MRI-Guided Biopsy of the Pleura

What the Test Is

The pleura is the membrane that surrounds the lungs and lines the chest cavity. In an MRI-guided pleural biopsy, a doctor uses magnetic resonance imaging to locate an abnormal area of the pleura and then guides a biopsy needle to that spot to collect a small piece of tissue. The tissue is then sent to a laboratory for examination by a pathologist.

Why It May Be Done

This procedure may be recommended when imaging or other tests show thickening, fluid, or an abnormal growth involving the pleura, and a tissue sample is needed to find the cause. Examining pleural tissue can help evaluate conditions such as infection, inflammation, or cancer involving the lining of the lungs.

How It Is Performed

MRI uses a strong magnet and radio waves rather than X-rays to create detailed images, so it does not involve radiation exposure. You may be given a contrast agent and local numbing medicine or sedation depending on the plan your care team chooses. The radiologist uses the MRI images to guide the needle to the target area and withdraw a small tissue sample.

After the Procedure

After the sample is collected, you may be monitored for a short time for bleeding, pain, or other effects. The tissue is processed and examined in the laboratory, and results are usually discussed with you by your healthcare team at a follow-up visit.