Online ISBN: 978-3-319-42586-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation