CT- and US-guided biopsy of the pancreas

Kathleen R. Brandt, J. William Charboneau, David H. Stephens, Timothy J. Welch, John R. Goellner

Research output: Contribution to journalArticle

193 Scopus citations

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
DOIs
StatePublished - Apr 1993

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Keywords

  • Biopsies, complications, 770.21, 770.32
  • Computed tomographic (CT) guidance, 770.12112
  • Pancreas, biopsy, 770.1261
  • Ultrasound (US) guidance, 770.12981, 770.12985

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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. https://doi.org/10.1148/radiology.187.1.8451443