Utility of sonographically guided biopsy in metabolically suspected recurrent lymphoma

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Michalle SoudackDiana Gaitini

Abstract

The purpose of this study was to determine the diagnostic accuracy of sonographically guided biopsy of [(18)F]fluorodeoxyglucose (FDG)-avid foci on positron emission tomography (PET)/computed tomography (CT) in patients with lymphoma. We retrospectively reviewed the medical records of 56 patients with lymphoma (25 male and 31 female; mean age, 48.5 years; range, 22-80 years) who underwent sonographically guided biopsy of hypermetabolic FDG-avid foci precisely localized by PET/CT. Biopsies were performed up to 3 months after PET/CT. The accuracy of core biopsy was calculated and compared with clinical follow-up and histopathologic results of open biopsy. Sixty-six sonographically guided biopsies were performed in the 56 patients. Histopathologic results were conclusive in 53 (80%) of 66. No complications occurred during or after the procedure. The overall sensitivity, specificity, positive predictive value, and accuracy for diagnosis of lymphoma were 100%, 95%, 97%, and 98%, respectively. Sonographically guided biopsy is a safe and effective means for investigating metabolically active lesions on FDG-PET/CT in patients with known lymphoma.

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Citations

Mar 16, 2017·Tumori·Antonio Piñero-MadronaFrancisco Nicolás-Ruiz
Dec 28, 2016·AJR. American Journal of Roentgenology·Saeed NihayahBairbre Connolly

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