Ahmed Y, Novak RD, Nakamoto D, Azar N. Is Ultrasound Fusion a Reasonable Replacement for Computed Tomography in Guiding Abdominal Interventions?
JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2016;
35:1131-1141. [PMID:
27091917 DOI:
10.7863/ultra.15.06007]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Accepted: 08/31/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVES
To compare the diagnostic yield, complication rate, and procedure length of ultrasound fusion-guided liver biopsy to the diagnostic yield, complication rate, and procedure length of computed tomography (CT)-guided liver biopsy; to measure the average ionizing radiation dose that patients are exposed to during a typical CT-guided liver biopsy procedure; and to present relevant and interesting cases of ultrasound fusion-guided abdominal interventions to describe the efficacious use of the technology.
METHODS
A retrospective analysis of 63 patients who had image-guided liver biopsies performed at our institution was completed. Patient records were divided into 2 groups according to the type of image guidance used during the procedure (ultrasound fusion versus CT), and data were compared by the χ(2) test, Student t test, and Mann-Whitney U test.
RESULTS
The diagnostic yields and complication rates were not statistically significantly different between the modalities. The average procedure durations were significantly different: ultrasound fusion-guided biopsy, 31.63 minutes; compared to CT-guided biopsy, 61.67 minutes (P = .003).
CONCLUSIONS
Diagnostic yields and complication rates were comparable for ultrasound fusion and CT. However, the average procedure duration for an ultrasound fusion-guided liver biopsy was approximately half that of CT-guided liver biopsy, likely increasing both cost-effectiveness and patient satisfaction.
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