CT-Guided Biopsy of Bone: A Radiologist's Perspective

Espinosa, Leandro; Jamadar, David A.; Jacobson, Jon A.; Demaeseneer, Michel; Ebrahim, Farhad S.; Sabb, Brian; Kretschmer, Matthew; Biermann, J. Sybil; Kim, Sung Moon

doi:10.2214/ajr.07.3138

Cited by 73 publications

(51 citation statements)

References 11 publications

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“…The rate of complications in CT-guided bone biopsies is very low (1.1%), while in open biopsy it may be as high as 16% (13) . Even considering that it is generally a low risk procedure, minor side effects and complications such as infections, fractures and bleeding may occur (14-16) .…”

Section: Introductionmentioning

confidence: 99%

Biópsia percutânea de lesões ósseas guiada por tomografia computadorizada: taxas de definição diagnóstica e complicações

et al. 2014

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ObjectiveTo determine the rates of diagnostic success and complications of computed tomography (CT)-guided percutaneous biopsy of bone lesions suspected for malignancy.Materials and MethodsRetrospective study including 186 cases of CT-guided percutaneous biopsies of bone lesions in the period from January, 2010 to December, 2012. All the specimens were obtained with 8-10 gauge needles. The following data were collected: demographics, previous history of malignancy, data related to the lesion, to the procedure, and to histological results.ResultsMost patients were women (57%), and the mean age was 53.0 ± 16.4 years. In 139 cases (74.6%), there was diagnostic suspicion of metastasis and the most common primary tumors were breast (32.1%) and prostate (11.8%). The bones most commonly involved were spine (36.0%), hip (32.8%) and long bones (18.3%). Complications occurred in only three cases (1.6%) including bone fracture, paresthesia with functional impairment, and needle breakage requiring surgical removal. The specimens collected from 183 lesions (98.4%) were considered appropriate for diagnosis. Malignant results were more frequently found in patients who had a suspected secondary lesion and history of known malignancy (p < 0.001), and in patients who underwent PET/CT-guided procedures (p = 0.011).ConclusionCT-guided percutaneous biopsy is a safe and effective procedure for the diagnosis of suspicious bone lesions.

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Section: Introductionmentioning

confidence: 99%

Biópsia percutânea de lesões ósseas guiada por tomografia computadorizada: taxas de definição diagnóstica e complicações

et al. 2014

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“…Fine needle aspiration biopsies may help to differentiate benign lesions from metastatic ones. On the other hand, core biopsies are superior in terms of the ability to determine the cell type and tumor grade, which are required for the diagnosis of primary bone tumors [16]. Reported success (in terms of diagnostic material yield) of percutaneous biopsies for bone or soft tissue lesions varies between 71% and 88% for fine needle aspiration [1,11,17] and between 70% and 90% for core biopsies [9,11,12,14,18].…”

Section: Discussionmentioning

confidence: 99%

Image-Guided Percutaneous Bone Biopsy with a Simulated Van Sonnenberg Removable Hub System

Özdemi̇r

Kahraman

Baysal

et al. 2015

EAJM

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Objective: To retrospectively examine the success and complication rates associated with image-guided percutaneous bone biopsy with a simulated Van Sonnenberg removable hub system. Materials and Methods:During a 3.5-year period, 27 bone lesions at different anatomic locations with an indication for biopsy based on plain film, computed tomography (CT) and/or magnetic resonance imaging (MRI) findings were determined, and a total of 28 imageguided (fluoroscopy or CT) percutaneous biopsies were performed using a simulated Van Sonnenberg -removable hub system. This technique entailed the use of a cut-out Chiba needle hub that performed as a guide for the insertion of a larger needle. Either core and aspiration biopsy or core biopsy alone was utilized. Results:The procedure yielded diagnostic material 89% of the cases (48% infection, 22% benign lesions, and 19% malignant lesions). Combined use of core and aspiration biopsy resulted in a higher diagnostic accuracy as compared to core biopsy alone. No false positive or false negative diagnoses were observed. No serious complications such as neurological deficits, bleeding, or organ injury were observed. Conclusion:The simulated Van Sonnenberg removable hub system provides a useful technique for percutaneous bone biopsies and is particulary suitable for deep seated (such as vertebral) lesions with its ability to facilitate the accessibility of the lesion with its built-in guidance needle. The procedure is safe in light of the literature data. Keywords: Bone, image-guided biopsy, Van Sonnenberg ÖzetAmaç: "Van Sonnenberg removable hub" sisteminin simüle edilmesi ile yapılan görüntüleme eşliğinde kemik biyopsilerinin başarı ve komplikasyon oranlarını retrospektif olarak değerlendirmek Gereç ve Yöntem: 3,5 yıl süresince farklı anatomik lokasyonlarda yer alan 27 kemik lezyonu direk grafi, bilgisayarlı tomografi (BT) ve/veya manyetik rezonans görüntüleme (MRG) bulguları ile değerlendirildi ve "Van Sonnenberg removable hub sistemi" simülasyonu ile toplam 28 görüntüleme eşliğinde (floroskopi veya BT) biyopsi işlemi yapıldı. Bu yöntemde Chiba iğnesi, başlığı (hub) kesilerek üzerinden daha büyük iğnelerin geçişini sağlayan bir klavuz olarak kullanıldı. Biyopsi materyalleri kor ve aspirasyon biyopsisinin birlikte veya yalnızca kor biyopsinin kullanımı ile elde edildi. Bulgular:Vakaların %89'unda (%48 enfeksiyon, %22 benign lezyonlar, %19 malign lezyonlar) tanı koydurucu materyal elde edildi. Kor ve aspirasyon biyopsisinin birlikte kullanımı yalnızca kor biyopsinin kullanımı ile karşılaştırıldığında daha yüksek tanısal doğruluk oranlarına sahipti. Yalancı pozitif veya negatif tanı ile karşılaşılmadı. Nörolojik hasar, kanama veya organ hasarı gibi ciddi komplikasyon meydana gelmedi.Sonuç: "Van Sonnenberg removable hub" sistemi simülasyonu, sağ-ladığı klavuz iğne yöntemi sayesinde özellikle vertebra gibi derin yerleşimli kemik lezyonlarına ulaşımı kolaylaştıran uygun ve kullanışlı bir yöntem olup literatür bilgileri ışığında perkütan kemik biyopsilerinde bu tekniğin kullanımı ...

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“…A scout view radiogram was taken focused on the affected area, and multislice CT was acquired for further access planning. Axial, sagittal, and coronal images were reconstructed and the optimal position for the lesion access was chosen by an experienced interventional radiologist [BG] using recommended approaches [13]. All interventions were carried out under maximal sterile barriers (mask, cap, sterile dressing) and single-shot intravenous antibiotic prophylaxis with a broad-spectrum medication, e.g., cefuroxime.…”

Section: Methodsmentioning

confidence: 99%

CT-guided radiofrequency ablation of osteoid osteoma using a novel battery-powered drill

et al. 2014

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CT-Guided Biopsy of Bone: A Radiologist's Perspective

Abstract: We provide important guidelines and key examples that will help readers perform percutaneous needle bone biopsy safely.

Cited by 73 publications

References 11 publications

Biópsia percutânea de lesões ósseas guiada por tomografia computadorizada: taxas de definição diagnóstica e complicações

Biópsia percutânea de lesões ósseas guiada por tomografia computadorizada: taxas de definição diagnóstica e complicações

Image-Guided Percutaneous Bone Biopsy with a Simulated Van Sonnenberg Removable Hub System

CT-guided radiofrequency ablation of osteoid osteoma using a novel battery-powered drill

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