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Percutaneous punctures: a new radiological skill.

Abstract

Percutaneous aspiration or biopsy of abdominal masses is being performed with increasing frequency. Percutaneous puncture under fluoroscopic control is the simplest technique; it has the advantage that contrast media can be inserted into a cyst to outline its walls. Ultrasound can play an important role in guiding punctures if the mass or organ to be punctured cannot be seen on a radiograph or will be approached from an unusual angle. CT scanning is the preferred procedure for guiding the puncture of bone lesions and some small structures. The author concludes there may soon be a need for abdominal-puncture experts.

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BibTeXRIS

R C Sanders. 1978. Percutaneous punctures: a new radiological skill.. https://doi.org/10.1148/127.3.833

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Targeting difficult accessible breast lesions: MRI-guided needle localization using a freehand technique in a 3.0 T closed bore magnet.

PURPOSE: To report the accuracy of magnetic resonance imaging (MRI)-guided needle localization for diagnosis of MRI detected suspicious breast lesions located in difficult accessible regions of the breast, using the freehand method in a 3.0 T closed bore magnet. MATERIALS AND METHODS: In five patients with five MRI-only breast lesions underwent MRI-guided needle localization for histopathologic evaluation of the lesions. All interventional procedures were performed in a 3.0 T MRI system with the patient in prone position and by using a dedicated phased array breast coil. MRI-guided needle localizations were performed by using a freehand technique. In our study, the high-resolution scan allowed preprocedural localization of all lesions without use of contrast enhancement. In all cases contrast-enhanced MRI was performed after insertion of the wire to confirm the tip of the wire in direct contact with the enhancing lesion. RESULTS: Needle localizations were performed in five patients. Histopathologic evaluation of tissue after surgery excision biopsy revealed one lymph node, three invasive ductal carcinoma and one ductal carcinoma in situ. Lesion size varied from 6 to 30 mm. Mean duration time was 25 min. No complications occurred during the intervention method. In the patient with the benign lesion control MRI of the breast after 6 months confirmed lesion removal. CONCLUSIONS: MRI-guided needle localization by using a freehand technique in a 3.0 T closed bore magnet is a safe and accurate method for diagnosis of difficult accessible breast lesions only visible on MRI.

Biopsy, Needle↗