Feasibility and effectiveness of image-guided percutaneous biopsy of the urinary bladder

Verfasser / Beitragende:
[Selim Butros, Colin McCarthy, Ali Karaosmanoğlu, Anuradha Shenoy-Bhangle, Ronald Arellano]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/6(2015-08-01), 1838-1842
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0356-5  |2 doi 
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245 0 0 |a Feasibility and effectiveness of image-guided percutaneous biopsy of the urinary bladder  |h [Elektronische Daten]  |c [Selim Butros, Colin McCarthy, Ali Karaosmanoğlu, Anuradha Shenoy-Bhangle, Ronald Arellano] 
520 3 |a Purpose: To evaluate the indications, technique, results, and complications of image-guided percutaneous biopsy of the urinary bladder. Methods: This retrospective study included 15 patients (10 male, 5 female) who underwent image-guided percutaneous biopsy of the urinary bladder between January 1999 and December 2013. The medical records, imaging studies, procedural details, and long-term follow-up of each patient were reviewed in detail to assess the feasibility of percutaneous bladder biopsy. Results: Ten patients had focal bladder masses and 5 patients had asymmetric or diffuse bladder wall thickening. Eleven patients had either negative or unsatisfactory cystoscopies prior to the biopsy. Percutaneous biopsies were performed under computed tomography guidance in 12 patients and ultrasound in 3 patients. All procedures were technically successful and there were no procedural complications. Malignancy was confirmed in 8 patients, among whom 6 had transitional cell carcinoma, 1 cervical cancer, and 1 prostate cancer metastasis. Seven patients had a benign diagnosis, including 3 that were later confirmed by pathology following surgery and 2 patients with a false-negative result. The overall sensitivity was 80% and accuracy was 87%. Conclusions: Image-guided percutaneous biopsy of the urinary bladder is a safe and technically feasible procedure with a high sensitivity and accuracy rate. Although image-guided bladder biopsy is an uncommon procedure, it should be considered in selected cases when more traditional methods of tissue sampling are either not possible or fail to identify abnormalities detected by cross-sectional imaging. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Bladder biopsy  |2 nationallicence 
690 7 |a Transitional cell carcinoma  |2 nationallicence 
690 7 |a Malignant tumor of urinary bladder  |2 nationallicence 
690 7 |a CT-guided biopsy  |2 nationallicence 
690 7 |a Pathology  |2 nationallicence 
700 1 |a Butros  |D Selim  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
700 1 |a McCarthy  |D Colin  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
700 1 |a Karaosmanoğlu  |D Ali  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
700 1 |a Shenoy-Bhangle  |D Anuradha  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
700 1 |a Arellano  |D Ronald  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1838-1842  |x 0942-8925  |q 40:6<1838  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0356-5  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-015-0356-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Butros  |D Selim  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a McCarthy  |D Colin  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Karaosmanoğlu  |D Ali  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shenoy-Bhangle  |D Anuradha  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Arellano  |D Ronald  |u Department of Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1838-1842  |x 0942-8925  |q 40:6<1838  |1 2015  |2 40  |o 261