Presentation%20(1).pptx percutaneous omental biopsy

Presentation

1. PERCUTANEOUS OMENTAL BIOPSY ; WHAT IS ITS DIAGNOSTIC YIELD AT A TERTIARY CARE SETUP IN PAKISTAN Nimra Ali, Daniyal Khalid, ....

2. INTRODUCTION Omental biopsy is used for the diagnosis of suspected metastatic deposits or de Novo lesions without history of an underlying malignancy. It is important to diagnose these tumors as per their molecular characteristics to help in their management and better patient outcomes. Percutaneous image guided biopsies are being increasingly used and have shown a successful outcome.

3. OBJECTIVE Evaluation of image-guided percutaneous biopsy of Omental and mesenteric lesions’ biopsy technique, technical yield, and success rate.

4. MATERIAL AND METHODS Study design: cross sectional prospective Study centre: Liaquat National Hospital Karachi Study duration: 6 months Sample size: 120 patient Inclusion: no specific criteria Exclusion: previous history of a failed biopsy.

5. RESULTS

6. CONCLUSION Our study shows that the percutaneous imaging-guided biopsy of peritoneal and omental Lesions ihas proven to be a safe and effective less invasive approach with high diagnostic yield. Regardless of the size or depth of the lesion from the skin for both omental and mesenteric specimens.

7. REFERENCES 3. Gupta S, Wallace MJ, Cardella JF, Kundu S, Miller DL, Rose SC. Quality3. Gupta S, Wallace MJ, Cardella JF, Kundu S, Miller DL, Rose SC. Quality
improvement guidelines for percutaneous needle biopsy. J Vasc Interv Radiol 2010; 21:969–975.
4. DeMeo JH, Fulcher AS, Austin RF. Anatomic CT demonstration of the
peritoneal spaces, ligaments, and mesenteries: normal and pathologic
processes. Radiographics 1995; 15:755–770.
5. Yoo E, Kim JH, Kim MJ, et al. Greater and lesser omenta : normal anatomy
and pathologic processes. Radiographics 2007; 27:707–720.
6. Pickhardt PJ, Bhalla S. Primary neoplasms of peritoneal and subperitoneal origin: CT findings. Radiographics 2005; 25:983–995.
7. Chi DS, Musa F, Dao F, et al. An analysis of patients with bulky advanced
stage ovarian, tubal, and peritoneal carcinoma treated with primary debulking surgery (PDS) during an identical time period as the randomized
EORTC-NCIC trial of PDS vs neoadjuvant chemotherapy (NACT). Gynecol Oncol 2012; 124:10–14.
8. Hosogi H, Shinohara H, Tsunoda S, et al. Staging laparoscopy for
advanced gastric cancer: significance of preoperative clinicopathological factors. Langenbeck Arch Surg 2017; 402:33–39.
9. Karanicolas PJ, Elkin EB, Jacks LM, et al. Staging laparoscopy in the
management of gastric cancer: a population-based analysis. J Am Coll Surg 2011; 213:644–651.e1.
10. Stattaus J, Kalkmann J, Kuehl H, et al. Diagnostic yield of computed
tomography-guided coaxial core biopsy of undetermined masses in the
free retroperitoneal space: single- center experience. Cardiovasc Intervent Radiol 2008; 31:919–925.
11. Agid R, Sklair -Levy M, Bloom AI, et al. CT-guided biopsy with cutting-edge
needle for the diagnosis of malignant lymphoma: experience of 267
biopsies. Clin Radiol 2003; 58:143–147.
12. Loubeyre P, McKee TA, Copercini M, Rosset A, Dietrich PY. Diagnostic
precision of image-guided multisampling core needle biopsy of suspected lymphomas in a primary care hospital. Br J Cancer 2009; 100:
1771–1776.
13. Goralnik CH, O’Connell DM, El Yousef SJ, Haaga JR. CT-guided cuttingneedle biopsies of selected chest lesions. AJR Am J Roentgenol 1988;
151:903–907.
14. Knelson M, Haaga J, Lazarus H, Ghosh C, Abdul-Karim F, Sorenson K.
Computed tomography-guided retroperitoneal biopsies. J Clin Oncol 1989; 7:1169–1173.
15. Souza FF, Mortele KJ, Cibas ES, Erturk SM, Silverman SG. Predictive value
of percutaneous imaging-guided biopsy of peritoneal and omental masses:
results in 111 patients. AJR Am J Roentgenol 2009; 192:131–136.
16. Babaei Jandaghi A, Lebady M, Zamani AA, Heidarzadeh A, Monfared A, Pourghorban R. A randomised clinical trial to compare coaxial and noncoaxial techniques in percutaneous core needle biopsy of renal parenchyma . Cardiovasc Intervent Radiol 2017; 40:106–111.
17. Babaei Jandaghi A, Habibzadeh H, Falahatkar S, Heidarzadeh A, Pourghorban R. Transperineal prostate core needle biopsy: a comparison
of coaxial versus noncoaxial method in a randomised trial. Cardiovasc Intervent Radiol 2016; 39:1736–1742.
18. Chen I, Lorentzen T, Linnemann D, et al. Seeding after ultrasound-guided
percutaneous biopsy of liver metastases in patients with colorectal or
breast cancer. Acta Oncol ( Madr ) 2016; 55:638–643.
19. Pasieka JL, Thompson NW. Fine-needle aspiration biopsy causing peritoneal seeding of a carcinoid tumor . Arch Surg 1992; 127:1248–1251.
20. Mcdonald CF, Baird L. Risk of needle track metastasis after fine needle lung
aspiration in lung cancer—a case report. Respir Med 1994; 88:631–632.
21. Maturen KE, Nghiem HV, Marrero JA, et al. Lack of tumor seeding of
hepatocellular carcinoma after percutaneous needle biopsy using coaxial
cutting needle technique. AJR Am J Roentgenol 2006; 187:1184–1187.
improvement guidelines for percutaneous needle biopsy. J Vasc Interv Radiol 2010; 21:969–975.
4. DeMeo JH, Fulcher AS, Austin RF. Anatomic CT demonstration of the
peritoneal spaces, ligaments, and mesenteries: normal and pathologic
processes. Radiographics 1995; 15:755–770.
5. Yoo E, Kim JH, Kim MJ, et al. Greater and lesser omenta : normal anatomy
and pathologic processes. Radiographics 2007; 27:707–720.
6. Pickhardt PJ, Bhalla S. Primary neoplasms of peritoneal and subperitoneal origin: CT findings. Radiographics 2005; 25:983–995.
7. Chi DS, Musa F, Dao F, et al. An analysis of patients with bulky advanced
stage ovarian, tubal, and peritoneal carcinoma treated with primary debulking surgery (PDS) during an identical time period as the randomized
EORTC-NCIC trial of PDS vs neoadjuvant chemotherapy (NACT). Gynecol Oncol 2012; 124:10–14.
8. Hosogi H, Shinohara H, Tsunoda S, et al. Staging laparoscopy for
advanced gastric cancer: significance of preoperative clinicopathological factors. Langenbeck Arch Surg 2017; 402:33–39.
9. Karanicolas PJ, Elkin EB, Jacks LM, et al. Staging laparoscopy in the
management of gastric cancer: a population-based analysis. J Am Coll Surg 2011; 213:644–651.e1.
10. Stattaus J, Kalkmann J, Kuehl H, et al. Diagnostic yield of computed
tomography-guided coaxial core biopsy of undetermined masses in the
free retroperitoneal space: single- center experience. Cardiovasc Intervent Radiol 2008; 31:919–925.
11. Agid R, Sklair -Levy M, Bloom AI, et al. CT-guided biopsy with cutting-edge
needle for the diagnosis of malignant lymphoma: experience of 267
biopsies. Clin Radiol 2003; 58:143–147.
12. Loubeyre P, McKee TA, Copercini M, Rosset A, Dietrich PY. Diagnostic
precision of image-guided multisampling core needle biopsy of suspected lymphomas in a primary care hospital. Br J Cancer 2009; 100:
1771–1776.
13. Goralnik CH, O’Connell DM, El Yousef SJ, Haaga JR. CT-guided cuttingneedle biopsies of selected chest lesions. AJR Am J Roentgenol 1988;
151:903–907.
14. Knelson M, Haaga J, Lazarus H, Ghosh C, Abdul-Karim F, Sorenson K.
Computed tomography-guided retroperitoneal biopsies. J Clin Oncol 1989; 7:1169–1173.
15. Souza FF, Mortele KJ, Cibas ES, Erturk SM, Silverman SG. Predictive value
of percutaneous imaging-guided biopsy of peritoneal and omental masses:
results in 111 patients. AJR Am J Roentgenol 2009; 192:131–136.
16. Babaei Jandaghi A, Lebady M, Zamani AA, Heidarzadeh A, Monfared A, Pourghorban R. A randomised clinical trial to compare coaxial and noncoaxial techniques in percutaneous core needle biopsy of renal parenchyma . Cardiovasc Intervent Radiol 2017; 40:106–111.
17. Babaei Jandaghi A, Habibzadeh H, Falahatkar S, Heidarzadeh A, Pourghorban R. Transperineal prostate core needle biopsy: a comparison
of coaxial versus noncoaxial method in a randomised trial. Cardiovasc Intervent Radiol 2016; 39:1736–1742.
18. Chen I, Lorentzen T, Linnemann D, et al. Seeding after ultrasound-guided
percutaneous biopsy of liver metastases in patients with colorectal or
breast cancer. Acta Oncol ( Madr ) 2016; 55:638–643.
19. Pasieka JL, Thompson NW. Fine-needle aspiration biopsy causing peritoneal seeding of a carcinoid tumor . Arch Surg 1992; 127:1248–1251.
20. Mcdonald CF, Baird L. Risk of needle track metastasis after fine needle lung
aspiration in lung cancer—a case report. Respir Med 1994; 88:631–632.
21. Maturen KE, Nghiem HV, Marrero JA, et al. Lack of tumor seeding of
hepatocellular carcinoma after percutaneous needle biopsy using coaxial
cutting needle technique. AJR Am J Roentgenol 2006; 187:1184–1187.

8. ACKNOWLEDGMENTS I would like to thank my mentor DR MISBAH TAHIR for his support and for enlightening me. DR ALI , DR DANIAL and DR KHALID for teaching us the basics of intervention and showing us the path to the future of radiology All those who directly or indirectly helped me in the project.

9. CONFLICT OF INTEREST None to declare

10. THANK YOU