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Doctor insights on: Ct Guided Biopsy Liver

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Dr. David Rosenfeld
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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Ultrasound guided or CT guided biopsy of liver. Which is more accurate?

Ultrasound guided or CT guided biopsy of liver. Which is more accurate?

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

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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?

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

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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?

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 more

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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?

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

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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?

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 more

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Liver cyst on CT scan need biopsy?

Liver cyst on CT scan need biopsy?

Almost certainly not: Provided it is a 'simple cyst' which is a fluid filled sac. Sometimes if there is debris or septations as cyst may be aspirated. If you are asymptomatic and the lesion is a simple cyst, it's best left alone. ...Read more

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If the CT report suggests metastasis , what except biopsy can totally confirm the same in the case of liver and pancreas ?

Nothing: A biopsy is the only certain way to make a diagnosis. However, the radio graphic appearance and the finding of a very high ca 19-9 (a blood test pancreatic cancer marker) can strongly suggest pancreatic cancer. ...Read more

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Two areas showed up on CT scan 2 1/2 months ago liver & abdom lymph both Biopsied & negative. Repeat scan showed growth. Could it be Cancer returned?

Two areas showed up on CT scan 2 1/2 months ago liver & abdom lymph both Biopsied & negative.  Repeat scan showed growth. Could it be Cancer returned?

Suspect cancer: In someone with prior cancer, this secenario makes me suspect recurrence of cancer in the lymph nodes and in the liver. What did your doctor tell you and advise you to do? You should see your oncologist if you have had one in the past ...Read more

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I had a liver biopsy and have had terrible pain when i breath since. I had a dye-ct scan which was negative. Why such pain?

I had a liver biopsy and have had terrible pain when i breath since. I had a dye-ct scan which was negative. Why such pain?

Biopsy approach: Depending on approach to the liver, you can sometimes stimulate a nerve (did they go between the ribs?). Also, the capsule surrounding the liver is very sensitive and difficult to numb. The pain should go away, but may take time. So long as you feel ok, and the pain is not increasing, you can use whatever meds your doctor suggests. ...Read more

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I have fatty liver , jaundice but my liver biopsy is good and CT scan .. no cirrhosis please help what do you think is it?

I have fatty liver , jaundice but my liver biopsy is good and CT scan .. no cirrhosis please help what do you think is it?

Liver inflammation: Liver inflammation from fatty deposits, alcohol damage or NASH is non alcoholic steatohepatitis. If you do drink you should stop immediately. Jaundice indicates liver damage. Even though you biopsy is normal now, you should avoid all potentially hepatotoxic substances to prevent further damage. ...Read more

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Biopsy: "sigmoid colon, well differentiated adenocarcinoma, grade i" does this indicate that the tumor won't probably metastasize? Triphasic CT shows a lesion in the liver (1cm) as well.

Biopsy: "sigmoid colon, well differentiated adenocarcinoma, grade i" does this indicate that the tumor won't probably metastasize? Triphasic CT shows a lesion in the liver (1cm) as well.

Grade 1 is a good: Sign, but nothing is guaranteed. Need to further understand the liver lesion as well. Work with the medical team to put together the best treatment plan for the individual patient situation. ...Read more

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Have to have abdominal ct-guided biopsy. Who does that and where?

Several places: Usually the procedure is performed by a interventional radiologist either at the hospital or at a free standing ct center. ...Read more

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Have had abdominal ct-guided biopsy and 2 path labs can't agree. What next?

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

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What is the definition or description of: ct-guided drainage of hematoma or fluid collection?

What is the definition or description of: ct-guided drainage of hematoma or fluid collection?

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 more

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What is the definition or description of: ct-guided vertebroplasty?

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 more

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What is the definition or description of: ct-guided thoracentesis?

What is the definition or description of: ct-guided thoracentesis?

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 more

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Can a person have CT guided nerve root injection if she is on apixaban?

Can a person have CT guided nerve root injection if she is on apixaban?

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

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What is the definition or description of: ct-guided CSF leak repair?

What is the definition or description of: ct-guided CSF leak repair?

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 more

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Dr. James Dukelow
1 doctor shared a insight

Computed Tomography (Definition)

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


Dr. Al Hegab
2 doctors shared insights

Biopsy (Definition)

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