| Autor: |
Vogl, Thomas Joseph, Ketelsen, Heinrich Johannes, Mahmoudi, Scherwin, Scholtz, Jan-Erik, Koch, Vitali, Grünewald, Leon David, Wild, Peter, Stoever, Timo, Bernatz, Simon |
| Předmět: |
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| Zdroj: |
European Radiology; Aug2024, Vol. 34 Issue 8, p5370-5378, 9p |
| Abstrakt: |
Background: Although core needle biopsy is an important tool in minimally invasive tissue sampling and diagnostics for head and neck masses, comprehensive data about safety and outcomes is lacking. Purpose: To retrospectively evaluate the diagnostic performance and safety of computed tomography (CT)-guided percutaneous core needle biopsy of head and neck masses. Material and methods: This retrospective single-center study included patients from 04/2007 to 12/2021, and a total of 156 core needle biopsies were evaluated. The initial histopathological results were compared with the long-term final diagnosis to evaluate the diagnostic yield of CT-guided core needle biopsies. The patients' age, sex, and history of malignancy, as well as procedural complications and radiation exposure were collected. Results: A total of 156 biopsies of 150 patients (mean age 56 years ± 17; 89 men) were evaluated. 57.3% (86/150) of patients had a history of malignancy. 55.1% (86/156) of the lesions were accessed by an infrahyoid needle approach. 92.9% (145/156) of biopsies yielded conclusive results. There were no false positives and 4 false negatives, resulting in a total false negative rate of 2.7% (4/145) and a total diagnostic yield of 90.4% (141/156). There were nine puncture-related complications (9/156–5.7%). None of the complications required further reintervention. The average dose length product was 311.3 mGy × cm. Conclusion: CT-guided core needle biopsies of head and neck masses showed excellent results with high diagnostic yield and clinical safety. Clinical relevance statement: General anesthesia for open biopsy carries a higher risk for elderly patients, and fine needle aspiration has a poor reputation in terms of its diagnostic yield. This study focuses on safety and diagnostic yield of CT-guided core needle biopsies. Key Points: • CT-guided core needle biopsy in head and neck tumors was a reliable and safe procedure. • The most common cause for an inconclusive biopsy result was a shortage of tissue collected during the biopsy. • During our study period of nearly 15 years, the radiation exposure of head and neck biopsies decreased. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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