Ultrasound-guided renal and hepatic biopsy techniques.
Abstract: Diagnostic ultrasound is an easy, accurate method of locating both kidneys and liver in the horse. Good contact between the transducer and body wall is essential for clear, precise images. The greatest limitation to ultrasonic organ localization and biopsy guidance is the inability of ultrasound to transmit through gas-filled structures and bone. These structures act as barriers to sound-beam penetration and prevent visualization of soft-tissue structures deep to them. Organ parenchyma can be evaluated with ultrasonography. Focal and/or diffuse lesions can alter the normal parenchymal pattern and result in an increased or decreased echogenicity of the diseased area. Under ultrasound guidance, the biopsy instrument can be directed into these areas to insure that the sample is representative of the disease process within that organ. Biopsy-associated complications can be identified early and monitored until resolution. Equine renal and hepatic biopsies are not innocuous procedures, but ultrasonographic guidance has helped to reduce the risks involved with the biopsy techniques.
Publication Date: 1986-04-01 PubMed ID: 3516320DOI: 10.1016/s0749-0739(17)30736-8Google Scholar: Lookup
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Summary
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The article discusses the use of ultrasound guidance in renal and hepatic biopsy procedures in horses and how it has helped minimize risks associated with these techniques.
Overview of Ultrasound-Guided Biopsy
- The main focus of this research is on the application of diagnostic ultrasound as a reliable method for locating kidneys and liver in horses. This technique allows for accurate organ localization and guided biopsy.
- Creating a good contact between the transducer (the device that sends and receives ultrasonic sound waves) and the body wall of the horse is crucial for obtaining clear and precise images.
Limitations of Ultrasound
- The primary drawback of ultrasound technology for organ localization and biopsy guidance is its inability to transmit through gas-filled structures and bones. These structures prohibit sound-beam penetration, thereby preventing visualization of deeper soft-tissue structures.
Use of Ultrasonography for Organ Evaluation
- Ultrasonography can assess the parenchyma (the functional tissue in an organ) and identify abnormalities in it. These abnormalities could manifest as localized or widespread lesions that change the normal parenchymal pattern, leading to an increased or decreased echogenicity (ability to reflect ultrasound waves) of the affected area.
- With the help of ultrasound guidance, it is possible to steer the biopsy instrument into these altered areas–ensuring that the sample represents the disease process within the organ.
Risk Reduction through Ultrasonographic Guidance
- Renal (kidney-related) and hepatic (liver-related) biopsies in horses are not risk-free procedures. However, the use of ultrasonographic guidance can significantly mitigate these risks.
- Early identification of complications that may arise during biopsy is possible, and these can be continuously monitored until they’re resolved, thereby enhancing the safety of the procedure.
Cite This Article
APA
Modransky PD.
(1986).
Ultrasound-guided renal and hepatic biopsy techniques.
Vet Clin North Am Equine Pract, 2(1), 115-126.
https://doi.org/10.1016/s0749-0739(17)30736-8 Publication
Researcher Affiliations
MeSH Terms
- Animals
- Biopsy, Needle / instrumentation
- Biopsy, Needle / methods
- Biopsy, Needle / veterinary
- Horse Diseases / diagnosis
- Horses
- Kidney Diseases / diagnosis
- Kidney Diseases / veterinary
- Liver Diseases / diagnosis
- Liver Diseases / veterinary
- Ultrasonography / methods
- Ultrasonography / veterinary
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