CT- and US-guided biopsy of the pancreas

Kathleen R Brandt, J. W. Charboneau, D. H. Stephens, T. J. Welch, J. R. Goellner

Research output: Contribution to journalArticle

193 Citations (Scopus)

Abstract

A retrospective review of 211 computed tomographic (CT)-guided and 58 ultrasound (US)-guided biopsies of pancreatic lesions performed between 1985 and 1989 was undertaken to evaluate the accuracy of diagnosis and the number of complications. Combined CT and US accuracy in the diagnosis of malignancy was 93%. CT-guided biopsies had an accuracy of 86%, and US-guided biopsies had an accuracy of 95%. Accuracy was higher with larger masses (>3.0 cm, 92%; ≤3 cm, 81%) and larger needle sizes (16-19 gauge, 92%; 20-22 gauge, 85%) and when the mass was located in the body or tail of the pancreas (93%) rather than the head (84%). Major complications developed in three cases (1.1%). No biopsy-related deaths occurred. Needle passage through the gastrointestinal tract, including the colon, did not cause complications.

Original languageEnglish (US)
Pages (from-to)99-104
Number of pages6
JournalRadiology
Volume187
Issue number1
StatePublished - 1993

Fingerprint

Pancreas
Biopsy
Needles
Gastrointestinal Tract
Colon
Head
Neoplasms

Keywords

  • Biopsies, complications
  • Computed tomographic (CT) guidance
  • Pancreas, biopsy
  • Ultrasound (US) guidance

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Brandt, K. R., Charboneau, J. W., Stephens, D. H., Welch, T. J., & Goellner, J. R. (1993). CT- and US-guided biopsy of the pancreas. Radiology, 187(1), 99-104.

CT- and US-guided biopsy of the pancreas. / Brandt, Kathleen R; Charboneau, J. W.; Stephens, D. H.; Welch, T. J.; Goellner, J. R.

In: Radiology, Vol. 187, No. 1, 1993, p. 99-104.

Research output: Contribution to journalArticle

Brandt, KR, Charboneau, JW, Stephens, DH, Welch, TJ & Goellner, JR 1993, 'CT- and US-guided biopsy of the pancreas', Radiology, vol. 187, no. 1, pp. 99-104.
Brandt KR, Charboneau JW, Stephens DH, Welch TJ, Goellner JR. CT- and US-guided biopsy of the pancreas. Radiology. 1993;187(1):99-104.
Brandt, Kathleen R ; Charboneau, J. W. ; Stephens, D. H. ; Welch, T. J. ; Goellner, J. R. / CT- and US-guided biopsy of the pancreas. In: Radiology. 1993 ; Vol. 187, No. 1. pp. 99-104.
@article{795d8368192f4a5e9b3b9a109b943b6f,
title = "CT- and US-guided biopsy of the pancreas",
abstract = "A retrospective review of 211 computed tomographic (CT)-guided and 58 ultrasound (US)-guided biopsies of pancreatic lesions performed between 1985 and 1989 was undertaken to evaluate the accuracy of diagnosis and the number of complications. Combined CT and US accuracy in the diagnosis of malignancy was 93{\%}. CT-guided biopsies had an accuracy of 86{\%}, and US-guided biopsies had an accuracy of 95{\%}. Accuracy was higher with larger masses (>3.0 cm, 92{\%}; ≤3 cm, 81{\%}) and larger needle sizes (16-19 gauge, 92{\%}; 20-22 gauge, 85{\%}) and when the mass was located in the body or tail of the pancreas (93{\%}) rather than the head (84{\%}). Major complications developed in three cases (1.1{\%}). No biopsy-related deaths occurred. Needle passage through the gastrointestinal tract, including the colon, did not cause complications.",
keywords = "Biopsies, complications, Computed tomographic (CT) guidance, Pancreas, biopsy, Ultrasound (US) guidance",
author = "Brandt, {Kathleen R} and Charboneau, {J. W.} and Stephens, {D. H.} and Welch, {T. J.} and Goellner, {J. R.}",
year = "1993",
language = "English (US)",
volume = "187",
pages = "99--104",
journal = "Radiology",
issn = "0033-8419",
publisher = "Radiological Society of North America Inc.",
number = "1",

}

TY - JOUR

T1 - CT- and US-guided biopsy of the pancreas

AU - Brandt, Kathleen R

AU - Charboneau, J. W.

AU - Stephens, D. H.

AU - Welch, T. J.

AU - Goellner, J. R.

PY - 1993

Y1 - 1993

N2 - A retrospective review of 211 computed tomographic (CT)-guided and 58 ultrasound (US)-guided biopsies of pancreatic lesions performed between 1985 and 1989 was undertaken to evaluate the accuracy of diagnosis and the number of complications. Combined CT and US accuracy in the diagnosis of malignancy was 93%. CT-guided biopsies had an accuracy of 86%, and US-guided biopsies had an accuracy of 95%. Accuracy was higher with larger masses (>3.0 cm, 92%; ≤3 cm, 81%) and larger needle sizes (16-19 gauge, 92%; 20-22 gauge, 85%) and when the mass was located in the body or tail of the pancreas (93%) rather than the head (84%). Major complications developed in three cases (1.1%). No biopsy-related deaths occurred. Needle passage through the gastrointestinal tract, including the colon, did not cause complications.

AB - A retrospective review of 211 computed tomographic (CT)-guided and 58 ultrasound (US)-guided biopsies of pancreatic lesions performed between 1985 and 1989 was undertaken to evaluate the accuracy of diagnosis and the number of complications. Combined CT and US accuracy in the diagnosis of malignancy was 93%. CT-guided biopsies had an accuracy of 86%, and US-guided biopsies had an accuracy of 95%. Accuracy was higher with larger masses (>3.0 cm, 92%; ≤3 cm, 81%) and larger needle sizes (16-19 gauge, 92%; 20-22 gauge, 85%) and when the mass was located in the body or tail of the pancreas (93%) rather than the head (84%). Major complications developed in three cases (1.1%). No biopsy-related deaths occurred. Needle passage through the gastrointestinal tract, including the colon, did not cause complications.

KW - Biopsies, complications

KW - Computed tomographic (CT) guidance

KW - Pancreas, biopsy

KW - Ultrasound (US) guidance

UR - http://www.scopus.com/inward/record.url?scp=0027403842&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027403842&partnerID=8YFLogxK

M3 - Article

C2 - 8451443

AN - SCOPUS:0027403842

VL - 187

SP - 99

EP - 104

JO - Radiology

JF - Radiology

SN - 0033-8419

IS - 1

ER -