Influence of operator experience on performance of ultrasound-guided percutaneous liver biopsy.

Détails

ID Serval
serval:BIB_A8ED0BDB92DD
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Influence of operator experience on performance of ultrasound-guided percutaneous liver biopsy.
Périodique
European Radiology
Auteur⸱e⸱s
Chevallier P., Ruitort F., Denys A., Staccini P., Saint-Paul M.C., Ouzan D., Motamedi J.P., Tran A., Schnyder P., Bruneton J.N.
ISSN
0938-7994
Statut éditorial
Publié
Date de publication
2004
Peer-reviewed
Oui
Volume
14
Numéro
11
Pages
2086-2091
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: ppublish
Résumé
The purpose was to evaluate the influence of radiologist's experience on the diagnostic yield and complications of a percutaneous liver biopsy (PLB) method. Six hundred patients underwent an ultrasound-guided PLB by an inexperienced operator in 25.2% of cases (experience of less than 15 percutaneous liver biopsies performed alone--group I) or by an experienced operator (experience of more than 150 percutaneous liver biopsies--group II). The two groups were well-matched with respect to sex, age, percentage with viral hepatitis without histological cirrhosis, number of needle passes, history of liver biopsy and pain before the biopsy. A histological diagnosis was available in 97.3% of cases without any significant difference between the two groups ( P=0.25). However, group II samples were significantly longer and contained more portal tracts ( P=0.01). Pain was mild immediately and 6 h after the biopsy, without significant difference between both groups. Eight vasovagal reactions (five in group II) and one arteriobiliary fistula (in group II) occurred. With the method of PLB used for this study, operator's experience did not influence either the final histological diagnosis or the degree of pain suffered.
Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Biopsy, Needle, Clinical Competence, Female, HIV Infections, Hepatitis B, Hepatitis C, Humans, Liver, Liver Diseases, Male, Middle Aged, Pain Measurement, Prospective Studies, Radiology
Pubmed
Web of science
Création de la notice
11/04/2008 13:21
Dernière modification de la notice
20/08/2019 16:13
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