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Abdominal percutaneous interventional procedures: comparison of CT and US guidance
D H Sheafor1, E K Paulson, C M Simmons
1Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.
Purpose:
To compare ultrasound (US) with computed tomography (CT) as a guidance modality for percutaneous interventional procedures.
Materials And Methods:
A database of abdominal interventional procedures was reviewed for the 6 months preceding and 6 months after the opening of a dedicated US interventional suite. Changes in the number and type of procedures performed, room time, number of needle passes, and complication rates were calculated.
Results:
In the first 6 months, 305 interventional procedures (138 tissue biopsies and 167 fluid aspirations) were performed (CT guidance in 87% [n = 120] and 95% [n = 159], respectively). In the 6 months after installation of the suite, 395 procedures (195 tissue biopsies and 200 fluid aspirations) were performed (US guidance in 76% [n = 148] and 34% [n = 67], respectively). The largest increase in US utilization was for guidance of tissue biopsies, rising from 6% (18 of 305) to 37% (148 of 395) of all procedures. Room time was significantly less for US-guided procedures (mean US room time, 77 minutes +/- 33 [1 standard deviation]; mean CT room time, 99 minutes +/- 38; P < .0001).
Conclusion:
US guidance often allows performance of quicker, more accurate procedures than does CT guidance, probably because of its real-time capabilities.