Saturday, August 23, 2025

CT scan–guided biopsy is a minimally invasive procedure, Types of CT-Guided Biopsies, Why Use CT Guidance?

CT scan–guided biopsy is a minimally invasive procedure that uses computed tomography (CT) imaging to help guide a needle to a specific part of the body to collect a tissue sample for diagnosis. Here are the types of biopsy procedures commonly performed using CT guidance:

Types of CT-Guided Biopsies:

1. Lung Biopsy

  • ✅ To evaluate lung nodules, masses, or suspicious lesions.

  • 🧭 CT helps guide the needle through the chest wall into the lesion.

2. Liver Biopsy

  • ✅ To detect cirrhosis, tumors, infections, or fatty liver.

  • 🧭 CT guidance is useful in targeting focal liver lesions, especially deep ones.

3. Kidney Biopsy

  • ✅ To evaluate renal masses, tumors, or unexplained renal failure.

  • 🧭 Done via posterior or posterolateral approach.

4. Adrenal Gland Biopsy

  • ✅ For adrenal masses or metastasis.

  • 🧭 Often requires CT guidance due to small size and deep location.

5. Pancreatic Biopsy

  • ✅ For suspicious pancreatic masses (especially in head, body, or tail).

  • 🧭 Useful when endoscopic ultrasound biopsy is not feasible.

6. Abdominal Mass Biopsy

  • ✅ For retroperitoneal or intra-abdominal masses.

  • 🧭 CT provides exact location and avoids vital structures.

7. Bone Biopsy

  • ✅ To assess lytic or sclerotic lesions for infection or cancer.

  • 🧭 Especially useful in spine, pelvis, or ribs.

8. Lymph Node Biopsy

  • ✅ To evaluate enlarged lymph nodes in chest, abdomen, or pelvis.

  • 🧭 Deep-seated nodes not accessible by ultrasound can be biopsied with CT.

9. Pelvic Mass Biopsy

  • ✅ Ovarian or uterine masses, prostate lesions, or pelvic lymph nodes.


ct guided biopsy
types of ct guided biopsy

Common Biopsy Techniques (Needles Used):
  • Core Needle Biopsy (CNB): Thick needle to obtain tissue core.

  • Fine Needle Aspiration (FNA): Thin needle for cells and fluid.

  • Vacuum-assisted Biopsy: Rarely used with CT, more common with MRI/US.

🧑‍⚕️ Why Use CT Guidance?

  • Deep or small lesions not visible with ultrasound.

  • Precise needle positioning.

  • Avoids major blood vessels/organs.

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