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

Details

Serval ID
serval:BIB_A8ED0BDB92DD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Influence of operator experience on performance of ultrasound-guided percutaneous liver biopsy.
Journal
European Radiology
Author(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
Publication state
Published
Issued date
2004
Peer-reviewed
Oui
Volume
14
Number
11
Pages
2086-2091
Language
english
Notes
Publication types: Journal Article - Publication Status: ppublish
Abstract
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.
Keywords
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
Create date
11/04/2008 12:21
Last modification date
20/08/2019 15:13
Usage data