Imaging guided percutaneous renal biopsy: do it or not?

Main Article Content

Francesco Pagnini
Eleonora Cervi
Umberto Maestroni
Andrea Agostini
Alessandra Borgheresi
Filippo Piacentino
Salvatore Alessio Angileri
Anna Maria Ierardi
Chiara Floridi
Mattia Carbone
Francesco Ziglioli
Massimo De Filippo

Keywords

percutaneous renal biopsy, small renal mass, renal cell carcinoma, US-guided biopsy, CT-guided biopsy, coaxial technique.

Abstract

Since its first reported application, renal biopsy became an important part of the diagnostic algorithm, considered advantages and risks, to better manage therapeutic options. The biopsy can be performed with different techniques (open, laparoscopic, transjugular, transurethral and percutaneous). Currently, the percutaneous approach is the modality of choice. Percutaneous biopsy can be performed under CT or US guidance, but critical benefits and disadvantages have to be considered. Core needle biopsy is usually preferred to fine-needle aspiration because of the sample quality, usually obtaining multiple cores, especially in heterogeneous tumors. Principal complications are hematuria (1-10%), perinephric hematoma (10-90%), pneumothorax (0,6%), clinically significant pain (1,2%).

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References

1. D’Amico G, Di Crescenzo V, Muto M, et al. [Cytological diagnosis of lymph nodes by instrumental guide: ultrasonography and CT]. Recenti Prog Med 2013; 104: 367-70.
2. Carrafiello G, Fontana F, Cotta E, et al. Ultrasound-guided thermal radiofrequency ablation (RFA) as an adjunct to systemic chemotherapy for breast cancer liver metastases. Radiol Med 2011; 116: 1059-66.
3. Carrafiello G, Lagana D, Nosari AM, et al. Utility of computed tomography (CT) and of fine needle aspiration biopsy (FNAB) in early diagnosis of fungal pulmonary infections. Study of infections from filamentous fungi in haematologically immunodeficient patients. Radiol Med 2006; 111: 33- 41.
4. Belfiore G, Belfiore MP, Reginelli A, et al. Concurrent chemotherapy alone versus irreversible electroporation followed by chemotherapy on survival in patients with locally advanced pancreatic cancer. Med Oncol 2017; 34: 38.
5. Barile A, Quarchioni S, Bruno F, et al. Interventional radiology of the thyroid gland: critical review and state of the art. Gland Surg 2018; 7: 132-46.
6. Masciocchi C, Arrigoni F, La Marra A, Mariani S, Zugaro L, Barile A. Treatment of focal benign lesions of the bone: MRgFUS and RFA. Br J Radiol 2016; 89: 20150356.
7. Zoccali C, Rossi B, Zoccali G, et al. A new technique for biopsy of soft tissue neoplasms: a preliminary experience using MRI to evaluate bleeding. Minerva Med 2015; 106: 117-20.
8. Arrigoni F, Bruno F, Zugaro L, et al. Developments in the management of bone metastases with interventional radiology. Acta Biomed 2018; 89: 166-74.
9. Arrigoni F, Gregori LM, Zugaro L, Barile A, Masciocchi C. MRgFUS in the treatment of MSK lesions: a review based on the experience of the University of L’Aquila, Italy. Translational Cancer Research 2014; 3: 442-48.
10. Campobasso D, Marchioni M, Altieri V, et al. GreenLight Photoselective Vaporization of the Prostate: One Laser for Different Prostate Sizes. J Endourol 2020; 34: 54-62.
11. Castellani D, Cindolo L, De Nunzio C, et al. Comparison Between Thulium Laser VapoEnucleation and GreenLight Laser Photoselective Vaporization of the Prostate in Real- Life Setting: Propensity Score Analysis. Urology 2018; 121: 147-52.
12. Pavan N, Autorino R, Lee H, et al. Impact of novel techniques on minimally invasive adrenal surgery: trends and outcomes from a contemporary international large series in urology. World J Urol 2016; 34: 1473-9.
13. Greco F, Pini G, Alba S, Altieri VM, Verze P, Mirone V. Minilaparoendoscopic Single-site Pyeloplasty: The Best Compromise Between Surgeon’s Ergonomy and Patient’s Cosmesis (IDEAL Phase 2a). Eur Urol Focus 2016; 2: 319- 26.
14. Floridi C, Radaelli A, Pesapane F, et al. Clinical impact of cone beam computed tomography on iterative treatment planning during ultrasound-guided percutaneous ablation of liver malignancies. Med Oncol 2017; 34: 113.
15. Nicolini D, Agostini A, Montalti R, et al. Radiological response and inflammation scores predict tumour recurrence in patients treated with transarterial chemoembolization before liver transplantation. World J Gastroenterol 2017; 23: 3690- 701.
16. Gwyn NB. Biopsies and the Completion of certain Surgical Procedures. Can Med Assoc J 1923; 13: 820-3.
17. Zhuo L, Wang H, Chen D, Lu H, Zou G, Li W. Alternative renal biopsies: past and present. Int Urol Nephrol 2018; 50: 475-79.
18. Carrafiello G, Fontana F, Mangini M, et al. Upper urinary tract biopsy: an old device for a new approach. Radiol Med 2012; 117: 1152-60.
19. Bevilacqua A, D’Amuri FV, Pagnini F, et al. Percutaneous needle biopsy of retroperitoneal lesions: technical developments. Acta Biomed 2019; 90: 62-67.
20. Bandari J, Fuller TW, Turner capital I UiURM, D’Agostino LA. Renal biopsy for medical renal disease: indications and contraindications. Can J Urol 2016; 23: 8121-6.
21. Marconi L, Dabestani S, Lam TB, et al. Systematic Review and Meta-analysis of Diagnostic Accuracy of Percutaneous Renal Tumour Biopsy. Eur Urol 2016; 69: 660-73.
22. Richard PO, Jewett MA, Bhatt JR, et al. Renal Tumor Biopsy for Small Renal Masses: A Single-center 13-year Experience. Eur Urol 2015; 68: 1007-13.
23. Richard PO, Martin L, Lavallee LT, et al. Identifying the use and barriers to the adoption of renal tumour biopsy in the management of small renal masses. Can Urol Assoc J 2018; 12: 260-66.
24. Volpe A, Finelli A, Gill IS, et al. Rationale for percutaneous biopsy and histologic characterisation of renal tumours. Eur Urol 2012; 62: 491-504.
25. Tsivian M, Rampersaud EN, Jr., del Pilar Laguna Pes M, et al. Small renal mass biopsy--how, what and when: report from an international consensus panel. BJU Int 2014; 113: 854-63.
26. Cortellini A, Bozzetti F, Palumbo P, et al. Weighing the role of skeletal muscle mass and muscle density in cancer patients receiving PD-1/PD-L1 checkpoint inhibitors: a multicenter real-life study. Sci Rep 2020; 10: 1456.
27. Agliata G, Schicchi N, Agostini A, et al. Radiation exposure related to cardiovascular CT examination: comparison between conventional 64-MDCT and third-generation dualsource MDCT. Radiol Med 2019; 124: 753-61.
28. Agostini A, Mari A, Lanza C, et al. Trends in radiation dose and image quality for pediatric patients with a multidetector CT and a third-generation dual-source dual-energy CT. Radiol Med 2019; 124: 745-52.
29. Barile A, Arrigoni F, Bruno F, et al. Present role and future perspectives of interventional radiology in the treatment of painful bone lesions. Future Oncol 2018; 14: 2945-55.
30. Carrafiello G, Lagana D, Pellegrino C, et al. Ablation of painful metastatic bone tumors: a systematic review. Int J Surg 2008; 6 Suppl 1: S47-52.
31. Carrafiello G, Fontana F, Pellegrino C, et al. Radiofrequency ablation of abdominal wall endometrioma. Cardiovasc Intervent Radiol 2009; 32: 1300-3.
32. Arrigoni F, Napoli A, Bazzocchi A, et al. Magnetic-resonance- guided focused ultrasound treatment of non-spinal osteoid osteoma in children: multicentre experience. Pediatr Radiol 2019; 49: 1209-16.
33. Pagnini F, D’Amuri FV, Bevilacqua A, et al. Ultrasoundguided percutaneous irrigation of calcific tendinopathy: technical developments. Acta Biomed 2019; 90: 95-100.
34. Carrafiello G, Mangini M, Fontana F, et al. Microwave ablation of lung tumours: single-centre preliminary experience. Radiol Med 2014; 119: 75-82.
35. Carrafiello G, Ierardi AM, Duka E, et al. Usefulness of Cone- Beam Computed Tomography and Automatic Vessel Detection Software in Emergency Transarterial Embolization. Cardiovasc Intervent Radiol 2016; 39: 530-7.
36. Lagana D, Carrafiello G, Mangini M, et al. Indications for the use of the Amplatzer vascular plug in interventional radiology. Radiol Med 2008; 113: 707-18.
37. Mangini M, Lagana D, Fontana F, et al. Use of Amplatzer Vascular Plug (AVP) in emergency embolisation: preliminary experience and review of literature. Emerg Radiol 2008; 15: 153-60.
38. Cornelis FH, Borgheresi A, Petre EN, Santos E, Solomon SB, Brown K. Hepatic Arterial Embolization Using Cone Beam CT with Tumor Feeding Vessel Detection Software: Impact on Hepatocellular Carcinoma Response. Cardiovasc Intervent Radiol 2018; 41: 104-11.
39. Masciocchi C, Arrigoni F, Ferrari F, et al. Uterine fibroid therapy using interventional radiology mini-invasive treatments: current perspective. Med Oncol 2017; 34: 52.
40. Uppot RN, Harisinghani MG, Gervais DA. Imaging-guided percutaneous renal biopsy: rationale and approach. AJR Am J Roentgenol 2010; 194: 1443-9.
41. Israel GM, Bosniak MA. Pitfalls in renal mass evaluation and how to avoid them. Radiographics 2008; 28: 1325-38.
42. Gupta P, Rajwanshi A, Nijhawan R, et al. Fine needle aspiration in retroperitoneal lesions. APMIS 2017; 125: 16-23.
43. Tomozawa Y, Inaba Y, Yamaura H, et al. Clinical value of CT-guided needle biopsy for retroperitoneal lesions. Korean J Radiol 2011; 12: 351-7.
44. Misra RK, Mitra S, Jain RK, Vahikar S, Bundela A, Misra P. Image-guided fine needle cytology with aspiration versus non-aspiration in retroperitoneal masses: is aspiration necessary? J Pathol Transl Med 2015; 49: 129-35.
45. De Filippo M, Saba L, Rossi E, et al. Curved Needles in CT-Guided Fine Needle Biopsies of Abdominal and Retroperitoneal Small Lesions. Cardiovasc Intervent Radiol 2015; 38: 1611-6.
46. Pedote P, Gaudio F, Moschetta M, Cimmino A, Specchia G, Angelelli G. CT-guided needle biopsy performed with modified coaxial technique in the diagnosis of malignant lymphomas. Radiol Med 2010; 115: 1292-303.
47. Patel HD, Johnson MH, Pierorazio PM, et al. Diagnostic Accuracy and Risks of Biopsy in the Diagnosis of a Renal Mass Suspicious for Localized Renal Cell Carcinoma: Systematic Review of the Literature. J Urol 2016; 195: 1340-47.
48. Abel EJ, Heckman JE, Hinshaw L, et al. Multi-Quadrant Biopsy Technique Improves Diagnostic Ability in Large Heterogeneous Renal Masses. J Urol 2015; 194: 886-91.
49. Kyriakopoulos CE, Chittoria N, Choueiri TK, et al. Outcome of patients with metastatic sarcomatoid renal cell carcinoma: results from the International Metastatic Renal Cell Carcinoma Database Consortium. Clin Genitourin Cancer 2015; 13: e79-85.
50. Shuch B, Said J, La Rochelle JC, et al. Cytoreductive nephrectomy for kidney cancer with sarcomatoid histology--is up-front resection indicated and, if not, is it avoidable? J Urol 2009; 182: 2164-71.
51. Kassouf W, Sanchez-Ortiz R, Tamboli P, et al. Cytoreductive nephrectomy for metastatic renal cell carcinoma with nonclear cell histology. J Urol 2007; 178: 1896-900.
52. Kose F, Sakalli H, Mertsoylu H, et al. Primary renal lymphoma: report of four cases. Onkologie 2009; 32: 200-2.
53. Baldini EH, Wang D, Haas RL, et al. Treatment Guidelines for Preoperative Radiation Therapy for Retroperitoneal Sarcoma: Preliminary Consensus of an International Expert Panel. Int J Radiat Oncol Biol Phys 2015; 92: 602-12.
54. Barrisford GW, Gershman B, Blute ML, Sr. The role of lymphadenectomy in the management of renal cell carcinoma. World J Urol 2014; 32: 643-9.
55. Blute ML, Leibovich BC, Cheville JC, Lohse CM, Zincke H. A protocol for performing extended lymph node dissection using primary tumor pathological features for patients treated with radical nephrectomy for clear cell renal cell carcinoma. J Urol 2004; 172: 465-9.
56. Crispen PL, Breau RH, Allmer C, et al. Lymph node dissection at the time of radical nephrectomy for high-risk clear cell renal cell carcinoma: indications and recommendations for surgical templates. Eur Urol 2011; 59: 18-23.
57. Capitanio U, Suardi N, Matloob R, et al. Extent of lymph node dissection at nephrectomy affects cancer-specific survival and metastatic progression in specific sub-categories of patients with renal cell carcinoma (RCC). BJU Int 2014; 114: 210-5.
58. Clinical competence in percutaneous renal biopsy. Health and Public Policy Committee. American College of Physicians. Ann Intern Med 1988; 108: 301-3.
59. Patel IJ, Rahim S, Davidson JC, et al. Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol 2019; 30: 1168-84 e1.
60. Tomaszewski JJ, Uzzo RG, Smaldone MC. Heterogeneity and renal mass biopsy: a review of its role and reliability. Cancer Biol Med 2014; 11: 162-72.
61. De Filippo M, Bozzetti F, Martora R, et al. Radiofrequency thermal ablation of renal tumors. Radiol Med 2014; 119: 499-511.
62. De Filippo M, Saba L, Concari G, et al. Predictive factors of diagnostic accuracy of CT-guided transthoracic fine-needle aspiration for solid noncalcified, subsolid and mixed pulmonary nodules. Radiol Med 2013; 118: 1071-81.
63. De Filippo M, Saba L, Silva M, et al. CT-guided biopsy of pulmonary nodules: is pulmonary hemorrhage a complication or an advantage? Diagn Interv Radiol 2014; 20: 421-5.
64. De Filippo M, Gira F, Corradi D, Sverzellati N, Zompatori M, Rossi C. Benefits of 3D technique in guiding percutaneous retroperitoneal biopsies. Radiol Med 2011; 116: 407-16.
65. Blute ML, Jr., Drewry A, Abel EJ. Percutaneous biopsy for risk stratification of renal masses. Ther Adv Urol 2015; 7: 265-74.

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