Radiologically Guided Bone Biopsy: Results of 502 Biopsies

Ng, Chaan S.; Salisbury, Jonathan R.; Darby, A. J.; Gishen, P.

doi:10.1007/s002709900227

Cited by 37 publications

(18 citation statements)

References 19 publications

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“…The reported diagnostic yield of percutaneous biopsy of musculoskeletal lesions in the literature is 69%-90% [7][8][9][10][11][12][13][14]. Our success rate (in terms of diagnostic material yield) of 89% corresponds to the high end of the reported data.…”

Section: Discussionsupporting

confidence: 52%

Image-Guided Percutaneous Bone Biopsy with a Simulated Van Sonnenberg Removable Hub System

Özdemi̇r

Kahraman

Baysal

et al. 2015

EAJM

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Objective: To retrospectively examine the success and complication rates associated with image-guided percutaneous bone biopsy with a simulated Van Sonnenberg removable hub system. Materials and Methods:During a 3.5-year period, 27 bone lesions at different anatomic locations with an indication for biopsy based on plain film, computed tomography (CT) and/or magnetic resonance imaging (MRI) findings were determined, and a total of 28 imageguided (fluoroscopy or CT) percutaneous biopsies were performed using a simulated Van Sonnenberg -removable hub system. This technique entailed the use of a cut-out Chiba needle hub that performed as a guide for the insertion of a larger needle. Either core and aspiration biopsy or core biopsy alone was utilized. Results:The procedure yielded diagnostic material 89% of the cases (48% infection, 22% benign lesions, and 19% malignant lesions). Combined use of core and aspiration biopsy resulted in a higher diagnostic accuracy as compared to core biopsy alone. No false positive or false negative diagnoses were observed. No serious complications such as neurological deficits, bleeding, or organ injury were observed. Conclusion:The simulated Van Sonnenberg removable hub system provides a useful technique for percutaneous bone biopsies and is particulary suitable for deep seated (such as vertebral) lesions with its ability to facilitate the accessibility of the lesion with its built-in guidance needle. The procedure is safe in light of the literature data. Keywords: Bone, image-guided biopsy, Van Sonnenberg ÖzetAmaç: "Van Sonnenberg removable hub" sisteminin simüle edilmesi ile yapılan görüntüleme eşliğinde kemik biyopsilerinin başarı ve komplikasyon oranlarını retrospektif olarak değerlendirmek Gereç ve Yöntem: 3,5 yıl süresince farklı anatomik lokasyonlarda yer alan 27 kemik lezyonu direk grafi, bilgisayarlı tomografi (BT) ve/veya manyetik rezonans görüntüleme (MRG) bulguları ile değerlendirildi ve "Van Sonnenberg removable hub sistemi" simülasyonu ile toplam 28 görüntüleme eşliğinde (floroskopi veya BT) biyopsi işlemi yapıldı. Bu yöntemde Chiba iğnesi, başlığı (hub) kesilerek üzerinden daha büyük iğnelerin geçişini sağlayan bir klavuz olarak kullanıldı. Biyopsi materyalleri kor ve aspirasyon biyopsisinin birlikte veya yalnızca kor biyopsinin kullanımı ile elde edildi. Bulgular:Vakaların %89'unda (%48 enfeksiyon, %22 benign lezyonlar, %19 malign lezyonlar) tanı koydurucu materyal elde edildi. Kor ve aspirasyon biyopsisinin birlikte kullanımı yalnızca kor biyopsinin kullanımı ile karşılaştırıldığında daha yüksek tanısal doğruluk oranlarına sahipti. Yalancı pozitif veya negatif tanı ile karşılaşılmadı. Nörolojik hasar, kanama veya organ hasarı gibi ciddi komplikasyon meydana gelmedi.Sonuç: "Van Sonnenberg removable hub" sistemi simülasyonu, sağ-ladığı klavuz iğne yöntemi sayesinde özellikle vertebra gibi derin yerleşimli kemik lezyonlarına ulaşımı kolaylaştıran uygun ve kullanışlı bir yöntem olup literatür bilgileri ışığında perkütan kemik biyopsilerinde bu tekniğin kullanımı ...

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Section: Discussionsupporting

confidence: 52%

Image-Guided Percutaneous Bone Biopsy with a Simulated Van Sonnenberg Removable Hub System

Özdemi̇r

Kahraman

Baysal

et al. 2015

EAJM

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“…Reported complication rates vary significantly, however most reports describe an approximately 1% rate, with 10% the highest described in the literature. 7,19,22,27,28,41 Complications may include excessive bleeding, neurological injury, infection, pain, and seeding of tumor cells, fracture and hematoma. 4,27 Studies have also shown the procedure to be safe in people with diabetes, with no major long-term complications of foot bone biopsy reported.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Bone Biopsy to Distinguish Osteomyelitis from Charcot Osteoarthropathy: Two Case Reports

Campanaro¹,

Gurr²,

Murray³

2009

Foot Ankle Int.

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“…Accuracy of this procedure is reported at 85-92% [53], [54]. This level of success diminishes considerably in inexperienced operators and in biopsy of precariously placed lesions [54].…”

Section: A Biopsymentioning

confidence: 91%

“…Accuracy of this procedure is reported at 85-92% [53], [54]. This level of success diminishes considerably in inexperienced operators and in biopsy of precariously placed lesions [54]. Biopsy of the lumbar and thoracic spine report the highest levels of success and is the most routinely undertaken [55], [56].…”

Section: A Biopsymentioning

confidence: 98%

Technology improvements for image-guided and minimally invasive spine procedures

Cleary

Clifford

Stoianovici³

et al. 2002

IEEE Trans. Inform. Technol. Biomed.

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Abstract-This paper reports on technology developments aimed at improving the state of the art for image-guided minimally invasive spine procedures. Back pain is a major health problem with serious economic consequences. Minimally invasive procedures to treat back pain are rapidly growing in popularity due to improvements in technique and the substantially reduced trauma to the patient versus open spinal surgery. Image guidance is an enabling technology for minimally invasive procedures, but technical problems remain that may limit the wider applicability of these techniques. The paper begins with a discussion of low back pain and the potential shortcomings of open back surgery. The advantages of minimally invasive procedures are enumerated, followed by a list of technical problems that must be overcome to enable the more widespread dissemination of these techniques. The technical problems include improved intraoperative imaging, fusion of images from multiple modalities, the visualization of oblique paths, percutaneous spine tracking, mechanical instrument guidance, and software architectures for technology integration. Technical developments to address some of these problems are discussed next. The discussion includes intraoperative computerized tomography (CT) imaging, magnetic resonance imaging (MRI)/CT image registration, three-dimensional (3-D) visualization, optical localization, and robotics for percutaneous instrument placement. Finally, the paper concludes by presenting several representative clinical applications: biopsy, vertebroplasty, nerve and facet blocks, and shunt placement. The program presented here is a first step to developing the physician-assist systems of the future, which will incorporate visualization, tracking, and robotics to enable the precision placement and manipulation of instruments with minimal trauma to the patient. Index Terms-Interoperative imaging, magnetic resonance imaging (MRI)/computerized tomography (CT) registration, medical robotics, minimally invasive procedures, spine, threedimensional (3-D) visualization.

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Radiologically Guided Bone Biopsy: Results of 502 Biopsies

Cited by 37 publications

References 19 publications

Image-Guided Percutaneous Bone Biopsy with a Simulated Van Sonnenberg Removable Hub System

Image-Guided Percutaneous Bone Biopsy with a Simulated Van Sonnenberg Removable Hub System

Percutaneous Bone Biopsy to Distinguish Osteomyelitis from Charcot Osteoarthropathy: Two Case Reports

Technology improvements for image-guided and minimally invasive spine procedures

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