CT fluoroscopy-guided renal tumour cutting needle biopsy: retrospective evaluation of diagnostic yield, safety, and risk factors for diagnostic failure

Iguchi, Toshihiro; Hiraki, Takao; Matsui, Yusuke; Fujiwara, Hiroyasu; Sakùrai, Jun; Masaoka, Yoshihisa; Gobara, Hideo; Kanazawa, Susumu

doi:10.1007/s00330-017-4969-7

Cited by 12 publications

(22 citation statements)

References 30 publications

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“…During the operation, the renal puncture technique guided by B-ultrasound can observe the condition of the puncture needle in the kidney from multiple levels and angles, which can further reduce the damage to the large blood vessels and surrounding tissue in the kidney, and is safe. 15,16 Relevant studies have shown that compared with CT-guided renal biopsy, this method is safe, economical, less traumatic, shorter in recovery period, and has strong operability and reproducibility. [17][18][19] Nursing care for complications.…”

Section: Discussionmentioning

confidence: 99%

Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing

Dong

Zhao

et al. 2021

Pak J Med Sci

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Objectives: This study was to explore the application value of B-ultrasound in guiding puncture biopsy of chronic kidney disease (CKD) and the clinical nursing effects under the guidance of B-ultrasound. Methods: Pathological examination of kidney biopsy was performed on 94 patients with CKD under the guidance of ultrasound from August 2020 to December 2020.; patients were observed for symptoms such as low back pain, backache, hematuria, and subcapsular hematoma. Color Doppler ultrasonography was performed on the punctured patients on day 1, 2, and 3 to observe whether there was subrental hematoma. The pathological results were analyzed and the success rate of percutaneous renal biopsy under ultrasound guidance was analyzed. Before the patient was discharged, investigate the satisfaction with the nursing work. Results: (1) After the puncture, 45 patients developed low back pain and low back pain symptoms, 12 cases developed subcapsular hematoma; 8 cases showed gross hematuria, 62 cases showed microscopic hematuria, and the rest had no obvious symptoms; (2) the nursing satisfaction rate of 94 cases was as high as 95.7%. Conclusion: US-PRB is a safe and effective auxiliary examination method, which can improve the success rate of puncture and reduce postoperative complications. Effective nursing can reduce the incidence of postoperative complications and improve patient satisfaction. doi: https://doi.org/10.12669/pjms.37.6-WIT.4831 How to cite this:Dong L, Li J, Zhao M, Ren J. Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing. Pak J Med Sci. 2021;37(6):1564-1568. doi: https://doi.org/10.12669/pjms.37.6-WIT.4831 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing

Dong

Zhao

et al. 2021

Pak J Med Sci

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“…High success rates have been reported for CT-guided biopsies of other organs: liver, 86–100% [8,13]; retroperitoneal tumors, 95.9 % [14]; pancreas, >90% [15,16]; adrenal glands, 96% [17]; kidney, 79–90.8% [18,19]; bone, >94% [20,21]. With an overall biopsy success rate of 92.3%, our results were similar with those reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

CT-guided procedures: an initial experience

Roman

Achimaș-Cădariu

Fetică

et al. 2018

Medicine and Pharmacy Reports

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Background and aimsDespite their usefulness, CT-guided procedures have a low profile in Romania. The current study has the purpose of describing a first experience in performing these procedures.MethodsTumors and fluid collections that were inaccessible for biopsy or drainage by ultrasound or endoscopic guidance were included. The procedures were performed using a 64-slice GE Optima CT660 CT scanner. The biopsies were carried out using the coaxial technique with an 18 G semiautomatic needle. The drainages were performed using 10 F pig-tail drains that were inserted using the Seldinger technique. Data regarding the size and location of the target lesion, puncture technique, success and complication rates were recorded.ResultsBetween May 2017 and April 2018, 30 procedures were performed, of which 26 biopsies and 4 drainage insertions. Of the biopsies 3 were mediastinal, 8 pulmonary, 6 retroperitoneal, 4 pelvic, and 5 of the bone. The drainages were performed for pelvic lymphoceles. The average lesion size was 3.2 cm (0.7–9 cm), with a depth from the skin of 9.1 cm (0.6–15.2 cm). The average procedure duration was 58 minutes (31–93 minutes). A conclusive histopathological diagnosis was set after 92.3% of biopsies. Three procedures resulted in complications, two being minor (hemothorax, soft tissue hematoma) and one severe (tension pneumothorax requiring drainage).ConclusionsCT guidance offers safe access to lesions that cannot be biopsied or drained under ultrasound or endoscopic guidance.

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“…Liver and renal epithelial cells were obtained from PhbA using a biopsy needle as previously described ( 23 ). Cells were cultured in minimal essential medium supplemented with 10% fetal bovine serum (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany).…”

Section: Methodsmentioning

confidence: 99%

Human fibroblast growth factor-21 serves as a predictor and prognostic factor in patients with hepatitis B cirrhosis combined with adrenal insufficiency

Zhang

et al. 2018

Exp Ther Med

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Hepatitis B cirrhosis is caused by liver cell necrosis, residual liver cell nodular regeneration, connective tissue hyperplasia and fiber formation, which frequently leads to adrenal insufficiency. Previous reports have demonstrated that human fibroblast growth factor (hFGF)-21 is a multifunctional protein that exhibits potential therapeutic value for metabolic diseases. The present study investigated the diagnostic value of hFGF-21 and analyzed the potential molecular mechanism in the progression of hepatitis B cirrhosis combined with adrenal insufficiency. Characteristics of cellular immunity and humoral immunity were analyzed in patients with hepatitis B cirrhosis combined with adrenal insufficiency (PhbA). Results demonstrated that expression levels of hFGF-21 were downregulated in plasma and liver cells isolated from clinical specimens. Plasma concentration levels of hFGF-21 were upregulated in prognostic PhbA. In vitro assays indicated that hFGF-21 treatment decreased the continuous deposition of extracellular matrix and reactive oxygen species in liver cells isolated from clinical specimens. Results also demonstrated that hFGF-21 treatment downregulated inflammatory cytokines. It was observed that hFGF-21 treatment downregulated nuclear factor (NF)-κB and Kruppel-like factor 6. Notably, transforming growth factor (TGF)-β, platelet-derived growth factor and epidermal growth factor levels were improved by hFGF-21 treatment. In conclusion, these results indicated that hFGF-21 inhibits inflammation by regulation of the NF-κB-mediated TGF-β signaling pathway, which may serve as a predictor and prognostic factor in PhbA.

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CT fluoroscopy-guided renal tumour cutting needle biopsy: retrospective evaluation of diagnostic yield, safety, and risk factors for diagnostic failure

Abstract: • CT fluoroscopy-guided renal tumour biopsy has a high diagnostic yield. • CT fluoroscopy-guided renal tumour biopsy is safe. • Small tumour size (≤1.5 cm) is a risk factor for diagnostic failure.

Cited by 12 publications

References 30 publications

Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing

Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing

CT-guided procedures: an initial experience

Human fibroblast growth factor-21 serves as a predictor and prognostic factor in patients with hepatitis B cirrhosis combined with adrenal insufficiency

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