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

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Title: Influence of operator experience on performance of ultrasound-guided percutaneous liver biopsy.
Authors: Chevallier, Patrick1 chevallier.@chu-nice.fr, Ruitort, Frederic1, Denys, Alban2, Staccini, Pascal3, Saint-Paul, Marie4, Ouzan, Denis5, Motamedi, Jean1, Tran, Albert6, Schnyder, Pierre2, Bruneton, Jean1, Saint-Paul, Marie Christine (AUTHOR), Motamedi, Jean Paul (AUTHOR), Bruneton, Jean Noël (AUTHOR)
Source: European Radiology. Nov2004, Vol. 14 Issue 11, p2086-2091. 6p.
Subjects: Liver diseases, Biopsy, Medical imaging systems, Clinical pathology, Viral hepatitis, Cirrhosis of the liver, Clinical competence, Hepatitis B, Hepatitis C, HIV infections, Liver, Longitudinal method, Medical specialties & specialists, Needle biopsy, Ultrasonic imaging, Pain measurement
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. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Influence of operator experience on performance of ultrasound-guided percutaneous liver biopsy.
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  Data: <searchLink fieldCode="AR" term="%22Chevallier%2C+Patrick%22">Chevallier, Patrick</searchLink><relatesTo>1</relatesTo><i> chevallier.@chu-nice.fr</i><br /><searchLink fieldCode="AR" term="%22Ruitort%2C+Frederic%22">Ruitort, Frederic</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Denys%2C+Alban%22">Denys, Alban</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Staccini%2C+Pascal%22">Staccini, Pascal</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Saint-Paul%2C+Marie%22">Saint-Paul, Marie</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Ouzan%2C+Denis%22">Ouzan, Denis</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Motamedi%2C+Jean%22">Motamedi, Jean</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Tran%2C+Albert%22">Tran, Albert</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Schnyder%2C+Pierre%22">Schnyder, Pierre</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Bruneton%2C+Jean%22">Bruneton, Jean</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Saint-Paul%2C+Marie+Christine%22">Saint-Paul, Marie Christine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Motamedi%2C+Jean+Paul%22">Motamedi, Jean Paul</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bruneton%2C+Jean+Noël%22">Bruneton, Jean Noël</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Nov2004, Vol. 14 Issue 11, p2086-2091. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Liver+diseases%22">Liver diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Biopsy%22">Biopsy</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+imaging+systems%22">Medical imaging systems</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+pathology%22">Clinical pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Viral+hepatitis%22">Viral hepatitis</searchLink><br /><searchLink fieldCode="DE" term="%22Cirrhosis+of+the+liver%22">Cirrhosis of the liver</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br /><searchLink fieldCode="DE" term="%22Hepatitis+B%22">Hepatitis B</searchLink><br /><searchLink fieldCode="DE" term="%22Hepatitis+C%22">Hepatitis C</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Liver%22">Liver</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+specialties+%26+specialists%22">Medical specialties & specialists</searchLink><br /><searchLink fieldCode="DE" term="%22Needle+biopsy%22">Needle biopsy</searchLink><br /><searchLink fieldCode="DE" term="%22Ultrasonic+imaging%22">Ultrasonic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+measurement%22">Pain measurement</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00330-004-2407-0
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        Text: English
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      – SubjectFull: Liver diseases
        Type: general
      – SubjectFull: Biopsy
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      – SubjectFull: Medical imaging systems
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      – SubjectFull: Liver
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