GUIDED BIOPSY ULTRASOUND SCAN
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Certified Labs
NABH Accredited
Reports in
6hrs
Measures
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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
- Fine-Needle Aspiration (FNA) – thin needle, small sample for cytology
- Core Needle Biopsy (CNB) – spring-loaded device, tissue “core” for pathology
- 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
- Positioning & skin marking under ultrasound
- Local anaesthesia injection (stings for ~5 seconds)
- Real-time ultrasound needle placement and sample extraction
- 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 / Observation | Description | General Interpretation / Significance |
---|---|---|
Benign cells | Uniform size, normal architecture | No cancer; routine follow-up |
Atypical cells | Slight abnormality | May need repeat or closer follow-up |
Malignant cells | Distorted architecture, mitoses | Cancer confirmed; staging & treatment planning |
Inadequate sample | Too few cells | Repeat 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.