Technique and results of CT-guided percutanous bone biopsy

被引:0
|
作者
Duda, SH [1 ]
Johst, U [1 ]
Krahmer, K [1 ]
Pereira, P [1 ]
König, C [1 ]
Schäfer, J [1 ]
Huppert, P [1 ]
Schott, U [1 ]
Böhm, P [1 ]
Claussen, CD [1 ]
机构
[1] Univ Tubingen, Radiol Universitatsklin, Abt Radiol Diagnost, D-72076 Tubingen, Germany
来源
ORTHOPADE | 2001年 / 30卷 / 08期
关键词
bones; biopsy; bone biopsy; CT-guided percutanous bone biopsy; diagnostic accuracy;
D O I
10.1007/s001320170064
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose. The aim of the study was to evaluate the feasibility and results of CT-guided percutanous bone biopsy (PBB) of unknown bone lesions in a representative number of patients. Methods. In 92 patients (100 biopsies) with different bone lesions CT-guided PBB was performed. Results. The rate of technical success, defined as a successful retrieval of a sufficient tissue sample which then was sent for histological evaluation, was 89% (89/100 biopsies). The diagnostic accuracy was defined as a clinically useful histological result and was obtained in 80% (80/100 biopsies). Minor complications (minimal bleedings) occurred in 3% of all biopsies, no special therapy was necessary. Osteolytic lesions (92%) were classified more accurately by PBB than osteoplastic (80%) or mixed lesions (67%). Considering the anticipated dignity of the lesions prior to PBB, the suspected malignant bone lesions had a better diagnostic accuracy of 82% than the suspected benign bone lesions with an accuracy of 50%. Conclusion. Due to its universal availability combined with a low risk and a high diagnostic value the PBB of unknown bone lesions can be regarded as a valuable diagnostic tool. However, leave-me-alone lesions should be excluded.
引用
收藏
页码:545 / 550
页数:6
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