Evaluation of 126 consecutive cases of stereotactic procedures: brain biopsy, diagnostic yield, accuracy, non-diagnostic results, hemorrhagic complications and follow up.

Hakan, Tayfun; Aker, Fügen

doi:10.5137/1019-5149.jtn.13742-14.0

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…Concerning diagnostic yield, morbidity and mortality, our results are comparable to those presented in earlier biopsy studies with frame-based methods. [1][2][3][4][9][10][11][12] However, a morbidity rate of 10.4% is in the upper spectrum, as seen in the report by Dammers et al 13 On the other hand, when accounting only for the clinically significant complications (6.4%) it is indeed comparable to earlier studies. 1,2,[9][10][11] Even though the minor complications that were detected did not affect the patients long-term, or required image-based examinations, it is relevant to know the rate of transient neurologic deficits that occur from the procedure.…”

Section: Discussionsupporting

confidence: 76%

A single-centre study of frame-based stereotactic brain biopsies

Pennlund

Jakola

Skoglund

et al. 2021

British Journal of Neurosurgery

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Section: Discussionsupporting

confidence: 76%

A single-centre study of frame-based stereotactic brain biopsies

Pennlund

Jakola

Skoglund

et al. 2021

British Journal of Neurosurgery

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“…In order to compare the rates of undesired events in our sample with the literature, we conducted a meta-analysis of 24 prior FBSB series [ 7 – 30 ]. The scope of the literature research was limited to studies published in this millennium to mitigate possible effects of recent technical advancements in stereotactic hardware, imaging and planning.…”

Section: Discussionmentioning

confidence: 99%

Frame-based stereotactic biopsies using an intraoperative MR-scanner are as safe and effective as conventional stereotactic procedures

et al. 2018

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BackgroundFrame-based stereotactic biopsy (FBSB) is a minimally-invasive and effective procedure for the diagnosis of brain lesions and will likely gain clinical importance. Since FBSB procedures comprise a variety of imaging and sampling methods, it is necessary to compare the safety and effectiveness of individual techniques.ObjectiveTo assess the safety and effectiveness of FBSB using 1.5T iMRI as a one-stop procedure under general anesthesia without intraoperative histological examination.MethodsIn this single-center, retrospective analysis, 500 consecutive FBSBs using iMRI were compared to a historic control of 100 biopsies with traditional workflows (computed tomography (CT) with MRI image fusion). All procedures were performed under general anesthesia. Data on surgical procedures, pre- and postoperative neurologic patient status, complications and diagnostic yield were extracted from clinical records.ResultsComplication rates and diagnostic yield showed no significant differences between both groups. Mortality was 0.6%, 95% CI = [0.12%, 1.74%], in the iMRI and 0.0% [0.00%, 3.62%], in the control group with a morbidity of 5.4% [3.6%, 7.8%] and 6.0% [2.2%, 12.6%] and a diagnostic yield of 96.8% [94.9%, 98.2%] and 96.0% [90.1%, 98.9%]. Mean procedure duration was 124 [121, 127] minutes using iMRI and 112 [106, 118] minutes in the control group.ConclusionFBSB using 1.5T iMRI under general anesthesia is a safe and effective procedure and is equivalent to traditional stereotactic workflows with respect to complication rate and diagnostic yield.

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“…In this regard, asystematic review by Dlaka et al ( 14) reported a diagnostic yield ranging from 75 to 100% for robot-assisted stereotactic biopsy ( 14). An increasing body of evidence suggests that the diagnostic yield of classic framebased stereotactic biopsies ranges from 81.3 to 99.2% (1,13,(19)(20)(21)(22)(23)(24)(25)(26). Yi et al reported no significant difference in diagnostic yield between frame-based biopsies and frameless biopsies (96.9 vs. 91.8%).…”

Section: Efficacymentioning

confidence: 99%

A Comparation Between Frame-Based and Robot-Assisted in Stereotactic Biopsy

Cai

Zhang

et al. 2022

Front. Neurol.

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IntroductionFrame-based stereotactic biopsy is well-established to play an essential role in neurosurgery. In recent years, different robotic devices have been introduced in neurosurgery centers. This study aimed to compare the SINO surgical robot-assisted frameless brain biopsy with standard frame-based stereotactic biopsy in terms of efficacy, accuracy and complications.MethodsA retrospective analysis was performed on 151 consecutive patients who underwent stereotactic biopsy at Chongqing Sanbo Jiangling Hospital between August 2017 and December 2021. All patients were divided into the frame-based group (n = 47) and the SINO surgical robot-assisted group (n = 104). The data collected included clinical characteristics, diagnostic yield, operation times, accuracy, and postoperative complications.ResultsThere was no significant difference in diagnostic yield between the frame-based group and the SINO surgical robot-assisted group (95.74 vs. 98.08%, p > 0.05). The mean operation time in the SINO surgical robot-assisted group was significantly shorter than in the frame-based group (29.36 ± 13.64 vs. 50.57 ± 41.08 min). The entry point error in the frame-based group was significantly higher than in the robot-assisted group [1.33 ± 0.40 mm (0.47–2.30) vs. 0.92 ± 0.27 mm (0.35–1.65), P < 0.001]. The target point error in the frame-based group was also significantly higher than in the robot-assisted group [1.63 ± 0.41 mm (0.74–2.65) vs. 1.10 ± 0.30 mm (0.69–2.03), P < 0.001]. Finally, there was no significant difference in postoperative complications between the two groups.ConclusionRobot-assisted brain biopsy becomes an increasingly mainstream tool in the neurosurgical procedure. The SINO surgical robot-assisted platform is as efficient, accurate and safe as standard frame-based stereotactic biopsy and provides a reasonable alternative to stereotactic biopsy in neurosurgery.

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Evaluation of 126 consecutive cases of stereotactic procedures: brain biopsy, diagnostic yield, accuracy, non-diagnostic results, hemorrhagic complications and follow up.

Cited by 7 publications

References 22 publications

A single-centre study of frame-based stereotactic brain biopsies

A single-centre study of frame-based stereotactic brain biopsies

Frame-based stereotactic biopsies using an intraoperative MR-scanner are as safe and effective as conventional stereotactic procedures

A Comparation Between Frame-Based and Robot-Assisted in Stereotactic Biopsy

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