J Neurol Surg A Cent Eur Neurosurg 2012; 73(04): 199-203
DOI: 10.1055/s-0032-1304217
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Core Needle Biopsy of Spinal Lesions under CT Guidance: Review of 79 Cases

Ioannis Kaltsikis
1   Department of Radiology, Hyppokratio Hospital, Thessaloniki, Greece
,
Danai Chourmouzi
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Kostas Drevelegas
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Stamatia Potsi
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Anestis Moumtzouoglou
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Antonios Drevelegas
3   Department of Radiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
› Institutsangaben
Weitere Informationen

Publikationsverlauf

09. April 2011

25. November 2011

Publikationsdatum:
14. Mai 2012 (online)

Abstract

The authors report the results of a retrospective study about computed tomography (CT)-guided percutaneous vertebral biopsies in 79 cases (44 males and 35 females, aged from 6 to 84 years old). Five biopsies were performed at the cervical level, 31 at the thoracic, 30 at the lumbar, and 13 at the sacrum. A diagnosis was obtained in 75 out of the 79 patients. Diagnostic yield was 95%, and diagnostic accuracy was 97.3%. Core needle biopsy under CT guidance for spinal lesions is a fast, relatively simple, minimally invasive, and low-cost method, with high levels of diagnostic accuracy and few complications. It plays a major role in the correct diagnosis and therapeutic planning. CT guidance allows safe and accurate biopsy of osseous lesions throughout the spine, obviating invasive open biopsy in most cases.

 
  • References

  • 1 Dupuy DE, Rosenberg AE, Punyaratabandhu T, Tan MH, Mankin HJ. Accuracy of CT-guided needle biopsy of musculoskeletal neoplasms. AJR Am J Roentgenol 1998; 171 (3) 759-762
  • 2 Fourney DR, Gokaslan ZL. Current management of sacral chordoma. Neurosurg Focus 2003; 15 (2) E9
  • 3 Georgy BA. Metastatic spinal lesions: state-of-the-art treatment options and future trends. AJNR Am J Neuroradiol 2008; 29 (9) 1605-1611
  • 4 Gouliouris T, Aliyu SH, Brown NM. Spondylodiscitis: update on diagnosis and management. J Antimicrob Chemother 2010; 65 (Suppl 3) iii11-iii24
  • 5 Harrington KD. Metastatic disease of the spine. J Bone Joint Surg Am 1986; 68 (7) 1110-1115
  • 6 Heyer CM, Al-Hadari A, Mueller KM, Stachon A, Nicolas V. Effectiveness of CT-guided percutaneous biopsies of the spine: an analysis of 202 examinations. Acad Radiol 2008; 15 (7) 901-911
  • 7 Issakov J, Flusser G, Kollender Y, Merimsky O, Lifschitz-Mercer B, Meller I. Computed tomography-guided core needle biopsy for bone and soft tissue tumors. Isr Med Assoc J 2003; 5 (1) 28-30
  • 8 Kattapuram SV, Rosenthal DI. Percutaneous biopsy of the cervical spine using CT guidance. AJR Am J Roentgenol 1987; 149 (3) 539-541
  • 9 Kattapuram SV, Rosenthal DI. Percutaneous biopsy of skeletal lesions. AJR Am J Roentgenol 1991; 157 (5) 935-942
  • 10 Kim YH, Yoon JH, Cho WH , et al. CT-guided percutaneous biopsy of the spine: transpedicular approach. J Korean Radiol Soc 1998; 39 (2) 395-398
  • 11 Klimo Jr P, Schmidt MH. Surgical management of spinal metastases. Oncologist 2004; 9 (2) 188-196
  • 12 Kornblum MB, Wesolowski DP, Fischgrund JS, Herkowitz HN. Computed tomography-guided biopsy of the spine. A review of 103 patients. Spine 1998; 23 (1) 81-85
  • 13 McCarthy EF. CT-guided needle biopsies of bone and soft tissue tumors: a pathologist's perspective. Skeletal Radiol 2007; 36 (3) 181-182
  • 14 Michel SC, Pfirrmann CW, Boos N, Hodler J. CT-guided core biopsy of subchondral bone and intervertebral space in suspected spondylodiskitis. AJR Am J Roentgenol 2006; 186 (4) 977-980
  • 15 Mitsuyoshi G, Naito N, Kawai A , et al. Accurate diagnosis of musculoskeletal lesions by core needle biopsy. J Surg Oncol 2006; 94 (1) 21-27
  • 16 Omarini LP, Garcia J. [CT-guided percutaneous puncture-biopsy of the spine. Review of 104 cases]. Schweiz Med Wochenschr 1993; 123 (46) 2191-2197
  • 17 Puri A, Shingade VU, Agarwal MG , et al. CT-guided percutaneous core needle biopsy in deep seated musculoskeletal lesions: a prospective study of 128 cases. Skeletal Radiol 2006; 35 (3) 138-143
  • 18 Rimondi E, Staals EL, Errani C , et al. Percutaneous CT-guided biopsy of the spine: results of 430 biopsies. Eur Spine J 2008; 17 (7) 975-981
  • 19 Schuler M, Zeile M, Pink D , et al. Incidence of bone metastases in GIST: a single center analysis of 307 patients with metastatic disease. 2008 ASCO Annual Meeting Proceedings (Post-Meeting Edition). J Clin Oncol 2008; 26 (155) abstr. 10565
  • 20 Sciubba DM, Petteys RJ, Garces-Ambrossi GL , et al. Diagnosis and management of sacral tumors. J Neurosurg Spine 2009; 10 (3) 244-256
  • 21 Tsukushi S, Nishida Y, Yamada Y, Yoshida M, Ishiguro N. CT-guided needle biopsy for musculoskeletal lesions. Arch Orthop Trauma Surg 2010; 130 (5) 699-703
  • 22 Wu JS, Goldsmith JD, Horwich PJ, Shetty SK, Hochman MG. Bone and soft-tissue lesions: what factors affect diagnostic yield of image-guided core-needle biopsy?. Radiology 2008; 248 (3) 962-970