Magnetic resonance imaging guided biopsy of musculoskeletal lesions

Wu, Hung-Ta Hondar; Chang, Cheng-Yen; Chang, Hsiu‐Hua; Yen, Ching‐Yu; Cheng, Henrich; Chen, Paul Chih-Shueh; Chiou, Hong‐Jen

doi:10.1016/j.jcma.2012.02.008

Cited by 25 publications

(10 citation statements)

References 30 publications

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“…27 Similarly, Wu et al reported successful MR-guided biopsy in 23 of 23 patients, two of whom had soft tissue lesions. 28 Thus early reports support the use of MR guidance for biopsies in the musculoskeletal system, particularly osseous lesions.…”

Section: Mri Spectroscopy and Diffusionmentioning

confidence: 95%

Current Imaging and Therapy of Malignant Soft Tissue Tumors and Tumor-like Lesions

Beaman

Jelinek

Priebat

2013

Semin Musculoskelet Radiol

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Soft tissue tumors are histologically classified based on the tissue type they reflect. MR and computed tomography imaging remains the mainstay for the evaluation of a soft tissue mass including guiding the biopsy to the most aggressive portion of the lesion, tumor staging, and evaluating local recurrence and metastatic disease. Although some lesions may be readily identified based on their imaging characteristics, many soft tissue tumors remain indeterminate and require biopsy for diagnosis of histologic type and lesion grade, factors that have an impact on therapeutic options and long-term disease-free survival.In this article we review the current literature regarding imaging and treatment of soft tissue lesions in the musculoskeletal system. Positron emission tomography and specialized MR techniques, such as spectroscopy and diffusion-weighted imaging, are useful in the diagnosis of high-grade soft tissue sarcomas, although imaging overlap exists with benign and low-grade sarcomas. These modalities are proving useful in primary tumor staging, evaluation of therapeutic response, and metastatic disease assessment. We also discuss the roles of percutaneous ablation in the treatment of focal disease and palliative pain control, and review current targeted cancer therapies.

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Section: Mri Spectroscopy and Diffusionmentioning

confidence: 95%

Current Imaging and Therapy of Malignant Soft Tissue Tumors and Tumor-like Lesions

Beaman

Jelinek

Priebat

2013

Semin Musculoskelet Radiol

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“…MRI guidance has been demonstrated to be safe and effective when performing a musculoskeletal biopsy with the appropriate tools. 31,32 At our institution, lesions that are only visible on metabolic imaging modalities or MRI are typically biopsied under CT guidance using anatomical landmarks. Fig.…”

Section: Biopsy Guidancementioning

confidence: 99%

Image-Guided Biopsy and Treatment of Musculoskeletal Tumors

Hillen

Baker

Jennings

et al. 2013

Semin Musculoskelet Radiol

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This article reviews the basics of image-guided intervention of musculoskeletal neoplasms. Image-guided procedures are playing an ever-increasing role in the diagnosis, staging, and treatment of musculoskeletal tumors. The successful handling of these lesions necessitates a multidisciplinary approach, with the radiologist working closely with the orthopedic oncologic surgeon, medical oncologist, radiation oncologist, and pathologist to ensure that the procedure is performed in a way that maximizes the chance of definitive diagnosis and/or the treatment effect while minimizing potential complications. To accomplish these goals, the radiologist must be familiar with the indications and contraindications for any biopsy or treatment, effective procedure planning (e.g., selection of biopsy path, type of imaging guidance and biopsy needle, etc.), proper specimen handling, and potential treatment options such as thermal ablation or cement augmentation. Continued involvement after the procedure-including follow-up to ensure that pathology is concordant with imaging-is also crucial.

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“…Different groups have focused on manual MRI-guided procedures to deal with these drawbacks. Wu et al [6] successfully performed MRI-guided manual biopsy of musculoskeletal lesions on 23 patients. Fritz et al [7] performed freehand real-time MRI-guided lumbar spinal injection procedures on 37 patients with 89% success rate for facet joint injections.…”

Section: Introductionmentioning

confidence: 99%

Development of a shoulder-mounted robot for MRI-guided needle placement: phantom study

et al. 2018

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Noise and distortion of the MR images were not significant, and image quality in the presence of the robot was satisfactory for MRI-guided targeting. Combined average total error, adding mounting stability errors and structure deformation errors to targeting error, is estimated to be 3.4 mm with a standard deviation of 1.65 mm. In clinical practice, needle placement accuracy under 5 mm is considered sufficient for successful joint injection during shoulder arthrography. Therefore, for the intended clinical procedure, these results indicate that Arthrobot has sufficient positioning accuracy.

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Magnetic resonance imaging guided biopsy of musculoskeletal lesions

Cited by 25 publications

References 30 publications

Current Imaging and Therapy of Malignant Soft Tissue Tumors and Tumor-like Lesions

Current Imaging and Therapy of Malignant Soft Tissue Tumors and Tumor-like Lesions

Image-Guided Biopsy and Treatment of Musculoskeletal Tumors

Development of a shoulder-mounted robot for MRI-guided needle placement: phantom study

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