Effect of needle gauge and lobe laterality on parenchymal liver biopsy outcome: a retrospective analysis
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| 024 | 7 | 0 | |a 10.1007/s00261-014-0290-y |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00261-014-0290-y | ||
| 245 | 0 | 0 | |a Effect of needle gauge and lobe laterality on parenchymal liver biopsy outcome: a retrospective analysis |h [Elektronische Daten] |c [Gopal Vijayaraghavan, Srinivasan Vedantham, Vikram Rangan, Adib Karam, Larry Zheng, Abhijit Roychowdhury, Sarwat Hussain] |
| 520 | 3 | |a Purpose: To analyze the effect of lobe selection, needle gauge, and number of passes on procedure outcomes in terms of specimen length and post-procedure complications. Methods: In this HIPAA-compliant, IRB-approved retrospective study, the data from 771 ultrasound-guided adult parenchymal liver biopsies were analyzed. Post-procedure complications were assigned a 3-point rating scale. Associations between specimen length and post-procedure complications with lobe laterality, needle gauge, and number of passes were analyzed. Multivariate logistic regression models were used to analyze the likelihood for achieving a specimen length of at least 2cm. Results: Post-procedure complications were not associated with lobe laterality, needle gauge, and number of passes (p>0.3). Specimen length was associated withthe number of passes dichotomized at the study mean (p=0.007), but not with lobe laterality or needle gauge (p>0.2). After adjusting for lobe laterality and needle gauge, procedures with 1 or 2 passes were associated with a higher likelihood of obtaining a 2cm or longer specimen (OR 2.469; CI 1.08-5.63, p=0.0315) than procedures with 3 or more passes, possibly due to poorer sample quality. After adjusting for lobe laterality, an 18-gauge needle was associated with higher odds of a biopsy procedure with 1 or 2 passes (OR 3.665; CI 1.93-6.95, p<0.0001) than a 20-gauge needle. Conclusions: Lobe laterality was not associated with specimen length or post-procedure complications. An 18-gauge needle compared to a 20-gauge needle could reduce the need for a procedure with more than 2 passes. There was no difference in post-procedure complications between the two needle sizes. | |
| 540 | |a Springer Science+Business Media New York, 2014 | ||
| 690 | 7 | |a Liver (A03.620) |2 nationallicence | |
| 690 | 7 | |a Image-guided biopsy (E01.370.388.100.370) |2 nationallicence | |
| 690 | 7 | |a Ultrasonography (E01.370.350.850) |2 nationallicence | |
| 690 | 7 | |a Hepatitis (C06.552.380) |2 nationallicence | |
| 700 | 1 | |a Vijayaraghavan |D Gopal |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | |
| 700 | 1 | |a Vedantham |D Srinivasan |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | |
| 700 | 1 | |a Rangan |D Vikram |u Department of Gastroenterology, MetroHealth Medical Center, 2500 MetroHealth Drive, 44109, Cleveland, OH, USA |4 aut | |
| 700 | 1 | |a Karam |D Adib |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | |
| 700 | 1 | |a Zheng |D Larry |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | |
| 700 | 1 | |a Roychowdhury |D Abhijit |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | |
| 700 | 1 | |a Hussain |D Sarwat |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | |
| 773 | 0 | |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/5(2015-06-01), 1223-1229 |x 0942-8925 |q 40:5<1223 |1 2015 |2 40 |o 261 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00261-014-0290-y |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 | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00261-014-0290-y |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Vijayaraghavan |D Gopal |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Vedantham |D Srinivasan |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Rangan |D Vikram |u Department of Gastroenterology, MetroHealth Medical Center, 2500 MetroHealth Drive, 44109, Cleveland, OH, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Karam |D Adib |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Zheng |D Larry |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Roychowdhury |D Abhijit |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Hussain |D Sarwat |u Department of Radiology, University of Massachusetts Medical School, 55 Lake Avenue North, 01655, Worcester, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/5(2015-06-01), 1223-1229 |x 0942-8925 |q 40:5<1223 |1 2015 |2 40 |o 261 | ||