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Updated: Jun 12, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Image-guided adrenal and renal biopsy
Karun V Sharma1, Aradhana M Venkatesan, Daniel Swerdlow
1Center for Interventional Oncology, Interventional Radiology, Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD 20892, USA. sharmakarun@mail.nih.gov
Image-guided biopsy is a safe and effective method for diagnosing adrenal and renal lesions, even those previously considered difficult. Advances in technology enhance the safety and routine use of these biopsies for definitive tissue diagnosis.
Area of Science:
- Interventional Radiology
- Diagnostic Imaging
- Oncology
Background:
- Image-guided biopsy is a standard interventional radiology procedure.
- Technological advancements have expanded its application to challenging renal and adrenal lesions.
- Definitive tissue diagnosis is crucial for managing these lesions.
Purpose of the Study:
- To review the indications, techniques, and complications of image-guided biopsy for adrenal and renal lesions.
- To highlight organ-specific considerations for adrenal and kidney biopsies.
- To emphasize the expanding role of image-guided biopsy in lesion characterization.
Main Methods:
- Review of image-guided biopsy techniques for adrenal and renal lesions.
- Discussion of technical considerations unique to adrenal and kidney anatomy and physiology.
- Analysis of indications and potential complications.
Main Results:
- Image-guided biopsy is safe and effective for diagnosing adrenal and renal masses.
- Biopsy is essential when imaging and lab tests are inconclusive.
- The technique is increasingly used for pre-treatment characterization of renal masses.
Conclusions:
- Image-guided biopsy is a valuable tool for definitive diagnosis of adrenal and renal lesions.
- Understanding organ-specific nuances is key to successful biopsy.
- This technique plays a vital role in the management of kidney and adrenal diseases.
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