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Intravascular Ultrasound-Guided Transvenous Biopsy of Retroperitoneal Lymph Nodes: Diagnostic Accuracy and Safety Compared with CT-Guided Percutaneous Biopsy.
Buchholz, Joseph; Cline, Brendan C; Martin, Jonathan G; Kim, Charles Y; Ronald, James.
Afiliación
  • Buchholz J; Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina.
  • Cline BC; Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina.
  • Martin JG; Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina.
  • Kim CY; Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina.
  • Ronald J; Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina. Electronic address: james.ronald@duke.edu.
J Vasc Interv Radiol ; 34(4): 710-715, 2023 04.
Article en En | MEDLINE | ID: mdl-36718760
PURPOSE: To compare the diagnostic accuracy and adverse event rates of intravascular ultrasound (US)-guided transvenous biopsy (TVB) versus those of computed tomography (CT)-guided percutaneous needle biopsy (PNB) for retroperitoneal (RP) lymph nodes. MATERIALS AND METHODS: In this single-institution, retrospective study, 32 intravascular US-guided TVB procedures and a sample of 34 CT-guided PNB procedures for RP lymph nodes where targets were deemed amenable to intravascular US-guided TVB were analyzed. Procedural metrics, including diagnostic accuracy, defined as diagnostic of malignancy or a clinically verifiable benign result, and adverse event rates were compared. RESULTS: The targets of intravascular US-guided TVB were primarily aortocaval (47%, 15/32) or precaval (34%, 11/32), whereas those of CT-guided PNB were primarily right pericaval (44%, 15/34) or retrocaval (44%, 15/34) (P < .001). The targets of intravascular US-guided TVB averaged 2.4 cm in the long axis (range, 1.3-3.7 cm) compared with 2.9 cm (range, 1.4-5.7 cm) for those of CT-guided PNB (P = .02). There was no difference in the average number of needle passes (3.8 for intravascular US-guided TVB vs 3.9 for CT-guided PNB; P = .68). The diagnostic accuracy was 94% (30/32) and the adverse event rate was 3.1% (1/32) for intravascular US-guided TVB, similar to those of CT-guided PNB (accuracy, 91% [31/34]; adverse event rate, 2.9% [1/34]). CONCLUSIONS: Intravascular US-guided TVB had a diagnostic accuracy and adverse event rate similar to CT-guided PNB for RP lymph nodes, indicating that intravascular US-guided TVB may be as safe and effective as conventional biopsy approaches for appropriately selected targets.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Biopsia Guiada por Imagen / Ganglios Linfáticos Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Humans Idioma: En Revista: J Vasc Interv Radiol Asunto de la revista: ANGIOLOGIA / RADIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Biopsia Guiada por Imagen / Ganglios Linfáticos Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Humans Idioma: En Revista: J Vasc Interv Radiol Asunto de la revista: ANGIOLOGIA / RADIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos