Scrubbing needles: a simple and costless technique to improve needle tip visibility during US-guided liver interventions
Aims To evaluate the echogenicity of a commercially available needle, modified on the tip, by comparing two groups of patients undergoing to percutaneous biliary drainage. Methods In this retrospective analysis 16 percutaneous transhepatic biliary drainage (PTBD) procedures performed on 16 oncologic...
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| Veröffentlicht in: | Journal of ultrasound 2022-03, Vol.25 (1), p.73-78 |
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| creator | Giurazza, Francesco Contegiacomo, Andrea Corvino, Fabio Basile, Antonello Niola, Raffaella |
| description | Aims
To evaluate the echogenicity of a commercially available needle, modified on the tip, by comparing two groups of patients undergoing to percutaneous biliary drainage.
Methods
In this retrospective analysis 16 percutaneous transhepatic biliary drainage (PTBD) procedures performed on 16 oncologic patients were evaluated. Patients were randomly divided into two groups of eight subjects each; in the first group, a standard needle was adopted (group A); in the second group, the needle was manually modified to create a rough surface (group B), by scrubbing the tip with an 11 scalpel blade for 150 s all around its surface. To objectively quantify US needle tip visibility, the contrast-to-noise ratio (CNR) was calculated analyzing B-mode images by positioning region of interests in correspondence of needle tip and liver parenchyma.
Results
Needle tip echogenicity was significantly higher in group B where the needle tip was modified compared to control group A (
p
value = 0.014). CNR, considered to objectively evaluate differences among needle tip echogenicity, was significantly higher in group B with respect to control group A (
p
value = 0.018).
Conclusions
The proposed method, scrubbing a 22 gauge commercially available needle tip with a scalpel blade, represents an effective technique to improve needle visibility during US-guided punctures of the liver. |
| doi_str_mv | 10.1007/s40477-021-00561-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8964860</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2488172736</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-d9eecab831ec8267588846f15faca4c0172082fca0d3381e745f3d1d6e49b4763</originalsourceid><addsrcrecordid>eNp9UU1vFSEUJUZja_UPuDAkbtyMwsAA48LENH4lTbqoXRMG7rzSzIMRmIn99_J8z9p20RWEez7u4SD0mpL3lBD5IXPCpWxISxtCOkEb9gQdUyVFI3tGn965H6EXOV9XUM8kfY6OGOtERzp6jH5f2LQMgw8bHADcBPkjNjj77TwBNsFhG3OprxkXsFfB_1oAl4jrPMUVDhxc_IxXn_3gJ19usFvSTvDyotks3oHDk18hYR8KpBVC8THkl-jZaKYMrw7nCbr8-uXn6ffm7Pzbj9PPZ43lkpfG9QDWDIpRsKoVslNKcTHSbjTWcEuobIlqR2uIY0xRkLwbmaNOAO8HLgU7QZ_2uvMybMHZap_MpOfktybd6Gi8vj8J_kpv4qpVL7gSpAq8OwikWNPnorc-W5gmEyAuWbdcqbqFZDuvtw-g13FJocbTreAdVUxxVVHtHmVTzDnBeLsMJXpXrN4Xq2ux-m-xmlXSm7sxbin_mqwAtgfkeff5kP57PyL7B2eSsSo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2645183848</pqid></control><display><type>article</type><title>Scrubbing needles: a simple and costless technique to improve needle tip visibility during US-guided liver interventions</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Giurazza, Francesco ; Contegiacomo, Andrea ; Corvino, Fabio ; Basile, Antonello ; Niola, Raffaella</creator><creatorcontrib>Giurazza, Francesco ; Contegiacomo, Andrea ; Corvino, Fabio ; Basile, Antonello ; Niola, Raffaella</creatorcontrib><description>Aims
To evaluate the echogenicity of a commercially available needle, modified on the tip, by comparing two groups of patients undergoing to percutaneous biliary drainage.
Methods
In this retrospective analysis 16 percutaneous transhepatic biliary drainage (PTBD) procedures performed on 16 oncologic patients were evaluated. Patients were randomly divided into two groups of eight subjects each; in the first group, a standard needle was adopted (group A); in the second group, the needle was manually modified to create a rough surface (group B), by scrubbing the tip with an 11 scalpel blade for 150 s all around its surface. To objectively quantify US needle tip visibility, the contrast-to-noise ratio (CNR) was calculated analyzing B-mode images by positioning region of interests in correspondence of needle tip and liver parenchyma.
Results
Needle tip echogenicity was significantly higher in group B where the needle tip was modified compared to control group A (
p
value = 0.014). CNR, considered to objectively evaluate differences among needle tip echogenicity, was significantly higher in group B with respect to control group A (
p
value = 0.018).
Conclusions
The proposed method, scrubbing a 22 gauge commercially available needle tip with a scalpel blade, represents an effective technique to improve needle visibility during US-guided punctures of the liver.</description><identifier>ISSN: 1876-7931</identifier><identifier>ISSN: 1971-3495</identifier><identifier>EISSN: 1876-7931</identifier><identifier>DOI: 10.1007/s40477-021-00561-3</identifier><identifier>PMID: 33565051</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Humans ; Image contrast ; Liver ; Liver - diagnostic imaging ; Liver - surgery ; Medicine ; Medicine & Public Health ; Needles ; Original Paper ; Phantoms, Imaging ; Retrospective Studies ; Ultrasonography, Interventional - methods ; Ultrasound ; Visibility ; Washing</subject><ispartof>Journal of ultrasound, 2022-03, Vol.25 (1), p.73-78</ispartof><rights>Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2021</rights><rights>2021. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).</rights><rights>Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-d9eecab831ec8267588846f15faca4c0172082fca0d3381e745f3d1d6e49b4763</citedby><cites>FETCH-LOGICAL-c474t-d9eecab831ec8267588846f15faca4c0172082fca0d3381e745f3d1d6e49b4763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8964860/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8964860/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33565051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giurazza, Francesco</creatorcontrib><creatorcontrib>Contegiacomo, Andrea</creatorcontrib><creatorcontrib>Corvino, Fabio</creatorcontrib><creatorcontrib>Basile, Antonello</creatorcontrib><creatorcontrib>Niola, Raffaella</creatorcontrib><title>Scrubbing needles: a simple and costless technique to improve needle tip visibility during US-guided liver interventions</title><title>Journal of ultrasound</title><addtitle>J Ultrasound</addtitle><addtitle>J Ultrasound</addtitle><description>Aims
To evaluate the echogenicity of a commercially available needle, modified on the tip, by comparing two groups of patients undergoing to percutaneous biliary drainage.
Methods
In this retrospective analysis 16 percutaneous transhepatic biliary drainage (PTBD) procedures performed on 16 oncologic patients were evaluated. Patients were randomly divided into two groups of eight subjects each; in the first group, a standard needle was adopted (group A); in the second group, the needle was manually modified to create a rough surface (group B), by scrubbing the tip with an 11 scalpel blade for 150 s all around its surface. To objectively quantify US needle tip visibility, the contrast-to-noise ratio (CNR) was calculated analyzing B-mode images by positioning region of interests in correspondence of needle tip and liver parenchyma.
Results
Needle tip echogenicity was significantly higher in group B where the needle tip was modified compared to control group A (
p
value = 0.014). CNR, considered to objectively evaluate differences among needle tip echogenicity, was significantly higher in group B with respect to control group A (
p
value = 0.018).
Conclusions
The proposed method, scrubbing a 22 gauge commercially available needle tip with a scalpel blade, represents an effective technique to improve needle visibility during US-guided punctures of the liver.</description><subject>Humans</subject><subject>Image contrast</subject><subject>Liver</subject><subject>Liver - diagnostic imaging</subject><subject>Liver - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Needles</subject><subject>Original Paper</subject><subject>Phantoms, Imaging</subject><subject>Retrospective Studies</subject><subject>Ultrasonography, Interventional - methods</subject><subject>Ultrasound</subject><subject>Visibility</subject><subject>Washing</subject><issn>1876-7931</issn><issn>1971-3495</issn><issn>1876-7931</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1vFSEUJUZja_UPuDAkbtyMwsAA48LENH4lTbqoXRMG7rzSzIMRmIn99_J8z9p20RWEez7u4SD0mpL3lBD5IXPCpWxISxtCOkEb9gQdUyVFI3tGn965H6EXOV9XUM8kfY6OGOtERzp6jH5f2LQMgw8bHADcBPkjNjj77TwBNsFhG3OprxkXsFfB_1oAl4jrPMUVDhxc_IxXn_3gJ19usFvSTvDyotks3oHDk18hYR8KpBVC8THkl-jZaKYMrw7nCbr8-uXn6ffm7Pzbj9PPZ43lkpfG9QDWDIpRsKoVslNKcTHSbjTWcEuobIlqR2uIY0xRkLwbmaNOAO8HLgU7QZ_2uvMybMHZap_MpOfktybd6Gi8vj8J_kpv4qpVL7gSpAq8OwikWNPnorc-W5gmEyAuWbdcqbqFZDuvtw-g13FJocbTreAdVUxxVVHtHmVTzDnBeLsMJXpXrN4Xq2ux-m-xmlXSm7sxbin_mqwAtgfkeff5kP57PyL7B2eSsSo</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Giurazza, Francesco</creator><creator>Contegiacomo, Andrea</creator><creator>Corvino, Fabio</creator><creator>Basile, Antonello</creator><creator>Niola, Raffaella</creator><general>Springer International Publishing</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220301</creationdate><title>Scrubbing needles: a simple and costless technique to improve needle tip visibility during US-guided liver interventions</title><author>Giurazza, Francesco ; Contegiacomo, Andrea ; Corvino, Fabio ; Basile, Antonello ; Niola, Raffaella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-d9eecab831ec8267588846f15faca4c0172082fca0d3381e745f3d1d6e49b4763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Humans</topic><topic>Image contrast</topic><topic>Liver</topic><topic>Liver - diagnostic imaging</topic><topic>Liver - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Needles</topic><topic>Original Paper</topic><topic>Phantoms, Imaging</topic><topic>Retrospective Studies</topic><topic>Ultrasonography, Interventional - methods</topic><topic>Ultrasound</topic><topic>Visibility</topic><topic>Washing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Giurazza, Francesco</creatorcontrib><creatorcontrib>Contegiacomo, Andrea</creatorcontrib><creatorcontrib>Corvino, Fabio</creatorcontrib><creatorcontrib>Basile, Antonello</creatorcontrib><creatorcontrib>Niola, Raffaella</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Giurazza, Francesco</au><au>Contegiacomo, Andrea</au><au>Corvino, Fabio</au><au>Basile, Antonello</au><au>Niola, Raffaella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scrubbing needles: a simple and costless technique to improve needle tip visibility during US-guided liver interventions</atitle><jtitle>Journal of ultrasound</jtitle><stitle>J Ultrasound</stitle><addtitle>J Ultrasound</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>25</volume><issue>1</issue><spage>73</spage><epage>78</epage><pages>73-78</pages><issn>1876-7931</issn><issn>1971-3495</issn><eissn>1876-7931</eissn><abstract>Aims
To evaluate the echogenicity of a commercially available needle, modified on the tip, by comparing two groups of patients undergoing to percutaneous biliary drainage.
Methods
In this retrospective analysis 16 percutaneous transhepatic biliary drainage (PTBD) procedures performed on 16 oncologic patients were evaluated. Patients were randomly divided into two groups of eight subjects each; in the first group, a standard needle was adopted (group A); in the second group, the needle was manually modified to create a rough surface (group B), by scrubbing the tip with an 11 scalpel blade for 150 s all around its surface. To objectively quantify US needle tip visibility, the contrast-to-noise ratio (CNR) was calculated analyzing B-mode images by positioning region of interests in correspondence of needle tip and liver parenchyma.
Results
Needle tip echogenicity was significantly higher in group B where the needle tip was modified compared to control group A (
p
value = 0.014). CNR, considered to objectively evaluate differences among needle tip echogenicity, was significantly higher in group B with respect to control group A (
p
value = 0.018).
Conclusions
The proposed method, scrubbing a 22 gauge commercially available needle tip with a scalpel blade, represents an effective technique to improve needle visibility during US-guided punctures of the liver.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33565051</pmid><doi>10.1007/s40477-021-00561-3</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of ultrasound, 2022-03, Vol.25 (1), p.73-78 |
| issn | 1876-7931 1971-3495 1876-7931 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Humans Image contrast Liver Liver - diagnostic imaging Liver - surgery Medicine Medicine & Public Health Needles Original Paper Phantoms, Imaging Retrospective Studies Ultrasonography, Interventional - methods Ultrasound Visibility Washing |
| title | Scrubbing needles: a simple and costless technique to improve needle tip visibility during US-guided liver interventions |
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