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Pitfalls in image guided tissue sampling in the head and neck.

Gamaliel Lorenzo1, Amit M Saindane

  • 1Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA. GLorenzo@salud.unm.edu

Neuroimaging Clinics of North America
|December 4, 2012
PubMed
Summary

Ultrasound-guided fine-needle aspiration (UG-FNA) is a safe and effective method for head and neck cancer management. Neuroradiologists can master UG-FNA by understanding anatomy and potential pitfalls for successful tissue sampling.

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Area of Science:

  • Radiology
  • Oncology
  • Head and Neck Surgery

Background:

  • Image-guided tissue sampling is crucial for head and neck cancer management.
  • Ultrasound-guided fine-needle aspiration (UG-FNA) offers advantages over palpation-guided and computed tomography-guided FNA.
  • The success of UG-FNA relies on operator expertise and understanding of complex head and neck anatomy.

Purpose of the Study:

  • To highlight the importance and benefits of ultrasound-guided fine-needle aspiration (UG-FNA) in head and neck cancer management.
  • To emphasize the role of neuroradiologists in performing UG-FNA.
  • To discuss the critical factors for successful UG-FNA technique and recognition of potential pitfalls.

Main Methods:

  • Review of ultrasound-guided fine-needle aspiration (UG-FNA) techniques.

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  • Comparison of UG-FNA with palpation-guided FNA and computed tomography-guided FNA.
  • Discussion of anatomical considerations and nodal spread patterns in the head and neck.

    • Main Results:

    • Ultrasound-guided fine-needle aspiration (UG-FNA) is a safe and effective procedure.
    • UG-FNA provides significant advantages for head and neck cancer diagnosis and management.
    • Computed tomography-guided FNA remains valuable for deep lesions or when ultrasound visualization is limited.

    Conclusions:

    • Ultrasound-guided fine-needle aspiration (UG-FNA) is an ideal technique for neuroradiologists in head and neck cancer management.
    • Mastery of UG-FNA requires understanding complex anatomy and potential pitfalls.
    • Computed tomography-guided FNA serves as a complementary tool for specific clinical scenarios.