Image Guided Procedures


What is an image guided biopsy?

A biopsy is a procedure that gathers a specimen of tissue for microscopic examination by a pathologist. Biopsy sampling often provides the most precise diagnosis or result. and helps your physician develop the best possible treatment plan.

Image guide biopsy is a relatively new procedure, one that has replaced the need for a surgical access to the tissue being evaluated. Biopsies can be preformed using one pf several different imaging modalities, however most biopsies are performed using ultrasound or CT to guide the radiologist and confirm the correct area is being sampled.

Image guided biopsy is considered minimally invasive, meaning that the procedure is often performed through a very small hole in the skin. The recovery time is rapid and with minimal risk.

How do I prepare for a biopsy?

If you are taking medication to thin your blood we will consult with your physician for specific pre procedural instructions. If you use an over the counter pain reliever, Tylenol is a better choice than aspirin, beginning the week prior to your procedure.

If you are pregnant or breast feeding please notify your physician before the scheduled date. Either condition may be cause to delay or postpone the procedure.

It is not necessary to fast prior to your procedure, however it is recommended that you eat lightly no earlier than six hours prior to the procedure, and refrain from liquids three hours before the exam.

We will ask that someone accompany you to drive you home after your biopsy

Who will perform the biopsy?

One of our TRG radiologists will be performing the biopsy; they are often assisted by a nurse. A technologist is also present to assist with the imaging.

What happens during the procedure?

Most procedures begin with a brief scan to re establish the area of interest and help pinpoint the place where the tissue sample will be taken. After the biopsy, that place has been identified, the skin will be cleansed and a local anesthetic is injected in the skin and the tissue underneath the skin. Once the area is numb, the radiologist will put a very small knick in the skin for easy placement of the biopsy needle, and then a biopsy guide needle is placed and scanned for location. When the radiologist has confirmed it placement several tissue samples are taken and sent to a pathologist. The pathologist will examine the tissue cells with a microscope and send a report to your doctor.

What should I expect after the procedure?

Most biopsies performed in diagnostic imaging departments are very well tolerated with minimal pain or complication. Prior to your leaving our staff will give you follow up instructions for your post procedural care.

Your biopsy procedure can be performed at: