Percutaneous Biopsy in the Anterior Thoracic Spine

Metzger, Clark; Johnson, David W.; Donaldson, William F.

doi:10.1097/00007632-199303000-00013

Cited by 35 publications

(18 citation statements)

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“…If FANB is used, it is important to do a frozen section or rapid cytological exam of the lesions that are necrotic or heterogeneous on the imaging studies [41]. Although the diagnostic yield is higher with large bore needles (due to larger amount of tissue and less crush artifact, they carry the disadvantage of obscuring the image on CT images and maceration of soft tissue paraspinal mass (small gauge needles are more appropriate for these lesions) [18,37].…”

Section: Needle Selectionmentioning

confidence: 99%

“…Posterolateral (T&L): The patient is in the prone or decubitus position and the needle is introduced lateral to the transverse process (5-7 cm from the midline 18 ) and the tip is aimed at the lateral side of the vertebral body. If possible, it is safer to perform the thoracic biopsies from the right side to avoid puncturing the aorta and the lumbar biopsies from the right to avoid the inferior vena cava vein [1,2].…”

Section: Thoracic (T) and Lumbar (L) Spinementioning

confidence: 99%

“…Additionally, visualization of the neural arch and paravertebral lesions are difficult by fluoroscopy, while CT scan ensures accurate biopsy of these lesions [2]. On the other hand, real time imaging is not possible with CT scan and this will not only lengthen the time of the procedure, but also increases the risk of needle slippage into the adjacent structures while trying to penetrate the bone [18].…”

Section: Imaging Guidancementioning

confidence: 99%

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Percutaneous Spine Biopsy: A Literature Review

Nourbakhsh¹

2015

Int J Radiol Radiat Oncol

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Percutaneous spine biopsy has widely replaced open biopsy during the last 50 years. Closed biopsy is more cost effective, less invasive, and has fewer complications than open procedures. A literature search was conducted in PubMed for percutaneous spine biopsy. The contributing factors to the success of the biopsy were identified by reviewing the articles and their references. These factors included location and type of lesion, needle system and use of different modalities of imaging as well as the physician's expertise. Potential complications include pneumothorax, hematoma, nerve root injury, transient paresis, transient spinal anesthesia, meningitis, radiculopathy, and paraplegia. Overviews of the pre and post biopsy workup along with comprehensive description of the determinants of the biopsy outcome are discussed. These determinants are: lesion type; location of the lesion in the vertebrae and the level of the spine where the lesion is located; the imaging guidance used to identify the lesion during biopsy; and, the needle or trephine which is used to obtain the specimen. A detailed review of different approaches used to penetrate the lesion by trephine or needle are also provided. The decision on how the surgeon should obtain a percutaneous spine biopsy is dependent on the characteristics of the lesion, availability of imaging guidance and also the expertise of the physician.

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Section: Needle Selectionmentioning

confidence: 99%

Section: Thoracic (T) and Lumbar (L) Spinementioning

confidence: 99%

Section: Imaging Guidancementioning

confidence: 99%

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Percutaneous Spine Biopsy: A Literature Review

Nourbakhsh¹

2015

Int J Radiol Radiat Oncol

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“…Acute complications occur during or immediately after the procedure, which would include anaphylactic allergic reaction to medication or contrast media. Pneumothorax is an acute potential complication of any spinal biopsy (23,27). Pneumothorax can occur with low cervical or thoracic biopsies.…”

Section: Complicationsmentioning

confidence: 99%

Percutaneous needle biopsy of the spine

Tehranzadeh

Cheng²,

Browning³

2007

Acta Radiol

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The purpose of this review article is to provide a brief overview of the recent literature on the two main types of percutaneous biopsy methods done in the spinal column: fine needle aspiration biopsy (FNAB) and core needle biopsy (CNB). FNAB is the process of obtaining a sample of cells and bits of tissue for examination by applying suction through a fine needle attached to a syringe. Core needle biopsy involves extracting a cylindrical sample of tissue using a large, hollow needle. The decision for needle biopsy is a joint effort between the clinician, pathologist, radiologist, surgeon, and patient. Specific techniques and approaches with varying needle systems are described for each spinal region. Percutaneous image-guided spine biopsy is a safe and effective procedure. It is the procedure of choice in definitive diagnosis of pathologic lesions of the spine.

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“…In spinal lesions, the accuracy of percutaneous CNB is reported to be between 65-100% (12,18,1,5,10). Particularly percutaneous CNB is favored over open biopsy because it is cheaper, painless and has a low complication rate (10,14,13,6,15,11,7,17). In our study, we aimed to investigate the contribution of TIC of CNB to the diagnosis of spinal lesions.…”

Section: Introductionmentioning

confidence: 99%

The value of touch imprint cytology of core needle biopsy in the diagnosis of spinal lesions

Paker

Sezak²,

Doğanavşargıl³

et al. 2012

Turkish Neurosurgery

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AIm:We aimed to investigate the contribution of the touch imprint cytology (TIC) of core needle biopsies (CNBs) to the diagnosis in spinal lesions. mAterIAl and methOds: Sixty cases with spinal CNB and TIC were included in the study. Hematoxylin and Eosin (H&E) and May-GrunwaldGiemsa (MGG) stained TIC slides and CNB of each case were blindly reevaluated by two pathologists. TIC and CNB findings were categorized as follows: 1-Nondiagnostic 2-Benign nonneoplastic 3-Benign neoplastic 4-Malignant 5-Malignant lesions that can be typed.results: TIC and CNBs were nondiagnostic in 62% and 45% of all cases, respectively. Malignancy could be identified and typed in 23% of imprint preparations and 35% of CNBs. When TIC and CNB diagnosis were compared, it was seen that diagnostic categories were just the same in 70% of the cases. In 37% of the cases benign and malignant groups could be distinguished. In 20% of the cases diagnostic categories were totally different. COnClusIOn:The percentage of the nondiagnostic material in CNBs can reach up to 45%. The findings in TIC and CNBs were compatible with each other. We observed that TIC was diagnostic on its own especially in carcinoma metastasis and contributed to the assessement of cytologic detail in hematologic malignancies.KeywOrds: Imprint, Core needle biopsy, Cytology, Spine ÖZ AmAÇ: Çalışmamızda omurga kor iğne biyopsilerinde (KİB) imprint sitolojisinin (İS) tanıya katkısını araştırmak amaçlandı. yÖntem ve GereÇler: Omurga KİB ve İS bulunan 60 olgu çalışmaya alındı. Her olgunun Hematoksilen-Eozin (H&E) ve May-GrunwaldGiemsa (MGG) boyalı imprint preparatları ile biyopsi materyalleri, 2 patolog tarafından tanılara kör olarak yeniden değerlendirildi. İS'de izlenen hücresel elemanlar ile biyopsilerde izlenen bulgular; 1: Tanı için yetersiz 2: Benign nonneoplastik lezyonlar 3: Benign neoplastik lezyonlar, 4: Malign lezyonlar, 5: Tip tayini yapılabilen malign lezyonlar olarak gruplandırıldı. İS'nin tanıya katkısı ve biyopsi ile aralarındaki uyum istatistiksel olarak kappa korelasyon analizi ile araştırıldı.BulGulAr: İmprintlerin ve biyopsilerin sırasıyla %62'si ve %45'inde bulgular tanı için yetersizdi ancak imprintlerin %23'ünde, biyopsilerin % 35'inde malignitenin tanınabildiği ve alt tip tayini yapılabildiği görüldü. İS ve KİB tanıları karşılaştırıldığında olguların %70'inde, tanı kategorilerinin birebir aynı olduğu, %37'sinde benign ve malign grupların ayırtedilebildiği, %20'sinde ise tanı kategorilerinin tamamen farklı olduğu gözlendi. H&E ve MGG boyalı imprintler arasında ise anlamlı bir fark izlenmedi. sOnuÇ: Omurga KİB'lerinde nondiagnostik materyal oranı %45'e ulaşabilmektedir. İS'nin biyopsi bulgularıyla uyumluluk gösterdiği, özellikle karsinom metastazlarında tek başına diagnostik olduğu, hematolojik malignitelerde hücresel detayın değerlendirilmesine katkıda bulunduğu gözlenmiş, MGG ile boyanan yaymaların, kondroid matriksin ve nükleer detayın değerlendirilmesine ek bir katkı sağladığı görülmüştür.

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Percutaneous Biopsy in the Anterior Thoracic Spine

Cited by 35 publications

References 0 publications

Percutaneous Spine Biopsy: A Literature Review

Percutaneous Spine Biopsy: A Literature Review

Percutaneous needle biopsy of the spine

The value of touch imprint cytology of core needle biopsy in the diagnosis of spinal lesions

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