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2008, Number 4

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Anales de Radiología México 2008; 7 (4)

Seguridad y certeza diagnóstica de la toma de biopsia guiada por Tomografía Computarizada en el Centro Médico Nacional '20 de Noviembre', ISSSTE

Alanís LJG, Osorio VM
Full text How to cite this article

Language: Spanish
References: 8
Page: 253-257
PDF size: 208.07 Kb.


Key words:

Percutaneous biopsy, invasive method, computerized tomography.

ABSTRACT

Introduction: Imaging-guided invasive methods have been fundamental in the assessment of tumors and diffuse disorders. Haaga and colleagues made the first guided biopsy through Computerized tomography (CAT) in 1976. When the procedure is performed adequately, the reported effectiveness ranges between 80 and 97%.
Material and methods: Patients referred to the Imaging and Radiology Service by the different services in our Medical Center were evaluated, in a period of a year, comprised between August 2007 to August 2008. Procedures were performed through a PhillipsR (64) multi-slices tomography equipment. An automatic BARDR biopsy pistol and 18 and 14 G gauge Tru-Cut type needles were used.
Results: Of the 36 patients submitted to biopsy, 31 diagnosed were confirmed; in the five remaining patients, it was determined that the sample was not optimal or resulted insufficient to complete the diagnosis.
Discussion: Several lesions that formerly were inaccessible are now studied through adequate percutaneous biopsy, with great impact in the handling of patients and being able in this way to obviate a bigger surgical procedure.
Conclusions: The Computerized Tomography-guided biopsy as an imaging method shows to be an accurate and reliable procedure, which can be used as the first line in the detection of tumors or diffuse diseases, with a fast recovery of the patient and with a low percentage of complications.


REFERENCES

  1. Spath A, et al. Biopsias percutáneas guiadas por escanografía: experiencia en el Hospital Universitario San Ignacio. Universitas Médica 2005; 46: 130-3.

  2. Rodríguez ND, et al. Estudio de sensibilidad y especificidad de la biopsia por aspiración con aguja fina guiada por Tomografía en tumores intracavitarios. Anales Médicos 2000; 45: 176-87.

  3. Haaga J, et al. TC y RM Diagnóstico por imagen del cuerpo humano. 4a Ed. Mosby; 2004.

  4. Sheafor D, Paulson E, Kliewer M, et al. Comparison of sonographic and CT guidance techniques. American Roentgen Ray Society 2000; 174: 939-42.

  5. Brom R, Reyes S, Ferral H, et al. Image- guide fine needle aspiration biopsy. One year experience. Rev Invest Clin 1993; 45: 49-55.

  6. Gupta S, Luong H, Morello F, et al. Various approaches for CT-guided percutaneous biopsy of deep pelvic lesions: Anatomic and technical considerations. Radiographics 2004; 24: 175-89.

  7. Gupta S, Krishnamurthy S, Broemeling L, et al. Small (≤ 2-cm) subpleural pulmonary lesions: Short- versus long-needle-path CT-guided biopsy—Comparison of diagnostic yields and complications. Radiology 2005; 234: 631-7.

  8. Yamagami T, Nakamura T, Lida S, et al. Management of pneumothorax after percutaneous CT-guided lung biopsy. American College of Chest Physicians 2002; 121: 1159-64.




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Anales de Radiología México. 2008;7