Image guided percutaneous splenic interventions.

Area of Science:

• Radiology
• Interventional Radiology
• Gastroenterology

Background:

• Splenic lesions and abscesses require accurate diagnosis and effective treatment.
• Traditional diagnostic and therapeutic approaches for splenic conditions can be invasive.
• Image guidance offers potential for minimally invasive splenic interventions.

Purpose of the Study:

• To evaluate the efficacy and safety of image-guided percutaneous splenic interventions.
• To assess the diagnostic accuracy of splenic fine needle aspiration biopsy.
• To determine the effectiveness of percutaneous drainage for splenic abscesses.

Main Methods:

• Retrospective review of 95 image-guided percutaneous splenic interventions in 89 patients.
• Procedures included ultrasound- or CT-guided fine needle aspiration biopsy (n=78) and abscess drainage (n=17).
• Data collected on procedure success, diagnoses, and complications.

Main Results:

• Splenic fine needle aspiration biopsy achieved an 83.78% success rate in diagnosing focal splenic lesions.
• Benign lesions were diagnosed in 58.1% and malignancy in 25.67% of cases.
• Percutaneous drainage of splenic abscesses was 100% successful with no major complications.

Conclusions:

• Image-guided splenic fine needle aspiration biopsy is a safe, accurate diagnostic tool for focal splenic lesions.
• Percutaneous aspiration or catheter drainage is a safe and effective alternative to surgery for splenic abscesses.
• Image-guided percutaneous splenic interventions offer significant diagnostic and therapeutic benefits.