Koch Guillaume, Garnon Julien, Tsoumakidou Georgia, Edalat Faramarz, Caudrelier Jean, Cazzato Roberto Luigi, Gangi Afshin
Department of Interventional Radiology, Nouvel Hôpital Civil, Centre Régional Universitaire de Strasbourg, Strasbourg, France; Department of Anatomy, Strasbourg University School of Medicine, Strasbourg, France.
Department of Interventional Radiology, Nouvel Hôpital Civil, Centre Régional Universitaire de Strasbourg, Strasbourg, France.
J Vasc Interv Radiol. 2018 Feb;29(2):285-290. doi: 10.1016/j.jvir.2017.04.023.
Twenty-four magnetic resonance (MR) imaging-guided percutaneous adrenal biopsies performed between April 2009 and October 2016 were reviewed retrospectively. Epidemiologic, procedural, and histopathologic data were retrospectively collected. Mean size of tumors was 4.3 cm (range, 1.5-16.0 cm). Mean procedure time was 49 min (range, 24-95 min). Mean needle angulation was 27.7° (range, 0°-60°). Mean depth was 9.6 cm (range, 5.8-13.7 cm). The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of MR imaging-guided biopsy were 95.5%, 100%, 100%, 66.7%, and 95.8%, respectively. There were no immediate or delayed complications. MR imaging guidance seems safe and accurate to target adrenal-gland masses.
回顾性分析了2009年4月至2016年10月期间进行的24例磁共振（MR）成像引导下经皮肾上腺活检。回顾性收集了流行病学、操作过程及组织病理学数据。肿瘤平均大小为4.3 cm（范围1.5 - 16.0 cm）。平均操作时间为49分钟（范围24 - 95分钟）。平均进针角度为27.7°（范围0° - 60°）。平均深度为9.6 cm（范围5.8 - 13.7 cm）。MR成像引导活检的敏感性、特异性、阳性预测值、阴性预测值及准确性分别为95.5%、100%、100%、66.7%和95.8%。未出现即刻或延迟并发症。MR成像引导似乎对肾上腺肿块的靶向定位安全且准确。
