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Updated: Feb 1, 2026

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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
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Summary
Nephrologists can now perform renal biopsies with only an ultrasound technologist, enhancing efficiency and safety. This guide details the successful change process for physicians and technologists in performing these vital kidney procedures.
Area of Science:
- Nephrology
- Medical Imaging
- Healthcare Management
Background:
- Healthcare cost-containment measures necessitated changes in renal biopsy procedures.
- Interventional radiology resources were no longer available for nephrologists performing renal biopsies.
Purpose of the Study:
- To redesign the renal biopsy procedure for nephrologists using only an ultrasound technologist.
- To guide technologists and physicians through a change process for efficient and safe biopsy performance.
Main Methods:
- Redesigning the renal biopsy procedure to be performed by nephrologists with an ultrasound technologist.
- Training sonographers to acquire necessary skills and competencies for invasive procedures.
- Implementing a structured change process for healthcare professionals.
Main Results:
- Development of an efficient and safe method for performing renal biopsies.
- Successful adaptation of ultrasound technologists to new procedural roles.
- Facilitation of continued physician-performed biopsies.
Conclusions:
- The redesigned renal biopsy procedure is efficient and safe.
- Ultrasound technologists can be trained to perform essential roles in invasive procedures.
- Effective change management is crucial for adapting healthcare practices.
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