Gantry-needle-target alignment technique for CT-guided needle approaches to the skull base and cranio-cervical junction

Pileggi, Marco; Ventura, Elisa; Napoli, A. Di; Piantanida, R; Muto, Mario; Cardia, Andrea; Cianfoni, Alessandro

doi:10.1007/s00234-022-03005-9

Cited by 2 publications

(1 citation statement)

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“…Central skull base lesions are difficult to approach even with the aid of CT. Despite this, several successful strategies include the CT gantry obliquity 'tilt angle' and peculiar anatomical approaches [24,25]. For bone lesions located in the sphenoid or clivus/skull base bones, an endoscopic trans-sphenoidal biopsy can be considered as an alternative to craniotomy and CT-guided biopsies [26].…”

Section: Skull Base and Craniovertebral Junction (C0-c2)mentioning

confidence: 99%

Percutaneous CT-Guided Bone Biopsies: Indications, Feasibility and Diagnostic Yield in the Different Skeletal Sites—From the Skull to the Toe

et al. 2023

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CT-guided bone biopsies are currently the diagnostic tool of choice for histopathological (and microbiological) diagnoses of skeletal lesions. Several research works have well-demonstrated their safety and feasibility in almost all skeletal regions. This comprehensive review article aims at summarizing the general concepts in regard to bone biopsy procedures, current clinical indications, the feasibility and the diagnostic yield in different skeletal sites, particularly in the most delicate and difficult-to-reach ones. The choice of the correct imaging guidance and factors affecting the diagnostic rate, as well as possible complications, will also be discussed. Since the diagnostic yield, technical difficulties, and complications risk of a CT-guided bone biopsy significantly vary depending on the different skeletal sites, subdivided analyses of different anatomical sites are provided. The information included in the current review article may be useful for clinicians assisting patients with possible bone neoplasms, as well as radiologists involved in the imaging diagnoses of skeletal lesions and/or in performing bone biopsies.

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Section: Skull Base and Craniovertebral Junction (C0-c2)mentioning

confidence: 99%