Accuracy of core-needle biopsy after contrast-enhanced ultrasound in soft-tissue tumours
Objective Percutaneous biopsies are gaining acceptance in the diagnosis of soft-tissue tumours. Sampling in the most representative area is not easy in sarcomas of huge dimension. We hypothesised that ultrasound (US) contrast medium could identify the representative area for focus core-needle biopsy...
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| Veröffentlicht in: | European radiology 2010-11, Vol.20 (11), p.2740-2748 |
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| creator | De Marchi, Armanda Brach del Prever, Elena Maria Linari, Alessandra Pozza, Simona Verga, Lucia Albertini, Ugo Forni, Marco Gino, Gian Carlo Comandone, Alessandro Brach del Prever, Adalberto Maria Piana, Raimondo Faletti, Carlo |
| description | Objective
Percutaneous biopsies are gaining acceptance in the diagnosis of soft-tissue tumours. Sampling in the most representative area is not easy in sarcomas of huge dimension. We hypothesised that ultrasound (US) contrast medium could identify the representative area for focus core-needle biopsy (CNB)
Methods
This is a retrospective cohort series of 115 soft-tissue masses treated from January 2007 to November 2008. Accuracy of US-guided CNB after contrast-enhanced US (CEUS) was determined by comparing the histology of the biopsy with the definitive diagnosis in 105 surgically excised samples (42 benign, 63 malignant) and with the expected outcome in the remaining ten malignant cases not surgically treated. A myxoid component was present in 21 sarcomas (34.4%).
Results
Of samples, 94.8% were adequate for diagnosis with 97.1% sensitivity and 92.5% specificity. Sensitivity and specificity in specific histopathological subgroupings were 100%, and in grading definition they were 100% and 96.8%.
Discussion
US-guided CNB is safe and effective. US contrast medium depicts tumour vascular supply and identifies the representative area(s) for sampling. Sensitivity and specificity are also high in subgrouping and grading, including myxoid types. Discussion about biopsy is part of the essential multidisciplinary strategy for these tumours. |
| doi_str_mv | 10.1007/s00330-010-1847-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_954611690</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>756659252</sourcerecordid><originalsourceid>FETCH-LOGICAL-c402t-b7cc22e7f6db6809b2ae03d1b85f717c1afc585623906e21ce64bec9649360c03</originalsourceid><addsrcrecordid>eNqFkU1r3DAQhkVJyW4-fkAuweTSk9qRLEvWcVn6EVjIpYXcjCyPEy9eaSNZB__7aNltCoHQ0zDzPvMOw0vIDYOvDEB9iwBlCRQYUFYLRedPZMlEySmDWpyRJeiypkprsSAXMW4BQDOhzsmCQ1VzBWxJHlfWpmDsXPi-sD4gdYjdiEU7-H2cC9NPGLLgpmDiRNE9G2exK9J4GPjkumJwRfT9RKchxoTFlHY-hXhFPvdmjHh9qpfkz4_vv9e_6Obh5_16taFWAJ9oq6zlHFUvu1bWoFtuEMqOtXXVK6YsM72t6kryUoNEzixK0aLVUuhSgoXyknw5-u6Df0kYp2Y3RIvjaBz6FBtdCcmY1P8nVSVlpXnFM3n3jtzml1x-4wBp4MBFhtgRssHHGLBv9mHYmTA3DJpDPM0xngYOfY6nmfPO7ck4tTvs3jb-5pEBfgRiltwThn-XP3Z9BTsemwo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>756902024</pqid></control><display><type>article</type><title>Accuracy of core-needle biopsy after contrast-enhanced ultrasound in soft-tissue tumours</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>De Marchi, Armanda ; Brach del Prever, Elena Maria ; Linari, Alessandra ; Pozza, Simona ; Verga, Lucia ; Albertini, Ugo ; Forni, Marco ; Gino, Gian Carlo ; Comandone, Alessandro ; Brach del Prever, Adalberto Maria ; Piana, Raimondo ; Faletti, Carlo</creator><creatorcontrib>De Marchi, Armanda ; Brach del Prever, Elena Maria ; Linari, Alessandra ; Pozza, Simona ; Verga, Lucia ; Albertini, Ugo ; Forni, Marco ; Gino, Gian Carlo ; Comandone, Alessandro ; Brach del Prever, Adalberto Maria ; Piana, Raimondo ; Faletti, Carlo ; Piedmont Sarcoma Group</creatorcontrib><description>Objective
Percutaneous biopsies are gaining acceptance in the diagnosis of soft-tissue tumours. Sampling in the most representative area is not easy in sarcomas of huge dimension. We hypothesised that ultrasound (US) contrast medium could identify the representative area for focus core-needle biopsy (CNB)
Methods
This is a retrospective cohort series of 115 soft-tissue masses treated from January 2007 to November 2008. Accuracy of US-guided CNB after contrast-enhanced US (CEUS) was determined by comparing the histology of the biopsy with the definitive diagnosis in 105 surgically excised samples (42 benign, 63 malignant) and with the expected outcome in the remaining ten malignant cases not surgically treated. A myxoid component was present in 21 sarcomas (34.4%).
Results
Of samples, 94.8% were adequate for diagnosis with 97.1% sensitivity and 92.5% specificity. Sensitivity and specificity in specific histopathological subgroupings were 100%, and in grading definition they were 100% and 96.8%.
Discussion
US-guided CNB is safe and effective. US contrast medium depicts tumour vascular supply and identifies the representative area(s) for sampling. Sensitivity and specificity are also high in subgrouping and grading, including myxoid types. Discussion about biopsy is part of the essential multidisciplinary strategy for these tumours.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-010-1847-y</identifier><identifier>PMID: 20582701</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Accuracy ; Adult ; Aged ; Aged, 80 and over ; Biopsy ; Biopsy, Needle ; Contrast Media ; Diagnostic Radiology ; Female ; Histology ; Humans ; Imaging ; Interdisciplinary aspects ; Internal Medicine ; Interventional Radiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neuroradiology ; Oncology ; Orthopedics ; Phospholipids ; Predictive Value of Tests ; Radiology ; Sarcoma ; Sarcoma - diagnostic imaging ; Sarcoma - pathology ; Sensitivity and Specificity ; Soft Tissue Neoplasms - diagnostic imaging ; Soft Tissue Neoplasms - pathology ; Sulfur Hexafluoride ; Tumors ; Ultrasonic imaging ; Ultrasonography, Interventional ; Ultrasound ; Young Adult</subject><ispartof>European radiology, 2010-11, Vol.20 (11), p.2740-2748</ispartof><rights>European Society of Radiology 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-b7cc22e7f6db6809b2ae03d1b85f717c1afc585623906e21ce64bec9649360c03</citedby><cites>FETCH-LOGICAL-c402t-b7cc22e7f6db6809b2ae03d1b85f717c1afc585623906e21ce64bec9649360c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-010-1847-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-010-1847-y$$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/20582701$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Marchi, Armanda</creatorcontrib><creatorcontrib>Brach del Prever, Elena Maria</creatorcontrib><creatorcontrib>Linari, Alessandra</creatorcontrib><creatorcontrib>Pozza, Simona</creatorcontrib><creatorcontrib>Verga, Lucia</creatorcontrib><creatorcontrib>Albertini, Ugo</creatorcontrib><creatorcontrib>Forni, Marco</creatorcontrib><creatorcontrib>Gino, Gian Carlo</creatorcontrib><creatorcontrib>Comandone, Alessandro</creatorcontrib><creatorcontrib>Brach del Prever, Adalberto Maria</creatorcontrib><creatorcontrib>Piana, Raimondo</creatorcontrib><creatorcontrib>Faletti, Carlo</creatorcontrib><creatorcontrib>Piedmont Sarcoma Group</creatorcontrib><title>Accuracy of core-needle biopsy after contrast-enhanced ultrasound in soft-tissue tumours</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objective
Percutaneous biopsies are gaining acceptance in the diagnosis of soft-tissue tumours. Sampling in the most representative area is not easy in sarcomas of huge dimension. We hypothesised that ultrasound (US) contrast medium could identify the representative area for focus core-needle biopsy (CNB)
Methods
This is a retrospective cohort series of 115 soft-tissue masses treated from January 2007 to November 2008. Accuracy of US-guided CNB after contrast-enhanced US (CEUS) was determined by comparing the histology of the biopsy with the definitive diagnosis in 105 surgically excised samples (42 benign, 63 malignant) and with the expected outcome in the remaining ten malignant cases not surgically treated. A myxoid component was present in 21 sarcomas (34.4%).
Results
Of samples, 94.8% were adequate for diagnosis with 97.1% sensitivity and 92.5% specificity. Sensitivity and specificity in specific histopathological subgroupings were 100%, and in grading definition they were 100% and 96.8%.
Discussion
US-guided CNB is safe and effective. US contrast medium depicts tumour vascular supply and identifies the representative area(s) for sampling. Sensitivity and specificity are also high in subgrouping and grading, including myxoid types. Discussion about biopsy is part of the essential multidisciplinary strategy for these tumours.</description><subject>Accuracy</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biopsy</subject><subject>Biopsy, Needle</subject><subject>Contrast Media</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Histology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Interdisciplinary aspects</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neuroradiology</subject><subject>Oncology</subject><subject>Orthopedics</subject><subject>Phospholipids</subject><subject>Predictive Value of Tests</subject><subject>Radiology</subject><subject>Sarcoma</subject><subject>Sarcoma - diagnostic imaging</subject><subject>Sarcoma - pathology</subject><subject>Sensitivity and Specificity</subject><subject>Soft Tissue Neoplasms - diagnostic imaging</subject><subject>Soft Tissue Neoplasms - pathology</subject><subject>Sulfur Hexafluoride</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Interventional</subject><subject>Ultrasound</subject><subject>Young Adult</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkU1r3DAQhkVJyW4-fkAuweTSk9qRLEvWcVn6EVjIpYXcjCyPEy9eaSNZB__7aNltCoHQ0zDzPvMOw0vIDYOvDEB9iwBlCRQYUFYLRedPZMlEySmDWpyRJeiypkprsSAXMW4BQDOhzsmCQ1VzBWxJHlfWpmDsXPi-sD4gdYjdiEU7-H2cC9NPGLLgpmDiRNE9G2exK9J4GPjkumJwRfT9RKchxoTFlHY-hXhFPvdmjHh9qpfkz4_vv9e_6Obh5_16taFWAJ9oq6zlHFUvu1bWoFtuEMqOtXXVK6YsM72t6kryUoNEzixK0aLVUuhSgoXyknw5-u6Df0kYp2Y3RIvjaBz6FBtdCcmY1P8nVSVlpXnFM3n3jtzml1x-4wBp4MBFhtgRssHHGLBv9mHYmTA3DJpDPM0xngYOfY6nmfPO7ck4tTvs3jb-5pEBfgRiltwThn-XP3Z9BTsemwo</recordid><startdate>20101101</startdate><enddate>20101101</enddate><creator>De Marchi, Armanda</creator><creator>Brach del Prever, Elena Maria</creator><creator>Linari, Alessandra</creator><creator>Pozza, Simona</creator><creator>Verga, Lucia</creator><creator>Albertini, Ugo</creator><creator>Forni, Marco</creator><creator>Gino, Gian Carlo</creator><creator>Comandone, Alessandro</creator><creator>Brach del Prever, Adalberto Maria</creator><creator>Piana, Raimondo</creator><creator>Faletti, Carlo</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20101101</creationdate><title>Accuracy of core-needle biopsy after contrast-enhanced ultrasound in soft-tissue tumours</title><author>De Marchi, Armanda ; Brach del Prever, Elena Maria ; Linari, Alessandra ; Pozza, Simona ; Verga, Lucia ; Albertini, Ugo ; Forni, Marco ; Gino, Gian Carlo ; Comandone, Alessandro ; Brach del Prever, Adalberto Maria ; Piana, Raimondo ; Faletti, Carlo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-b7cc22e7f6db6809b2ae03d1b85f717c1afc585623906e21ce64bec9649360c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Accuracy</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biopsy</topic><topic>Biopsy, Needle</topic><topic>Contrast Media</topic><topic>Diagnostic Radiology</topic><topic>Female</topic><topic>Histology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Interdisciplinary aspects</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neuroradiology</topic><topic>Oncology</topic><topic>Orthopedics</topic><topic>Phospholipids</topic><topic>Predictive Value of Tests</topic><topic>Radiology</topic><topic>Sarcoma</topic><topic>Sarcoma - diagnostic imaging</topic><topic>Sarcoma - pathology</topic><topic>Sensitivity and Specificity</topic><topic>Soft Tissue Neoplasms - diagnostic imaging</topic><topic>Soft Tissue Neoplasms - pathology</topic><topic>Sulfur Hexafluoride</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography, Interventional</topic><topic>Ultrasound</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>De Marchi, Armanda</creatorcontrib><creatorcontrib>Brach del Prever, Elena Maria</creatorcontrib><creatorcontrib>Linari, Alessandra</creatorcontrib><creatorcontrib>Pozza, Simona</creatorcontrib><creatorcontrib>Verga, Lucia</creatorcontrib><creatorcontrib>Albertini, Ugo</creatorcontrib><creatorcontrib>Forni, Marco</creatorcontrib><creatorcontrib>Gino, Gian Carlo</creatorcontrib><creatorcontrib>Comandone, Alessandro</creatorcontrib><creatorcontrib>Brach del Prever, Adalberto Maria</creatorcontrib><creatorcontrib>Piana, Raimondo</creatorcontrib><creatorcontrib>Faletti, Carlo</creatorcontrib><creatorcontrib>Piedmont Sarcoma Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Marchi, Armanda</au><au>Brach del Prever, Elena Maria</au><au>Linari, Alessandra</au><au>Pozza, Simona</au><au>Verga, Lucia</au><au>Albertini, Ugo</au><au>Forni, Marco</au><au>Gino, Gian Carlo</au><au>Comandone, Alessandro</au><au>Brach del Prever, Adalberto Maria</au><au>Piana, Raimondo</au><au>Faletti, Carlo</au><aucorp>Piedmont Sarcoma Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of core-needle biopsy after contrast-enhanced ultrasound in soft-tissue tumours</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2010-11-01</date><risdate>2010</risdate><volume>20</volume><issue>11</issue><spage>2740</spage><epage>2748</epage><pages>2740-2748</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objective
Percutaneous biopsies are gaining acceptance in the diagnosis of soft-tissue tumours. Sampling in the most representative area is not easy in sarcomas of huge dimension. We hypothesised that ultrasound (US) contrast medium could identify the representative area for focus core-needle biopsy (CNB)
Methods
This is a retrospective cohort series of 115 soft-tissue masses treated from January 2007 to November 2008. Accuracy of US-guided CNB after contrast-enhanced US (CEUS) was determined by comparing the histology of the biopsy with the definitive diagnosis in 105 surgically excised samples (42 benign, 63 malignant) and with the expected outcome in the remaining ten malignant cases not surgically treated. A myxoid component was present in 21 sarcomas (34.4%).
Results
Of samples, 94.8% were adequate for diagnosis with 97.1% sensitivity and 92.5% specificity. Sensitivity and specificity in specific histopathological subgroupings were 100%, and in grading definition they were 100% and 96.8%.
Discussion
US-guided CNB is safe and effective. US contrast medium depicts tumour vascular supply and identifies the representative area(s) for sampling. Sensitivity and specificity are also high in subgrouping and grading, including myxoid types. Discussion about biopsy is part of the essential multidisciplinary strategy for these tumours.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20582701</pmid><doi>10.1007/s00330-010-1847-y</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2010-11, Vol.20 (11), p.2740-2748 |
| issn | 0938-7994 1432-1084 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Accuracy Adult Aged Aged, 80 and over Biopsy Biopsy, Needle Contrast Media Diagnostic Radiology Female Histology Humans Imaging Interdisciplinary aspects Internal Medicine Interventional Radiology Male Medicine Medicine & Public Health Middle Aged Neuroradiology Oncology Orthopedics Phospholipids Predictive Value of Tests Radiology Sarcoma Sarcoma - diagnostic imaging Sarcoma - pathology Sensitivity and Specificity Soft Tissue Neoplasms - diagnostic imaging Soft Tissue Neoplasms - pathology Sulfur Hexafluoride Tumors Ultrasonic imaging Ultrasonography, Interventional Ultrasound Young Adult |
| title | Accuracy of core-needle biopsy after contrast-enhanced ultrasound in soft-tissue tumours |
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