Threading the needle: Tips and tricks for challenging percutaneous abdominopelvic biopsies

Area of Science:

• Interventional Radiology
• Oncologic Imaging
• Percutaneous Procedures

Background:

• Personalized oncologic care increasingly relies on biomarker testing, driving demand for percutaneous biopsies.
• Complex and repeated abdominal biopsies present significant challenges for interventional radiologists.
• Careful assessment of feasibility, safety, and patient risk tolerance is crucial for challenging biopsies.

Purpose of the Study:

• To provide practical tips and tricks for performing challenging percutaneous biopsies.
• To outline strategies for optimizing success in image-guided biopsies.
• To address the growing need for complex biopsies in interventional radiology.

Main Methods:

• Review of current strategies for challenging percutaneous biopsies.
• Discussion of image guidance modality selection and patient comfort measures.
• Exploration of specialized techniques including IV contrast, navigation tools, and needle modifications.

Main Results:

• Leveraging imaging modality advantages can improve biopsy success.
• Ensuring patient comfort is a key factor in procedure management.
• Specialized techniques like IV contrast and navigational tools enhance procedural outcomes.

Conclusions:

• Implementing specific strategies can optimize the success of challenging percutaneous biopsies.
• Interventional radiologists can enhance diagnostic yield and patient safety through refined techniques.
• This review offers practical guidance for complex biopsy procedures in oncologic care.