A Practical Approach to Performing a Contrast-Enhanced Ultrasound-Guided Percutaneous Liver Biopsy

2019 ◽  
Author(s):  
Shahir Monsuruddin ◽  
Umairullah Lodhi ◽  
Brian Burke
Keyword(s):  
Liver Biopsy ◽  
Practical Approach ◽  
Contrast Enhanced Ultrasound ◽  
Percutaneous Liver Biopsy ◽  
Ultrasound Guided ◽  
Contrast Enhanced

Diagnosis of Hepatosplenic Sarcoidosis by Contrast-Enhanced Ultrasound Guided Needle Biopsy

Ultrasound ◽  
2008 ◽  
Vol 16 (4) ◽  
pp. 196-198 ◽  
Author(s):  
Roberto Chiavaroli ◽  
Pierfrancesco Grima ◽  
Paola Calabrese ◽  
Piero Grima
Keyword(s):  
Case Report ◽  
Liver Biopsy ◽  
Needle Biopsy ◽  
Systemic Disease ◽  
Final Diagnosis ◽  
The Body ◽  
Contrast Enhanced Ultrasound ◽  
Ultrasound Guided ◽  
Contrast Enhanced ◽  
History Of

Sarcoidosis is a systemic disease characterised by non-caseating multiple granulomas involving virtually any organ in the body. The aetiology and natural history of sarcoidosis remains obscure. Hepatosplenic sarcoidosis is rare with image-based diagnosis difficult if no other organ is already involved. This case report describes a patient with asymptomatic liver and spleen involvement in which a final diagnosis was achieved with contrast enhanced ultrasound (CEUS) guided liver biopsy.

scholarly journals Assessment of Track Microbubble Flow Signals on Contrast-enhanced Ultrasound with Perflubutane Following Percutaneous Liver Biopsy

2013 ◽  
Vol 52 (13) ◽  
pp. 1455-1459 ◽  
Author(s):  
Shiho Tokunaga ◽  
Masahiko Koda ◽  
Jun Kato ◽  
Kenichi Miyoshi ◽  
Manabu Kishina ◽  
...  
Keyword(s):  
Liver Biopsy ◽  
Contrast Enhanced Ultrasound ◽  
Percutaneous Liver Biopsy ◽  
Contrast Enhanced

scholarly journals Increased Needle Visibility in Ultrasound-Guided Percutaneous Liver Biopsy by an Echogenic Sheath: A Proof of Concept Study in a Human Cadaver

2021 ◽  
Author(s):  
Jana S. Hopstaken ◽  
Leon de Jong ◽  
Jurgen J. Fütterer
Keyword(s):  
Pilot Study ◽  
Liver Biopsy ◽  
Human Cadaver ◽  
Percutaneous Liver Biopsy ◽  
Ultrasound Guided ◽  
Biopsy Needle ◽  
Phantom Model ◽  
Likert Score ◽  
Contrast Analysis ◽  
Needle Visibility

Abstract Purpose For the safety and success of an ultrasound-guided percutaneous liver biopsy, needle visibility and needle tip identification are critical. The aim of this pilot study was to evaluate the influence of an innovative echogenic sheath placed over a standard biopsy needle on needle visibility in ultrasound imaging. Materials and methods Ultrasound videos of three sheaths with different coating characteristics (echogenicity) and one conventional liver biopsy needle were recorded at two angles (30° and 60°) and two depths (5 and 10 cm) in a human cadaver. The videos were blinded for needle type and presented to five independent radiologists who used Likert-scale scoring to rank each video for six characteristics on needle visibility. In addition, a phantom model was used to acquire standardized images for quantitative evaluation of the ultrasound visibility. Comparative statistical analysis consisted of a one-way ANOVA. Results The three prototype sheaths were ranked higher than the control needle at 60° with 5 cm depth, with an equal performance for the other conditions. The radiologists expressed more confidence in taking a biopsy with the echogenic sheaths than with the control needle, with 1 Likert score difference at 30°. Contrast analysis in the phantom model showed a statistically significant effect of a sheath (p = 0.004) on echogenic intensity. Conclusion This pilot study suggests that the use of an echogenic sheath may increase needle visibility, particularly for trajectories requiring steeper insertion angles. To investigate the superiority of the echogenic sheath over conventional needles, a clinical study is necessary.

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