Revisiting CT-Guided Percutaneous Core Needle Biopsy of Musculoskeletal Lesions: Contributors to Biopsy Success

Omura, Michelle C.; Motamedi, Kambiz; UyBico, Stacy; Nelson, Scott D.; Seeger, Leanne L.

doi:10.2214/ajr.10.6145

Cited by 88 publications

(69 citation statements)

References 20 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: Discussionmentioning

confidence: 54%

“…Also, site of the lesion, quality of biopsy equipment, internal structure of the lesion (sclerotic, lytic), and histological type of the lesion (e.g., benign versus malignant, low-versus highgrade) may affect the success rates [10].…”

Section: Discussionmentioning

confidence: 99%

“…In a comprehensive study by Hau et al [11] rates of successful diagnosis for primary malignant tumors was over 90%, approximately 90% for metastatic lesions, approximately 90% for benign lesions, and 50% for infections. Similarly, recent studies have reported lower rates of successful diagnosis for benign tumors, low-grade malignant tumors and infections as compared to primary malignant tumors or metastases [10,14]. Non-specific histology and inability to grow bacteria in culture media in patients receiving antibiotic treatment are among the factors responsible for lower rates of diagnosis in infective lesions such as osteomyelitis and spondylodiscitis.…”

Section: Discussionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Özdemi̇r

Kahraman

Baysal

et al. 2015

EAJM

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“…A total of 231 of the 363 cases in the present sample were performed from 2005 to 2008 and were included in a recent publication by Omura et al (3) to assess for accuracy in biopsy technique at the authors' institution. The authors found their technique to be diagnostic 71% of the time (defined as providing a definitive pathologic diagnosis or being regarded as clinically useful) and accurate 86% of the time (defined as being concordant with the ultimate diagnosis).…”

Section: Noria Et Almentioning

confidence: 99%

“…Studies have shown that percutaneous core needle biopsies of musculoskeletal lesions are accurate and effective procedures, and carry the advantages of decreased complications and cost compared with open biopsy (1)(2)(3)(4).…”

mentioning

confidence: 99%

Relevance of Compartmental Anatomic Guidelines for Biopsy of Musculoskeletal Tumors: Retrospective Review of 363 Biopsies over a 6-Year Period

UyBico

Motamedi

Omura

et al. 2012

Journal of Vascular and Interventional Radiology

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Multidisciplinary approach for repeat musculoskeletal lesion biopsy after nondiagnostic initial sampling: A 10‐year single‐center experience

Abboud

Kosaraju

Bhatt

et al. 2020

Journal of Surgical Oncology

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Background and Objectives: Success rates for initial image-guided biopsy of musculoskeletal (MSK) lesions have been well documented; evidence regarding success rates for repeat biopsy following initially nondiagnostic (ND) image-guided biopsy of MSK lesions is more limited. This study evaluates the outcomes of repeat computerized tomography-guided MSK biopsies following ND biopsies using a multidisciplinary approach. Materials and Methods: Electronic medical record search covering a 10-year period identified patients that received two or more biopsies for an MSK tumor or tumorlike process. The decision for initial and repeat image-guided biopsy of each lesion was made following multidisciplinary MSK tumor board review. Lesion location, histopathology results, size of biopsy needle when available, and change in technique between biopsy attempts was documented. Results: Repeat biopsy rate was 1.6%. 23 patients with repeat MSK biopsy were identified. A total of 17 of 23 (74%) repeat biopsy attempts were diagnostic. A total of 22 of 23 (96%) repeat biopsy attempts were clinically useful. Diagnostic repeat biopsies were described as employing one or more of five technical differences compared to the first biopsy attempt, the most common being improved targeting of the lesion itself. Conclusions: A multidisciplinary approach may yield improved repeat-biopsy rates and clinical utility of repeat MSK biopsies compared to prior reports.

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Revisiting CT-Guided Percutaneous Core Needle Biopsy of Musculoskeletal Lesions: Contributors to Biopsy Success

Cited by 88 publications

References 20 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

Relevance of Compartmental Anatomic Guidelines for Biopsy of Musculoskeletal Tumors: Retrospective Review of 363 Biopsies over a 6-Year Period

Multidisciplinary approach for repeat musculoskeletal lesion biopsy after nondiagnostic initial sampling: A 10‐year single‐center experience

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