Safety profile and technical success of narrow window CT-guided percutaneous biopsy with blunt needle approach in the abdomen and pelvis
Objective To assess success and safety of CT-guided procedures with narrow window access for biopsy. Methods Three hundred ninety-six consecutive patients undergoing abdominal or pelvic CT-guided biopsy or fiducial placement between 01/2015 and 12/2018 were included (183 women, mean age 63 ± 14 year...
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| Veröffentlicht in: | European radiology 2024-04, Vol.34 (4), p.2364-2373 |
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| creator | Rigiroli, Francesca Camacho, Andrés Chung, Andrew Andrabi, Syed Yasir Brook, Alexander Siewert, Bettina Ahmed, Muneeb Brook, Olga R. |
| description | Objective
To assess success and safety of CT-guided procedures with narrow window access for biopsy.
Methods
Three hundred ninety-six consecutive patients undergoing abdominal or pelvic CT-guided biopsy or fiducial placement between 01/2015 and 12/2018 were included (183 women, mean age 63 ± 14 years). Procedures were classified into “wide window” (width of the needle path between structures > 15 mm) and “narrow window” (≤ 15 mm) based on intraprocedural images. Clinical information, complications, technical and clinical success, and outcomes were collected. The blunt needle approach is preferred by our interventional radiology team for narrow window access.
Results
There were 323 (81.5%) wide window procedures and 73 (18.5%) narrow window procedures with blunt needle approach. The median depth for the narrow window group was greater (97 mm, interquartile range (IQR) 82–113 mm) compared to the wide window group (84 mm, IQR 60–106 mm);
p
= 0.0017. Technical success was reached in 100% (73/73) of the narrow window and 99.7% (322/323) of the wide window procedures. There was no difference in clinical success rate between the two groups (narrow: 86.4%, 57/66; wide: 89.5%, 265/296;
p
= 0.46). There was no difference in immediate complication rate (narrow: 1.3%, 1/73; wide: 1.2%, 4/323;
p
= 0.73) or delayed complication rate (narrow: 1.3%, 1/73; wide: 0.6%, 1/323;
p
= 0.50).
Conclusion
Narrow window ( 15 mm).
• This study confirmed the safety of the CT-guided percutaneous procedures through |
| doi_str_mv | 10.1007/s00330-023-10231-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2864896463</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2864896463</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2771-84845440037a5f91dde390c15d33cffbd2e47ba8b3eb52a1d2991fa2f79c85023</originalsourceid><addsrcrecordid>eNp9kctu1TAQhi1ERUvLC7BAltiwCfUtx_ESHXGTKrGgXVuOPe5xleMEO6E6fQIem2lTLmLBxuORv_n_GQ8hLzl7yxnT55UxKVnDhGw4Hry5e0JOuJIC0049_et-TJ7XesMYM1zpZ-RYas10q8wJ-fHVRZgPdCpjTANQlwOdwe9y8m6gdfEeaqVjpNmVMt7S25QDhu1lc72kAIFOUPwyuwzjUmmfxqkeEJp3tB-WPNMMEO5lJzRwfkdTpvMO8z6Me8gPdhMM31M9I0fRDRVePMZTcvXh_eX2U3Px5ePn7buLxgutedOpTrVK4eTatdHwEEAa5nkbpPQx9kGA0r3regl9KxwPwhgenYja-K7FXzolb1ZdbOjbAnW2-1Q9DMM6ghXdRnVmozYS0df_oDfjUjJ2Z4XRKKw03yAlVsqXsdYC0U4l7V05WM7s_Z7suieL5vZhT_YOi149Si_9HsLvkl-LQUCuQMWnfA3lj_d_ZH8C6jafow</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2972994716</pqid></control><display><type>article</type><title>Safety profile and technical success of narrow window CT-guided percutaneous biopsy with blunt needle approach in the abdomen and pelvis</title><source>SpringerLink</source><creator>Rigiroli, Francesca ; Camacho, Andrés ; Chung, Andrew ; Andrabi, Syed Yasir ; Brook, Alexander ; Siewert, Bettina ; Ahmed, Muneeb ; Brook, Olga R.</creator><creatorcontrib>Rigiroli, Francesca ; Camacho, Andrés ; Chung, Andrew ; Andrabi, Syed Yasir ; Brook, Alexander ; Siewert, Bettina ; Ahmed, Muneeb ; Brook, Olga R.</creatorcontrib><description>Objective
To assess success and safety of CT-guided procedures with narrow window access for biopsy.
Methods
Three hundred ninety-six consecutive patients undergoing abdominal or pelvic CT-guided biopsy or fiducial placement between 01/2015 and 12/2018 were included (183 women, mean age 63 ± 14 years). Procedures were classified into “wide window” (width of the needle path between structures > 15 mm) and “narrow window” (≤ 15 mm) based on intraprocedural images. Clinical information, complications, technical and clinical success, and outcomes were collected. The blunt needle approach is preferred by our interventional radiology team for narrow window access.
Results
There were 323 (81.5%) wide window procedures and 73 (18.5%) narrow window procedures with blunt needle approach. The median depth for the narrow window group was greater (97 mm, interquartile range (IQR) 82–113 mm) compared to the wide window group (84 mm, IQR 60–106 mm);
p
= 0.0017. Technical success was reached in 100% (73/73) of the narrow window and 99.7% (322/323) of the wide window procedures. There was no difference in clinical success rate between the two groups (narrow: 86.4%, 57/66; wide: 89.5%, 265/296;
p
= 0.46). There was no difference in immediate complication rate (narrow: 1.3%, 1/73; wide: 1.2%, 4/323;
p
= 0.73) or delayed complication rate (narrow: 1.3%, 1/73; wide: 0.6%, 1/323;
p
= 0.50).
Conclusion
Narrow window (< 15 mm) access biopsy and fiducial placement with blunt needle approach under CT guidance is safe and successful.
Clinical relevance statement
CT-guided biopsy and fiducial placement can be performed through narrow window access of less than 15 mm utilizing the blunt-tip technique.
Key Points
• A narrow window for CT-guided abdominal and pelvic biopsies and fiducial placements was considered when width of the needle path between vital structures was ≤ 15 mm.
• Seventy-three biopsies and fiducial placements performed through a narrow window with blunt needle approach had a similar rate of technical and clinical success and complications compared to 323 procedures performed through a wide window approach, with traditional approach (> 15 mm).
• This study confirmed the safety of the CT-guided percutaneous procedures through < 15 mm window with blunt-tip technique.</description><identifier>ISSN: 1432-1084</identifier><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-023-10231-z</identifier><identifier>PMID: 37707549</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Biopsy ; Computed tomography ; Diagnostic Radiology ; Imaging ; Internal Medicine ; Interventional ; Interventional Radiology ; Medicine ; Medicine & Public Health ; Neuroradiology ; Pelvis ; Placement ; Radiology ; Safety ; Success ; Ultrasound</subject><ispartof>European radiology, 2024-04, Vol.34 (4), p.2364-2373</ispartof><rights>The Author(s), under exclusive licence to European Society of Radiology 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to European Society of Radiology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2771-84845440037a5f91dde390c15d33cffbd2e47ba8b3eb52a1d2991fa2f79c85023</cites><orcidid>0000-0002-5262-5585</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-023-10231-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-023-10231-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37707549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rigiroli, Francesca</creatorcontrib><creatorcontrib>Camacho, Andrés</creatorcontrib><creatorcontrib>Chung, Andrew</creatorcontrib><creatorcontrib>Andrabi, Syed Yasir</creatorcontrib><creatorcontrib>Brook, Alexander</creatorcontrib><creatorcontrib>Siewert, Bettina</creatorcontrib><creatorcontrib>Ahmed, Muneeb</creatorcontrib><creatorcontrib>Brook, Olga R.</creatorcontrib><title>Safety profile and technical success of narrow window CT-guided percutaneous biopsy with blunt needle approach in the abdomen and pelvis</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objective
To assess success and safety of CT-guided procedures with narrow window access for biopsy.
Methods
Three hundred ninety-six consecutive patients undergoing abdominal or pelvic CT-guided biopsy or fiducial placement between 01/2015 and 12/2018 were included (183 women, mean age 63 ± 14 years). Procedures were classified into “wide window” (width of the needle path between structures > 15 mm) and “narrow window” (≤ 15 mm) based on intraprocedural images. Clinical information, complications, technical and clinical success, and outcomes were collected. The blunt needle approach is preferred by our interventional radiology team for narrow window access.
Results
There were 323 (81.5%) wide window procedures and 73 (18.5%) narrow window procedures with blunt needle approach. The median depth for the narrow window group was greater (97 mm, interquartile range (IQR) 82–113 mm) compared to the wide window group (84 mm, IQR 60–106 mm);
p
= 0.0017. Technical success was reached in 100% (73/73) of the narrow window and 99.7% (322/323) of the wide window procedures. There was no difference in clinical success rate between the two groups (narrow: 86.4%, 57/66; wide: 89.5%, 265/296;
p
= 0.46). There was no difference in immediate complication rate (narrow: 1.3%, 1/73; wide: 1.2%, 4/323;
p
= 0.73) or delayed complication rate (narrow: 1.3%, 1/73; wide: 0.6%, 1/323;
p
= 0.50).
Conclusion
Narrow window (< 15 mm) access biopsy and fiducial placement with blunt needle approach under CT guidance is safe and successful.
Clinical relevance statement
CT-guided biopsy and fiducial placement can be performed through narrow window access of less than 15 mm utilizing the blunt-tip technique.
Key Points
• A narrow window for CT-guided abdominal and pelvic biopsies and fiducial placements was considered when width of the needle path between vital structures was ≤ 15 mm.
• Seventy-three biopsies and fiducial placements performed through a narrow window with blunt needle approach had a similar rate of technical and clinical success and complications compared to 323 procedures performed through a wide window approach, with traditional approach (> 15 mm).
• This study confirmed the safety of the CT-guided percutaneous procedures through < 15 mm window with blunt-tip technique.</description><subject>Abdomen</subject><subject>Biopsy</subject><subject>Computed tomography</subject><subject>Diagnostic Radiology</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional</subject><subject>Interventional Radiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Pelvis</subject><subject>Placement</subject><subject>Radiology</subject><subject>Safety</subject><subject>Success</subject><subject>Ultrasound</subject><issn>1432-1084</issn><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1TAQhi1ERUvLC7BAltiwCfUtx_ESHXGTKrGgXVuOPe5xleMEO6E6fQIem2lTLmLBxuORv_n_GQ8hLzl7yxnT55UxKVnDhGw4Hry5e0JOuJIC0049_et-TJ7XesMYM1zpZ-RYas10q8wJ-fHVRZgPdCpjTANQlwOdwe9y8m6gdfEeaqVjpNmVMt7S25QDhu1lc72kAIFOUPwyuwzjUmmfxqkeEJp3tB-WPNMMEO5lJzRwfkdTpvMO8z6Me8gPdhMM31M9I0fRDRVePMZTcvXh_eX2U3Px5ePn7buLxgutedOpTrVK4eTatdHwEEAa5nkbpPQx9kGA0r3regl9KxwPwhgenYja-K7FXzolb1ZdbOjbAnW2-1Q9DMM6ghXdRnVmozYS0df_oDfjUjJ2Z4XRKKw03yAlVsqXsdYC0U4l7V05WM7s_Z7suieL5vZhT_YOi149Si_9HsLvkl-LQUCuQMWnfA3lj_d_ZH8C6jafow</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Rigiroli, Francesca</creator><creator>Camacho, Andrés</creator><creator>Chung, Andrew</creator><creator>Andrabi, Syed Yasir</creator><creator>Brook, Alexander</creator><creator>Siewert, Bettina</creator><creator>Ahmed, Muneeb</creator><creator>Brook, Olga R.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5262-5585</orcidid></search><sort><creationdate>20240401</creationdate><title>Safety profile and technical success of narrow window CT-guided percutaneous biopsy with blunt needle approach in the abdomen and pelvis</title><author>Rigiroli, Francesca ; Camacho, Andrés ; Chung, Andrew ; Andrabi, Syed Yasir ; Brook, Alexander ; Siewert, Bettina ; Ahmed, Muneeb ; Brook, Olga R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2771-84845440037a5f91dde390c15d33cffbd2e47ba8b3eb52a1d2991fa2f79c85023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdomen</topic><topic>Biopsy</topic><topic>Computed tomography</topic><topic>Diagnostic Radiology</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional</topic><topic>Interventional Radiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Pelvis</topic><topic>Placement</topic><topic>Radiology</topic><topic>Safety</topic><topic>Success</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rigiroli, Francesca</creatorcontrib><creatorcontrib>Camacho, Andrés</creatorcontrib><creatorcontrib>Chung, Andrew</creatorcontrib><creatorcontrib>Andrabi, Syed Yasir</creatorcontrib><creatorcontrib>Brook, Alexander</creatorcontrib><creatorcontrib>Siewert, Bettina</creatorcontrib><creatorcontrib>Ahmed, Muneeb</creatorcontrib><creatorcontrib>Brook, Olga R.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rigiroli, Francesca</au><au>Camacho, Andrés</au><au>Chung, Andrew</au><au>Andrabi, Syed Yasir</au><au>Brook, Alexander</au><au>Siewert, Bettina</au><au>Ahmed, Muneeb</au><au>Brook, Olga R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety profile and technical success of narrow window CT-guided percutaneous biopsy with blunt needle approach in the abdomen and pelvis</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>34</volume><issue>4</issue><spage>2364</spage><epage>2373</epage><pages>2364-2373</pages><issn>1432-1084</issn><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objective
To assess success and safety of CT-guided procedures with narrow window access for biopsy.
Methods
Three hundred ninety-six consecutive patients undergoing abdominal or pelvic CT-guided biopsy or fiducial placement between 01/2015 and 12/2018 were included (183 women, mean age 63 ± 14 years). Procedures were classified into “wide window” (width of the needle path between structures > 15 mm) and “narrow window” (≤ 15 mm) based on intraprocedural images. Clinical information, complications, technical and clinical success, and outcomes were collected. The blunt needle approach is preferred by our interventional radiology team for narrow window access.
Results
There were 323 (81.5%) wide window procedures and 73 (18.5%) narrow window procedures with blunt needle approach. The median depth for the narrow window group was greater (97 mm, interquartile range (IQR) 82–113 mm) compared to the wide window group (84 mm, IQR 60–106 mm);
p
= 0.0017. Technical success was reached in 100% (73/73) of the narrow window and 99.7% (322/323) of the wide window procedures. There was no difference in clinical success rate between the two groups (narrow: 86.4%, 57/66; wide: 89.5%, 265/296;
p
= 0.46). There was no difference in immediate complication rate (narrow: 1.3%, 1/73; wide: 1.2%, 4/323;
p
= 0.73) or delayed complication rate (narrow: 1.3%, 1/73; wide: 0.6%, 1/323;
p
= 0.50).
Conclusion
Narrow window (< 15 mm) access biopsy and fiducial placement with blunt needle approach under CT guidance is safe and successful.
Clinical relevance statement
CT-guided biopsy and fiducial placement can be performed through narrow window access of less than 15 mm utilizing the blunt-tip technique.
Key Points
• A narrow window for CT-guided abdominal and pelvic biopsies and fiducial placements was considered when width of the needle path between vital structures was ≤ 15 mm.
• Seventy-three biopsies and fiducial placements performed through a narrow window with blunt needle approach had a similar rate of technical and clinical success and complications compared to 323 procedures performed through a wide window approach, with traditional approach (> 15 mm).
• This study confirmed the safety of the CT-guided percutaneous procedures through < 15 mm window with blunt-tip technique.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37707549</pmid><doi>10.1007/s00330-023-10231-z</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5262-5585</orcidid></addata></record> |
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| subjects | Abdomen Biopsy Computed tomography Diagnostic Radiology Imaging Internal Medicine Interventional Interventional Radiology Medicine Medicine & Public Health Neuroradiology Pelvis Placement Radiology Safety Success Ultrasound |
| title | Safety profile and technical success of narrow window CT-guided percutaneous biopsy with blunt needle approach in the abdomen and pelvis |
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