GUIDED BIOPSY ULTRASOUND SCAN

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About The Test

A Guided Biopsy Ultrasound Scan uses real-time ultrasound to steer a thin needle into the exact area of concern, making it far more accurate than a blind “freehand” biopsy. At Cadabams Diagnostics Bengaluru, this outpatient service is available daily with most reports delivered within 48–72 hours.


What is a Guided Biopsy Ultrasound Scan?

Role of Real-Time Ultrasound Imaging

Ultrasound sends harmless sound waves into the body and bounces them back to create a live picture. During the biopsy, the radiologist watches this live feed to:

  • Confirm the lesion’s exact location
  • Avoid blood vessels and nearby organs
  • Adjust the needle path in real time

How Ultrasound-Guided Biopsy Differs from Other Image-Guided Biopsies

  • No radiation (unlike CT)
  • Portable & faster setup (unlike MRI)
  • Ideal for superficial or moderately deep masses

Common Body Areas Targeted

  • Breast – suspicious lumps or micro-calcifications
  • Thyroid – nodules >1 cm or with suspicious features
  • Liver – focal lesions seen on ultrasound or CT
  • Lymph nodes – enlarged or abnormally shaped nodes

Types of Guided Biopsy Ultrasound Scan

  1. Fine-Needle Aspiration (FNA) – thin needle, small sample for cytology
  2. Core Needle Biopsy (CNB) – spring-loaded device, tissue “core” for pathology
  3. Vacuum-Assisted Biopsy (VAB) – larger samples via suction, ideal for micro-calcifications

List of Parameters

  • Lesion size, shape, echogenicity
  • Vascularity on colour Doppler
  • Needle trajectory and safety margin to vessels

Why This Test

  • Confirm benign vs malignant nature of a mass
  • Plan treatment pathway—surgery, chemotherapy, or radiotherapy
  • Avoid unnecessary open surgical biopsy

When to Take Test

  • Suspicious lumps detected on routine ultrasound or mammogram
  • Enlarged lymph nodes persisting beyond 2–4 weeks
  • Thyroid nodules that have grown or changed texture
  • Abnormal liver or kidney lesions picked up on scans

Benefits

Benefits

  • Real-time needle guidance increases accuracy to >95 %
  • No radiation exposure—safe for children and pregnant patients
  • Outpatient procedure with <30 minutes of downtime

Illnesses Diagnosed

  • Breast cancer (ductal & lobular carcinoma)
  • Thyroid carcinoma (papillary, medullary)
  • Lymphoma (Hodgkin & non-Hodgkin)
  • Hepatocellular carcinoma

Preparing for test

  • Abdominal site: fast 4–6 hours
  • List current medications—especially blood thinners
  • Wear loose clothing and arrange local transport
  • Bring prior imaging reports for comparison

Pre-Requisites

  • Recent coagulation profile (PT/INR, platelet count)
  • Signed informed consent
  • Previous imaging reports on hand

Best Time to Take the Test

  • Abdominal biopsies: early morning slots to reduce bowel gas
  • Breast biopsies: days 7–14 of menstrual cycle to minimize tenderness

Eligibility

  • Adults with accessible superficial or moderately deep lesions
  • Not recommended for uncontrolled bleeding disorders (INR >1.5, platelets <50,000)

Step-by-Step Procedure

  1. Positioning & skin marking under ultrasound
  2. Local anaesthesia injection (stings for ~5 seconds)
  3. Real-time ultrasound needle placement and sample extraction
  4. Post-procedure compression and sterile dressing

Caution Before the Test

  • Discontinue anticoagulants 48–72 hrs after physician approval
  • Report allergy to local anaesthetics (lidocaine)

Test Results

Results and Interpretations

Finding / ObservationDescriptionGeneral Interpretation / Significance
Benign cellsUniform size, normal architectureNo cancer; routine follow-up
Atypical cellsSlight abnormalityMay need repeat or closer follow-up
Malignant cellsDistorted architecture, mitosesCancer confirmed; staging & treatment planning
Inadequate sampleToo few cellsRepeat biopsy advised

Risks & Limitations

  • Minimal bleeding or bruising at the needle site
  • Rare infection risk (<1 %) kept low with sterile technique
  • Deep or obscured lesions may still require CT guidance

FAQs

Is the procedure painful?

Mild discomfort only; local anaesthesia is used.

How long does it take?

20–30 minutes from positioning to dressing.

Can I drive home?

Yes, if no sedation was given.

When will results be ready?

Usually within 48–72 hours.

What if the biopsy is inconclusive?

A repeat or alternative imaging-guided biopsy may be advised.

Any dietary restrictions post-procedure?

Resume normal diet unless advised otherwise.

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