CT-guided Native Medical Renal Biopsy: Cortical Tangential versus Non-Tangential Approaches—A Comparison of Efficacy and Safety
| Autor: | Bo Liu, Matthew C O'Dell, Thomas J. Ward, Andrew R. Lewis, Miguel Flores, Melissa Kendall, Jeremy R. Burt, Julie Pepe, Francisco Contreras, Joseph Limback |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Image-Guided Biopsy Male medicine.medical_specialty Adolescent 030232 urology & nephrology Kidney Radiography Interventional 030218 nuclear medicine & medical imaging Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Text mining medicine Humans Radiology Nuclear Medicine and imaging Child Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Biopsy Needle Infant Middle Aged Surgery Child Preschool Female Kidney Diseases Renal biopsy Radiology Tomography X-Ray Computed business |
| Zdroj: | Radiology. 283:293-299 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiol.2016160912 |
| Popis: | Purpose To review a single-center experience with the cortical tangential approach during computed tomography (CT)-guided native medical renal biopsy and to evaluate its efficacy and safety compared with those of a non-cortical tangential approach. Materials and Methods This retrospective study received institutional review board approval, with a waiver of the HIPAA requirement for informed consent. The number of cores, glomeruli, and complications were reviewed in 431 CT-guided medical renal biopsies performed between July 2007 and September 2015. A biopsy followed a cortical tangential approach if the needle path was parallel to the renal cortical surface, at a depth closer to the renal capsule than the renal pelvic fat. A sample was considered adequate if the biopsy yielded at least 10 glomeruli at light microscopy, one glomerulus at immunofluorescence microscopy, and one glomerulus at electron microscopy. The χ |
| Databáze: | OpenAIRE |
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