Percutaneous image-guided biopsy in an elderly population

Journal of Vascular and Interventional Radiology : JVIR
Brian T WelchTimothy P Maus

Abstract

To evaluate the safety, accuracy, and clinical use of image-guided biopsy results in an elderly (age >/=80 years) patient population. Image-guided biopsy results of 722 elderly patients were obtained from our image-guided biopsy database over a 5-year period. This retrospective study of the data yielded 616 cases. The accuracy and complication rates for the elderly population were compared with the remaining patients in the database who were younger than 80 years of age (n= 13,012). In addition, use of biopsy results for treatment was also evaluated against a group of randomly selected younger patients who were matched for type and location of biopsy. Image-guided biopsy in both patient groups was characterized by a high accuracy rate (95% for the elderly patients vs 96.5% for others), but the accuracy rate was significantly higher in the nonelderly group (P = .0247). Image-guided biopsy in elderly patients did not carry a greater complication rate compared with younger patients for any major complication. Use of malignant biopsy results (ie, initiating any therapy) was significantly less common in elderly patients (58% underwent therapy) than in younger age groups. In patients aged 60-70 y, 100% initiated therapy; in patients ...Continue Reading

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Citations

May 22, 2010·AJR. American Journal of Roentgenology·Raul N UppotDebra A Gervais
Mar 22, 2016·Asia-Pacific Journal of Clinical Oncology·Dianwen QiGuochuan Zhang
May 24, 2019·The Journal of International Medical Research·Dianwen QiGuochuan Zhang

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