CT-guided bone biopsy performed by means of a coaxial biopsy system with an eccentric drill.

Ahlström, K. H.; Åström, K.G.O.

doi:10.1148/radiology.188.2.8327713

Cited by 38 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our more recent experience, we have found the Bone-Temno needle to be equally, if not more effective. In specific circumstances, co-axial biopsy systems may be advantageous [16,17].…”

Section: Discussionmentioning

confidence: 99%

Radiologically Guided Bone Biopsy: Results of 502 Biopsies

Salisbury

Darby

et al. 1998

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

Bone biopsy is a valuable technique for positive diagnosis of malignancy or infection, as it enables a definitive plan for treatment and management of patients to be established. Exclusion of serious pathology is almost equally important. In principle, any osseous site can be biopsied using fluoroscopic or computed tomographic guidance. Care in the biopsy technique and selection of the bone needle is required.

show abstract

“…In our more recent experience, we have found the Bone-Temno needle to be equally, if not more effective. In specific circumstances, co-axial biopsy systems may be advantageous [16,17].…”

Section: Discussionmentioning

confidence: 99%

Radiologically Guided Bone Biopsy: Results of 502 Biopsies

Salisbury

Darby

et al. 1998

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

show abstract

“…In a trial with the coaxial biopsy system with an eccentric drill (Ahlström and Å ström 1993) sufficient cytological material was obtained in 11 of 12 cases. These patients had thick intact cortical bone over the lesions of interest, but they were easily reached.…”

Section: Discussionmentioning

confidence: 99%

Cytological Diagnosis of Bone Tumours

Kreicbergs

Bauer

Brosjö

et al. 1996

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

We evaluated the diagnostic accuracy of fine-needle aspiration biopsy in a prospective study of 300 patients with previously undiagnosed bone lesions. Patients with suspected local recurrence of a primary bone tumour or a metastatic lesion of a previously diagnosed malignancy were excluded. Fine-needle aspiration biopsy was performed under radiological control as an outpatient procedure.The series was grouped into three major categories: 1) benign bone lesions including infections; 2) primary malignant bone tumours; and 3) metastases including lymphomas and myelomas. We compared the cytological diagnosis with the final diagnosis as assessed by histological examination and/or the clinical and radiological features.Material considered conclusive for cytological diagnosis was obtained from 251 of the 300 patients. Of the 49 failures, there were 24 aspirates with insufficient cellular yield and 25 in which a diagnosis could not be made although the cytological material was adequate in quantity. Most of the inconclusive aspirates (36/49) were obtained from benign bone lesions.The diagnosis was correct in 239 (95%) of the 251 cases providing adequate cytological material. There were eight (3%) falsely benign diagnoses, one (0.3%) falsely malignant, and three cases in which we were unable to differentiate between sarcoma and a metastasis. Chondrosarcoma (2/12) gave the greatest diagnostic difficulty and Ewing's sarcoma the least (0/9). There were no decisive errors of treatment. All falsely benign or malignant diagnoses were questioned, and led to open biopsy since they did not correlate with the clinical and radiological features.Our study suggests that fine-needle aspiration biopsy is a valid option for the diagnosis of bone tumours. It is a simple outpatient procedure which gives sufficient cytological material for the correct diagnosis in 80% of cases. As with histological analysis of material from open biopsy, the cytological assessment must agree with the clinical and radiological findings.

show abstract

“…The coaxial technique has been proposed as a useful method for obtaining biopsy specimens in many areas of the body, including the bone, kidney, liver, chest, pancreas, and lung [1,[3][4][5][6]. Specific techniques and needles have been developed for the coaxial technique [1,[7][8], and the technique has gained widespread acceptance as a biopsy method of choice in hemodynamically unstable patients as a way to offer decreased morbidity and an opportunity to embolize the biopsy tract [9][10][11].…”

Section: Discussionmentioning

confidence: 99%