Assessment of bone biopsy needles for sample size, specimen quality and ease of use

Roberts, Catherine C.; Morrison, William B.; Leslie, Kevin O.; Carrino, John A.; Lozevski, Jonathan; Liu, P. T.

doi:10.1007/s00256-004-0859-6

Cited by 32 publications

(18 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Not infrequently, the sample may be of inadequate length or may exhibit artefacts. The desired length varies from 15 mm to 30 mm 3 4. Generally, the larger the amount of tissue that is captured, the greater the chance of detecting focal lesions 4.…”

Section: Discussionmentioning

confidence: 99%

“…Operators performed the bone marrow biopsy procedures as described in the Vidacare ‘Instructions for Use’ guide and the applicable Jamshidi device guidelines. Core biopsy samples were measured for length and assessed for gross sample quality according to a scale described by Roberts 3. At the end of the biopsy procedures, animals were euthanised.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Rotary powered device for bone marrow aspiration and biopsy yields excellent specimens quickly and efficiently

Swords

Kelly

Cohen³

et al. 2010

J Clin Pathol

View full text Add to dashboard Cite

Recently, a new FDA-cleared battery powered bone marrow biopsy system was developed to allow operators access to the bone marrow space quickly and efficiently. A pre-clinical evaluation of the device (OnControl, Vidacare Corporation, San Antonio, TX, USA) on anesthetized pigs was conducted, in addition to a clinical evaluation in hematology clinic patients requiring a bone marrow biopsy. Twenty-six samples were collected from the swine model. No cellular artifact or thermal damage was reported in any of the samples obtained. For the clinical evaluation of the device, 16 patients were recruited. Mean time from needle contact with skin to needle removal was 38.5 +/- 13.94 seconds. No complications were reported. In this study, the manual and powered samples were equivalent in specimen quality. In the patients evaluated, the device was safe, easy to use and the mean procedural time was significantly faster than previously reported with a manual technique.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Rotary powered device for bone marrow aspiration and biopsy yields excellent specimens quickly and efficiently

Swords

Kelly

Cohen³

et al. 2010

J Clin Pathol

View full text Add to dashboard Cite

show abstract

“…Fine-needle aspiration (FNA) may differentiate between a metastasis and a benign lesion; however, core biopsy is superior to FNA in determining cell type and tumor grade, which is necessary for the diagnosis of primary bone tumor. In our experience, of the various options that are available for bone biopsy (33), the Osteo-Site Ratchet (Cook Medical) 13-gauge coaxial bone biopsy system is effective in obtaining tissue from sclerotic lesions where normal bone cortex needs to be traversed. In general, all bone biopsies are performed under local anesthesia; however, conscious sedation may be required in children or uncooperative patients.…”

Section: Discussionmentioning

confidence: 99%

Desmoplastic fibroma of the distal tibia: A case report of a minimally invasive histological diagnosis

Levrini

Pattacini

2016

Molecular and Clinical Oncology

View full text Add to dashboard Cite

Desmoplastic fibroma (DF) is a benign, rare fibroblastic intraosseous neoplasm histologically resembling a desmoid soft tissue tumor. Although classified as benign, DF frequently exhibits an aggressive behavior, has a moderate-to-high recurrence rate, and often causes pathological fractures and extensive bone destruction. This case report presents an incidentally detected DF of the tibia, which was diagnosed using a minimally invasive approach. A 36-year-old African female patient was referred to the Department of Diagnostic Imaging of Arcispedale Santa Maria Nuova-IRCCS (Reggio Emilia, Italy), to be examined by a computed tomography scan on an outpatient basis, after an x-ray examination of the tibia, which was performed after an injury to exclude the presence of a fracture, revealed a hyperlucency of unknown origin. The aim of this study was to discuss the clinical, histological, immunohistochemical and radiographic characteristics of this rare neoplasm, with a focus on image-guided bone biopsy.

show abstract

“…6 It is easy to use, and, in 1 study, was rated among the easiest to use when compared with 8 commonly used commercially available bone biopsy needles. 7 This technique is useful in the spine and other osseous locations when a fine, precise, controlled transosseous needle advancement is desired. Although this technique was used for lumbar puncture and myelography in the setting of AS and instrumented spinal fusion, it has other potential uses, includ- 3. A, Axial CT scan through the L2-3 level with the patient prone shows the cannula (arrow) traversing a 2.5-cm thickness of bone graft, lamina, and ossified ligamentum flavum.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Transosseous Translaminar Approach for Thecal Sac Access in Advanced Ankylosing Spondylitis with Instrumented Posterior Spinal Fusion

Liu

Lasboo²,

Rozenfeld³

et al. 2009

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

SUMMARY:A novel transosseous approach for percutaneous access of the lumbar subarachnoid space is described in a patient with advanced ankylosing spondylitis (AS) and instrumented spinal fusion who presented for myelography. Use of a coaxial threaded bone biopsy system to provide transosseous access to the thecal sac, imaging findings, and outcome are discussed. This technique provided access to an otherwise inaccessible subarachnoid space and is an alternative approach in the setting of advanced AS or posterior spinal fusion.A nkylosing spondylitis (AS) is a seronegative spondyloarthropathy that can affect the sacroiliac joints, vertebral bodies, intervertebral disks, spinal facet joints, costovertebral joints, costotransverse joints, and the paravertebral soft tissues, including tendon and ligament attachments.1 In the setting of AS, access to the subarachnoid space for myelography can be difficult or impossible by using conventional lumbar puncture techniques due to spinal ankylosis, associated softissue abnormalities, and prior spinal fusions. 2 We describe a novel controlled transosseous approach to access the lumbar subarachnoid space safely in a patient with complete spinal fusion from AS and prior surgical fusion by using the Bonopty Bone Biopsy System (Radi Medical Systems, Uppsala Sweden). Technical ReportA 44-year-old man with advanced AS and prior posterior spinal fusion from the occiput to the pelvis presented with progressive myelopathy (Fig. 1). CT and MR imaging were attempted but were limited due to metal artifacts from the extensive spinal fusion hardware. There were findings of upper and midthoracic spinal cord syringohydromyelia on MR imaging, but the presence/absence of subarachnoid adhesions, which could be causative, could not be determined (Fig 2). A total spine myelogram was requested via the C1-2 approach.Review of prior cervical imaging showed extensive ossification at the craniocervical junction and a diminutive dorsal CSF space at C1-2. The C1-2 approach was deemed unsafe. A decision was made to attempt myelography via a lumbar approach by using CT guidance. The preprocedural CT scan showed complete ankylosis across the facets joints and between the lamina in conjunction with prior surgical bone graft fusion material over the posterior elements, resulting in a confluent continuous osseous barrier. A classic interlaminar lumbar puncture with standard spinal needles was not possible due to the extent of ossification/fusion. A lumbar transforaminal approach was considered but dismissed due to anatomic considerations and patient positioning/comfort issues. It was decided to attempt access by drilling through the lamina and coaxially introducing a spinal needle into the thecal sac.The patient was placed prone on the CT table and made comfortable, which required significant bolstering due to his fixed spinal kyphosis. After initial scanning of the lumbar spine, a left paramedian approach at L2-3 was selected due to the relative thinness of the osseous fusion in that position. Through a sma...

show abstract

Assessment of bone biopsy needles for sample size, specimen quality and ease of use

Abstract: Bone biopsy needles vary significantly in performance. Detailed knowledge of the strengths and weaknesses of different needles is important to make an appropriate selection for each individual's practice.

Cited by 32 publications

References 7 publications

Rotary powered device for bone marrow aspiration and biopsy yields excellent specimens quickly and efficiently

Rotary powered device for bone marrow aspiration and biopsy yields excellent specimens quickly and efficiently

Desmoplastic fibroma of the distal tibia: A case report of a minimally invasive histological diagnosis

Percutaneous Transosseous Translaminar Approach for Thecal Sac Access in Advanced Ankylosing Spondylitis with Instrumented Posterior Spinal Fusion

Contact Info

Product

Resources

About