Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Renal Biopsy

신장의 조직 검사

  • Taek Min Kim (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Jeong Yeon Cho (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Sang Youn Kim (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine)
  • 김택민 (서울대학교 의과대학 서울대학교병원 영상의학과) ;
  • 조정연 (서울대학교 의과대학 서울대학교병원 영상의학과) ;
  • 김상윤 (서울대학교 의과대학 서울대학교병원 영상의학과)
  • Received : 2023.08.12
  • Accepted : 2023.09.27
  • Published : 2023.11.01
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Abstract

The extent of renal biopsy indication is being widened because of the increasing incidence of incidental renal masses; the increasing treatment options for renal cell carcinoma, including ablation therapy and novel targeted treatment; and the increasing incidence of kidney transplantation. However, percutaneous renal biopsy is technically difficult, particularly for beginners, because the skin-to-organ distance is relatively longer than those associated with other organs. In the present review, we will discuss the indications, technical considerations, efficacy, and complications of renal biopsy. Furthermore, we share practical tips of renal biopsy through many examples to help radiologists perform renal biopsy safely and effectively in various situations.

최근에 우연히 발견되는 신장 종괴의 증가와 국소 치료, 표적 치료와 같은 신장암 치료 선택지의 다양화, 그리고 신장 이식의 보편화에 따라서 신장의 조직 검사가 증가하고 있는 추세이다. 그러나 신장은 피부부터 장기까지의 거리가 멀어 조직 검사의 난이도가 높은 편으로 특히 초심자들은 신장의 조직 검사를 부담스럽게 여길 수 있다. 이 종설에서 우리는 신장 조직 검사의 적응증과 기술적인 고려 사항들, 진단 정확도, 그리고 합병증에 대해서 알아보겠다. 특히 실전적인 팁들을 다양한 증례들과 함께 알아보며 다양한 상황에서도 안전하고 효과적으로 조직 검사를 시행할 수 있게 도움이 되고자 한다.

Keywords

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