Abstract
PURPOSE: To evaluate the usefulness of automated biopsy guns in image-guided biopsy of lung, liver.
pancreas and other organs.
MATERIALS AND METHODS: Using automated biopsy devices, 160 biopsies of variable anatomic sites were
performed:Biopsies were performed under ultrasonographic(US) guidance in 95 and computed tomographic
(CT) guidance in 65. We retrospectively analyzed histologic results and complications.
RESULTS: Specimens were adequate for histopathologic diagnosis in 143 of the 160 patients(89.4%)-Diagnostic
tissue was obtained in 130 (81.3%), suggestive tissue obtained in 13(8.1%), and non-diagnostic tissue was
obtained in 14(8.7%). Inadequate tissue was obtained in only 3(1.9%). There was no statistically significant
difference between US-guided and CT-guided percutaneous biopsy. There was no occurrence of significant
complication. We have experienced mild complications in only 5 patients-2 hematuria & 2 hematochezia in
transrectal prostatic biopsy, and 1 minimal pneumothorax in CT-guided percutaneous lung biopsy. All of them
were resolved spontaneously.
CONCLUSION: The image-guided biopsy using the automated biopsy gun was a simple, safe and accurate
method of obtaining adequate specimen for the histopathologic diagnosis.