CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(02): 521-523
DOI: 10.1055/s-0041-1733467
Technical Note

Birmingham Intervention Tent Technique (BITT): A Technical Note

R. Rajakulasingam
1   Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK
,
J. Kho
1   Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK
,
G. Almeer
1   Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK
,
C. Azzopardi
1   Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK
,
S. L. James
1   Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK
,
R. Botchu
1   Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK
› Author Affiliations

Abstract

Objective We describe a novel and safe CT biopsy technique that we have termed the “Birmingham intervention tent technique (BITT).” This technique is ideal for biopsying osseous lesions where a direct approach is not possible due to difficult positioning.

Methods The BITT uses a plastic surgical forceps clamp attached at an angle to the biopsy needle, creating a tent shape. The finger rings of the forceps is stabilized on the table.

Results In our institution, we have already used the BITT successfully in over 10 cases.

Conclusion The BITT is an inexpensive and reproducible technique.



Publication History

Article published online:
27 July 2021

© 2021. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 McLoughlin E, Iqbal A, Patel A, James SL, Botchu R. Dual steristrip technique: a novel use of steristrips to reduce operator radiation dose during CT-guided intervention. Skeletal Radiol 2019; 48 (10) 1617-1620
  • 2 Nabi M, Teh J. The use of plastic gallipots for balancing needles in CT-guided procedures. Clin Radiol 2019; 74 (07) 570.e19-570.e20
  • 3 Rajakulasingam R, Iqbal A, James SL, Botchu R. Surface adhesive and hand-aided needle–assisted biopsy technique (SAHNA. Skeletal Radiol 2019; DOI: 10.1007/s00256-019-03320-y.
  • 4 Kroes MW, Busser WMH, Fütterer JJ. et al. Assessment of needle guidance devices for their potential to reduce fluoroscopy time and operator hand dose during C-arm cone-beam computed tomography-guided needle interventions. J Vasc Interv Radiol 2013; 24 (06) 901-906
  • 5 Sarmento S, Pereira JS, Sousa MJ. et al. The use of needle holders in CTF guided biopsies as a dose reduction tool. J Appl Clin Med Phys 2018; 19 (01) 250-258