Percutaneous bone biopsy

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Techniques in Vascular and Interventional Radiology Pub Date : 2022-03-01 DOI:10.1016/j.tvir.2022.100800

Salman Masood MBBS, FCPS, Paul I. Mallinson MBChB, FRCR, FRCPC, Adnan Sheikh MD, FASER, Hugue Ouellette BSc, MD, FRCPC, ABR, Peter L. Munk MDCM, FRCPC, FSIR, FFRRCSI (Hon)

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Abstract

Image guided percutaneous biopsy has become the initial procedure of choice in most cases for obtaining bone samples for histological and microbiological assessment. It is a minimally invasive procedure which offers multiple advantages over open surgical biopsy including maintenance of bone structure, minimal soft tissue injury, reduced need of general anesthesia, reduced hospital stay and a low rate of post-procedure complications. In some cases, it can be combined with therapeutic procedures such as cementoplasty and cryoablation via the same access route. For the radiologist, knowledge of the key principles is essential for a safe and effective procedure, particularly when a sarcoma of bone is in the differential diagnosis. In this article we cover the core concepts of percutaneous bone biopsy including indications and contraindications, essential planning steps, appropriate imaging modalities, equipment selection, common approaches, technique as well as avoiding, recognizing and treating complications. Recent technological advancements in this field are also discussed.

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经皮骨活检。

在大多数情况下，图像引导下的经皮活检已成为获得骨样本进行组织学和微生物学评估的首选程序。这是一种微创手术，与开放式手术活检相比，它具有多种优势，包括维持骨骼结构、最小的软组织损伤、减少全身麻醉的需要、缩短住院时间和术后并发症的发生率低。在某些情况下，它可以通过相同的通路与骨水泥成形术和冷冻消融等治疗程序相结合。对于放射科医生来说，了解关键原则对于安全有效的手术至关重要，特别是当骨肉瘤在鉴别诊断时。在本文中，我们介绍了经皮骨活检的核心概念，包括适应症和禁忌症，基本的计划步骤，适当的成像方式，设备选择，常见的方法，技术以及避免，识别和治疗并发症。本文还讨论了该领域的最新技术进展。

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来源期刊

Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.

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