Doctor insights on:
Ct Guided Biopsy
I had a CT scan with contrast dye and a mrcp with contrast on the same day-- 4hours apart. Also, scheduled a CT guided biopsy 2 days later. Any issue?
Be followed: As long as you have normal renal (kidney) function and you are monitored closely and well hydrated, you should be fine. Best wishes. ...Read more
Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! the image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more
Several places: Usually the procedure is performed by a interventional radiologist either at the hospital or at a free standing ct center. ...Read more
Both are accurate : Liver biopsies are performed for both focal liver lesions and nonfocal generalized liver disease playing a key role in the diagnosis and prognostication of various diffuse liver dysfunctions. Ct-guided procedures are generally reserved for tissue sampling of focal hepatic lesions, not accessible by ultrasound. ...Read more
Is the difference in: Opinion clinically significant? Two pathologists, like any two people may have slightly different view of a given tissue. It is for your doctor to discuss the matter with both parties to see if the differences are just terminology/semantic or do the opinions differ enough to affect diagnosis and treatment. If latter, it would be good to consult a pathologist at a large academic center. ...Read more
They found a spot or scar on my left lung. After 6 months they want to do a CT guided needle biopsy. What is this?
CT guided biopsy: When a spot is close enough to the chest wall, interventional radiologists are able to use ct scan pictures to guide a small needle into a spot. Normally, when a spot is found, we follow it with ct scans. It it looks like it's getting bigger, we plan for a ct guided biopsy to find out what it is. When the spot is away from the chest wall we consider bronchoscopy vs surgical removal. ...Read moreSee 1 more doctor answer
Can a CT guided spine biopsy of L3 result in scar tissue? Had biopsy 3 weeks ago had a burning pain in my right anterior thigh one day later. Serious?
Yes, but consider...: Yes, a ct biopsy can result in scar. However, the L3 nerve root supplies sensation to the anterior thigh. Most likely there is swelling around or irritation of this nerve root which could be expected after this procedure. If it doesn't resolve within a couple weeks, see your md. ...Read more
I have ra, i had a mass on my chest, so they did ct-guided needle biopsy where the thymus is! doc has told me its not sarcoid, but could be lymphoma?
Thymus: May be the source of the mass, and it could be invasive ornon-invasive. Thymomais associated with rheumatologic/auto-immune conditions. Lymphoma is another prospect, more rare are germ cell tumors (teratoma) and substernal thyroid. Sarcoid can involve any node bearing areas. ...Read moreSee 1 more doctor answer
Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more
A vertebroplasty is : The repair of a fractured vertebra that has been compressed by placing a substance commonly referred to as " bone cement" though a needle into the vertebra to eliminate pain from that fracture by stabilizing it and in this type the procedure is done or needle directed under the use of an imaging technique known as a ct or cat scan. ...Read moreSee 1 more doctor answer
See below: I agree with the above answer. Thoracentesis refers to removal of fluid from the spaces surrounding the lungs. This is typically done with ultrasound guidance but can be done with ct guidance. The guidance technique allow localization of the fluid pocket for a more accurate needle placement. ...Read moreSee 1 more doctor answer
Usually not: Most practitioners who perform that procedure instruct the pt to d/c the drug several days before. These days, anyone who does that procedure is expected to have a written protocol that includes such details. If you're not asked whether you're on apixaban or other antithrombotics before the procedure & aren't given preprocedure & aftercare printed instructions, call a big time out. ...Read more
CT is a 3-D scan....: That provides an x-ray cross-sectional view of the scanned body "slice, " allowing any blood or fluid collection to be accurately hit by a long needle or tube that drains off the fluid. The cat or ct scan allows much more accuracy than a "blind" poke with a needle, and also allows the doctor doing the fluid evacuation to see what structures lie along the needle path (more safe; less trauma). ...Read moreSee 1 more doctor answer
Fix a flat: A ct guided CSF leak repair indicates that for some reason- recent surgery on the brain or spine, or a recent epidural or lumbar puncture-there was a persistant loss of cerebrospinal fluid at the site. Typically, the repair of such a leak is accomplished by injecting a small amount of blood drawn from the patient at the site of puncture to form a clot to seal the leak. ...Read moreSee 1 more doctor answer
FNA: The ct is used to guide where a fine needle is inserted from the chest wall to where the nodule is. The ct is used in pulses to locate it not continuous the whole time to avoid too much radiation exposure. Once the needle is deemed in the nodule, aspiration is done to gets cells for study to diagnose cancer, infection, etc. ...Read more
Minimally invasive: A ct guided fine needle biopsy is performed by an interventional radiologist and in ideal situation will have a cytopathologist evaluating the samples at the bed side. The ct is used to guide the needle to the target to acquire a sample. It is usually done with local but sedation can be used . In the right hands it is a very high yield test. Ask your team what their success rate is! ...Read more
CT show multiple perforations of rectum,multiple air pockets,abscess's an large fluid collection in pelvis,should CT guided drainage occur immediately
Large abscesses: should be drained. CT is a good way to do that with ultrasound another option in certain cases. ...Read more
Can a dr be sure by just looking at CT if a nodule is malignant or just be sure by making comparison with last ct? Or shd he do biopsy to be sure
Is it possible to have a normal negative CT scan yet still have lymphoma or will the CT scan determine some abnormality which then leads to a biopsy?
Yes to both.: You can have an indolent lymphoma - abnormal immune cells in the lymphatic system - but in such a stage that the lymph glands aren't yet (or won't be) enlarged. The CT scan only points out glands that are enlarged or suspicious in the region that was scanned (an enlarged gland in the neck will not show up on a CT scan of the chest). Without an abnormal/enlarged gland, there's nothing to biopsy ...Read more
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more