Image-guided adrenal and renal biopsy
Open accessAbstract
Image-guided biopsy is a safe and well-established technique that is familiar to most interventional radiologists. Improvements in image guidance, biopsy tools, and biopsy techniques now routinely allow for safe biopsy of renal and adrenal lesions that traditionally were considered difficult to reach or technically challenging. Image-guided biopsy is used to establish the definitive tissue diagnosis in adrenal mass lesions that cannot be fully characterized with imaging or laboratory tests alone. It is also used to establish definitive diagnosis in some cases of renal parenchymal disease and has an expanding role in diagnosis and characterization of renal masses before treatment. Although basic principles and techniques for image-guided needle biopsy are similar regardless of organ, this paper highlights some technical considerations, indications, and complications that are unique to the adrenal gland and kidney because of their anatomic location and physiological features.
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Most frequent complications of adrenal biopsy are pneumothorax and hemorrhage.
“The most frequent complications are pneumothorax (due to the proximity of the adrenal gland to the diaphragm) and hemorrhage.”
From Adrenal incidentaloma (2020) · cites this paper as [331]
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- [32]Watkinson AF Kamath S Watkinson AF Kamath S Transvenous Renal Biopsy Image-Guided Interventions 2008 1 741 750 Saunders Philadelphia, PA ed 1
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“Patients should, therefore, be able to hold their breath and have normal coagulation (331).”
Background
- Authors
- Sharma, K. V., Venkatesan, A. M., Swerdlow, D., DaSilva, D., Beck, A., Jain, N., & Wood, B. J.
- Affiliations
- National Institutes of Health (US)
- Georgetown University (US)
- Corresponding author
- Sharma, Karun V.
- Venue
- Techniques in vascular and interventional radiology
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 13
- Issue
- 2
- Pages
- 100-109
- ISSN
- 1089-2516 (ISSN-L)
- PMC
- PMC2886019
- OpenAlex
- W2072620561
- Cited by
- 68
- References
- 47
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 6 · 2022: 3 · 2021: 4 · 2020: 6 · 2019: 3 · 2018: 8 · 2017: 3 · 2016: 11 · 2015: 9 · 2014: 3 · 2013: 3 · 2012: 5
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Techniques in vascular and interventional radiology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z99CL999999)
- National Cancer Institute (ZIDBC011242)
- NIH Clinical Center (ZIACL040011)
- Topics
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal cell carcinoma treatment
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
- Keywords
- image-guided biopsy, adrenal biopsy, renal biopsy, adrenal mass, renal mass, renal parenchymal disease, needle biopsy technique, biopsy complications, tissue diagnosis
- MeSH terms
- Adrenal Gland Diseases, Adrenal Glands, Aged, Biopsy, Needle, Diagnostic Imaging, Female, Humans, Kidney, Kidney Diseases, Male, Middle Aged, Predictive Value of Tests, Radiography, Interventional, Ultrasonography, Interventional, Magnetic Resonance Imaging, Interventional
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