Journal of Liver

Is ultrasound-fusion a reasonable replacement to CT in guiding abdominal interventions?

3^rd World Congress on Hepatitis and Liver Diseases

October 10-12, 2016 Dubai, UAE

Yasmine Ahmed

University Hospitals Case Medical Center, USA

Posters & Accepted Abstracts: J Liver

Abstract:

Objective: To compare the diagnostic yield, complication rate and procedure length of ultrasound-fusion guided liver biopsy with the diagnostic yield, complication rate and procedure length of CT guided liver biopsy, to measure the average ionizing radiation dose that patients are exposed to during a typical CT guided liver biopsy procedure and to present relevant and interesting cases of ultrasound-fusion guided abdominal interventions to describe the efficacious use of the technology. Methods: A retrospective analysis of 63 patient records that had image-guided liver biopsies performed in our institution was completed. Patient records were divided into two groups according to the type of image guidance used during the procedure (ultrasound-fusion vs. CT) and data was compared using Chi-squared test, Student�??s t-test and Mann Whitney U test. Results: The diagnostic yield and complication rates were not statistically significantly different between both modalities. The average procedure time was statistically significant, ultrasound-fusion guided biopsy=31.63 minutes, compared to CT guided biopsy=61.67 minutes (p value=0.003). Conclusion: Diagnostic yield and complication rates were comparable for ultrasound-fusion and CT. However, the average procedure duration of an ultrasound-fusion guided liver biopsy procedure was approximately half that of CT guided liver biopsy, likely increasing both cost-effectiveness and patient satisfaction.

Biography :

Email: Yasmine.Ahmed@UHhospitals.org