Pitfalls in image guided tissue sampling in the head and neck

Gamaliel Lorenzo; Amit M Saindane

doi:10.1016/j.nic.2012.08.012

Pitfalls in image guided tissue sampling in the head and neck

Neuroimaging Clin N Am. 2013 Feb;23(1):167-78. doi: 10.1016/j.nic.2012.08.012.

Authors

Gamaliel Lorenzo¹, Amit M Saindane

Affiliation

¹ Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA. GLorenzo@salud.unm.edu

PMID: 23199667
DOI: 10.1016/j.nic.2012.08.012

Abstract

Image-guided tissue sampling is becoming increasingly important for management of head and neck cancers. Ultrasound-guided fine-needle aspiration (UG-FNA) is safe, effective, and has many advantages compared with palpation-guided FNA and computed tomography-guided FNA. The technique of UG-FNA is highly operator and experience dependent; however, understanding the complex anatomy, disease processes, and patterns of nodal spread in the head and neck make this technique ideal for the neuroradiologist. Proper technique and recognition of pitfalls are critical to successful UG-FNA. Computed tomography-guided FNA is valuable for tissue sampling from deep lesions and for those without a sonographic window for UG-FNA.

Publication types

Review

MeSH terms

Biopsy, Fine-Needle* / instrumentation
Biopsy, Fine-Needle* / methods
Head and Neck Neoplasms / pathology*
Humans
Image Interpretation, Computer-Assisted*
Magnetic Resonance Imaging, Interventional
Multimodal Imaging
Neck / pathology*
Positron-Emission Tomography
Radiography, Interventional
Tomography, X-Ray Computed
Ultrasonography, Interventional