Preliminary experience with the Berger neurobiopsy device for ultrasound guided aspiration and biopsy of intracranial lesions

Borgstein, Rudi; Moxon, Richard; Hately, W.; Hamlyn, Peter J.; Arias, José Luis Ramírez; Chumas, Paul

doi:10.1016/s0009-9260(05)80505-7

Cited by 10 publications

(3 citation statements)

References 10 publications

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“…These results match with a 5% complication rate in ultrasoundguided burr hole tumor biopsies 13 and with the results of other ultrasound-guided cases. 12,[17][18][19][20] In accordance with the current literature, 1,4 treatment of abscess by puncture results in a lower rate of neurologic sequelae. It is not astonishing that the rate of complications compared with stereotactic procedures is comparable because the surgery itself does not differ significantly.…”

Section: Clinical Resultssupporting

confidence: 73%

Safety and Accuracy of Ultrasound-guided Burr Hole Brain Abscess Aspiration

Allouch

Kassem

Behnke‐Mursch

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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Background Ultrasound-guided burr hole biopsies or catheter placements are quick and safe procedures. The use of these procedures for treatment of brain abscesses has been reported, but larger series are missing. The aim of our study was to evaluate the accuracy and safety of the methods. Patients Twenty-five brain abscess aspirations in 17 patients were analyzed. Fourteen procedures were performed to evacuate abscesses in eloquent regions; another 3 were located deeply in the cerebellar hemispheres. Results In all the procedures, a histopathologic diagnosis could be established. Only one transient deterioration of a hemiparesis occurred; other operative complications were not observed. Six patients needed more than one operation due to a relapse of the abscess. Two out of three cerebellar abscesses could be cured with one aspiration. Thirteen patients had an excellent outcome, and 2 remained severely disabled. One patient died from cerebritis and another from a neoplasm. In every procedure, a proper visualization of the abscess and monitoring of the penetration and aspiration could easily be performed. Conclusion Ultrasound-guided burr hole aspiration is minimally invasive, quick, and has a very low complication rate. It offers the advantage to adapt to intraoperatively changing anatomy. The rate of recurrence is not lower than in other treatment modalities.

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Section: Clinical Resultssupporting

confidence: 73%

Safety and Accuracy of Ultrasound-guided Burr Hole Brain Abscess Aspiration

Allouch

Kassem

Behnke‐Mursch

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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“…[4][5][6][7][8] These procedures can be guided by sonography or CT. Many investigators have evaluated the type of procedures and their complications, indications and accuracies.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Cytodiagnosis of Metastatic Brain Tumors Confused Clinically with Brain Abscess

Monabati¹,

Kumar²,

Kamkarpour³

2000

Acta Cytologica

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“…A set of 3D images can be obtained prior to each treatment using conebeam CT, [27][28][29][30][31] CT on rails, [32][33][34] tomotherapy, [35][36][37] or ultrasonography. 38,39 However, it is challenging for these volume imaging techniques to achieve the desired high ac-curacy and precision of Ͻ1 mm and there are biological risks from frequent large-volume ionizing radiation exposures. Furthermore, there is no 3D imaging system now that can acquire real-time images and verify target position during x-ray beam irradiation.…”

Section: Introductionmentioning

confidence: 99%

Real‐time 3D‐surface‐guided head refixation useful for fractionated stereotactic radiotherapy

Liu

Yin

et al. 2006

Medical Physics

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Accurate and precise head refixation in fractionated stereotactic radiotherapy has been achieved through alignment of real-time 3D-surface images with a reference surface image. The reference surface image is either a 3D optical surface image taken at simulation with the desired treatment position, or a CT/MRI-surface rendering in the treatment plan with corrections for patient motion during CT/MRI scans and partial volume effects. The real-time 3D surface images are rapidly captured by using a 3D video camera mounted on the ceiling of the treatment vault. Any facial expression such as mouth opening that affects surface shape and location can be avoided using a new facial monitoring technique. The image artifacts on the real-time surface can generally be removed by setting a threshold of jumps at the neighboring points while preserving detailed features of the surface of interest. Such a real-time surface image, registered in the treatment machine coordinate system, provides a reliable representation of the patient head position during the treatment. A fast automatic alignment between the real-time surface and the reference surface using a modified iterative-closest-point method leads to an efficient and robust surface-guided target refixation. Experimental and clinical results demonstrate the excellent efficacy of <2 min set-up time, the desired accuracy and precision of <1 mm in isocenter shifts, and <1 degree in rotation.

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Preliminary experience with the Berger neurobiopsy device for ultrasound guided aspiration and biopsy of intracranial lesions

Cited by 10 publications

References 10 publications

Safety and Accuracy of Ultrasound-guided Burr Hole Brain Abscess Aspiration

Safety and Accuracy of Ultrasound-guided Burr Hole Brain Abscess Aspiration

Intraoperative Cytodiagnosis of Metastatic Brain Tumors Confused Clinically with Brain Abscess

Real‐time 3D‐surface‐guided head refixation useful for fractionated stereotactic radiotherapy

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