2016
DOI: 10.1007/s00261-016-0666-2
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Difficult biopsy and drainage: just say yes

Abstract: Abdominal radiologists are often asked to perform difficult percutaneous chest, abdomen, and pelvis biopsies and drainages with imaging guidance. Many of these procedures involve small target lesions far from the skin surface, in close proximity to critical structures. Organ location is changeable due to respiration, peristalsis, and pulsation, further complicating the planning process. High-level three-dimensional spatial awareness is critical to mastery of complex image-guided procedures. A comprehensive gra… Show more

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Cited by 9 publications
(3 citation statements)
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“…We planned the biopsy approach using pre-procedure images, acquired after intravenous contrast administration when necessary. In cases in which direct access to the lesion ( Figure 1 ) was not possible with the coaxial needle, alternative techniques, such as hydrodissection ( Figure 2 ), pneumodissection, and a trans-organ approach ( Figure 3 ), were used ( 11 , 12 ) .…”
Section: Methodsmentioning
confidence: 99%
“…We planned the biopsy approach using pre-procedure images, acquired after intravenous contrast administration when necessary. In cases in which direct access to the lesion ( Figure 1 ) was not possible with the coaxial needle, alternative techniques, such as hydrodissection ( Figure 2 ), pneumodissection, and a trans-organ approach ( Figure 3 ), were used ( 11 , 12 ) .…”
Section: Methodsmentioning
confidence: 99%
“…10 Additionally, drainage from the thoracic cavity or abdominal cavity is common and difficult. 11 Therefore, we considered that increasing the efficacy and safety of the thoracic drainage system is important. Accidental dislodgement of the drain is reported to occur in 7.3% of the cases, 12 and wrong or inappropriate placement of the tube has also been reported.…”
Section: Discussionmentioning
confidence: 99%
“…Image guidance improves the safety and effectiveness of abdominal intervention and creates opportunities for minimal invasive therapies [ 1 5 ]. Ultrasound (US), fluoroscopy, and computed tomography (CT) are commonly used for image-guided procedures.…”
mentioning
confidence: 99%