Contrast-enhanced US-guided percutaneous biopsy of anterior mediastinal lesions.
Purpose: We aimed to explore the value of contrast-enhanced ultrasonography (CEUS) in guidance of percutaneous biopsy of anterior mediastinal lesions.Methods: Ninety patients with solitary anterior mediastinal lesions (55 males, 35 females; mean age, 46±4 years) were included. Patients were randomly...
| Publicado en: | Diagnostic & Interventional Radiology Vol. 23; no. 1; pp. 43 - 49 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Galenos Yayinevi Tic. LTD. STI
Jan/Feb2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120576845&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120576845 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13053825 39NM jtl: Diagnostic & Interventional Radiology issn: 13053825 maglogo: N pubinfo: dt: Jan/Feb2017 vid: 23 iid: 1 pid: 28155 pub: Galenos Yayinevi Tic. LTD. STI artinfo: ui: 120576845 120576845 NLM27911263 120576845 10.5152/dir.2016.15590 NLM27911263 120576845 ppf: 43 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Contrast-enhanced US-guided percutaneous biopsy of anterior mediastinal lesions. aug: au: Dong Yi Mao Feng Wang Wen-Ping Ji Zheng-Biao Pei-li Fan Yi, Dong Feng, Mao Wen Ping, Wang Zheng Biao, Ji Fan, Pei Li affil: Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China. sug: subj: Mediastinal Neoplasms Mediastinal Neoplasms Pathology Image Enhancement Methods Male Female Ultrasonography Middle Age Adult Biopsy, Needle Human Contrast Media Aged Young Adult Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Middle Aged: 45-64 years Adult: 19-44 years Aged: 65+ years Male Female ab: Purpose: We aimed to explore the value of contrast-enhanced ultrasonography (CEUS) in guidance of percutaneous biopsy of anterior mediastinal lesions.Methods: Ninety patients with solitary anterior mediastinal lesions (55 males, 35 females; mean age, 46±4 years) were included. Patients were randomly divided into CEUS group (n=45) and conventional ultrasonography (US) group (n=45). Real-time US-guided core needle (16 G) percutaneous biopsies were performed in all lesions. The display of internal mammary arteries, internal necrosis, and active areas were recorded and compared. Biopsy success rate and diagnostic accuracy were compared between the two groups.Results: Display rate of unenhanced internal necrosis was higher in the CEUS group than in the US group (88.9% vs. 46.7%, P = 0.041). With real-time CEUS guidance, internal mammary arteries were effectively displayed and avoided during biopsies in 68.9% of the lesions (31/45). Of the lesions, 88.9% (80/90) were histologically proven, including 13 benign lesions and 67 malignancies. There was a significant difference in the rate of successful puncture attempts between the two groups (P = 0.041). CEUS group had a higher biopsy success rate (100% vs. 95.5%, P = 0.045) and higher diagnostic accuracy (97.8% vs. 82.2%, P = 0.035) compared with the US group (P = 0.035).Conclusion: CEUS guidance is a promising technique in depicting internal necrotic areas, viable areas, and internal mammary arteries during percutaneous biopsy of anterior mediastinal lesion, with satisfying safety, accuracy, and success rates. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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