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Image-guided renal parenchymal biopsies- how we do it.

Paul B Shyn¹, Maitray D Patel², Malak Itani³

¹Brigham and Women's Hospital, Harvard Medical School, Boston, USA. pshyn@bwh.harvard.edu.

Abdominal Radiology (New York)

|November 25, 2024

Summary

This review covers image-guided renal parenchymal biopsies, detailing indications, techniques, and management for both native and transplant kidneys. It provides a comprehensive overview of this crucial diagnostic procedure.

Keywords:

CT Kidney Needle biopsy Renal Transplant Ultrasound

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Area of Science:

Nephrology
Radiology
Urology

Background:

Image-guided renal biopsies are essential for diagnosing kidney diseases.
Both native and transplant kidneys require accurate tissue sampling.

Purpose of the Study:

To provide a comprehensive multi-institutional review of image-guided renal parenchymal biopsies.
To cover all aspects from indications to postprocedural care.

Main Methods:

Multi-institutional review of clinical practices and outcomes.
Analysis of indications, preprocedural planning, biopsy techniques, complication rates, and patient management.
Inclusion of data for both native and transplant kidney biopsies.

Main Results:

Image-guided renal biopsies are a safe and effective diagnostic tool.
Standardized approaches to indications, technique, and management can optimize outcomes.
Complications are generally low when performed by experienced teams.

Conclusions:

Image-guided renal biopsy is a cornerstone in the evaluation of native and transplant kidney diseases.
Adherence to best practices in preprocedural, procedural, and postprocedural phases is critical for patient safety and diagnostic yield.
Further multi-institutional collaboration can refine guidelines and improve patient care.