PERCUTANEOUS COMPUTED-TOMOGRAPHY-GUIDED BIOPSY OF THE THORACIC AND LUMBAR SPINE

被引:59
作者
GHELMAN, B
LOSPINUSO, MF
LEVINE, DB
OLEARY, PF
BURKE, SW
机构
[1] Departments of Radiology, Hospital for Special Surgery, The New York Hospital/Cornell University Medical College, New York, NY
[2] Departments of Spine Surgery, Hospital for Special Surgery, The New York Hospital/Cornell University Medical College, New York, NY
关键词
Axial computed tomographic scans; Diagnosis; Percutaneous needle biopsy;
D O I
10.1097/00007632-199107000-00008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Axial computed tomographic scans were used to guide percutaneous needle biopsies in 76 patients with thoracic and lumbar spinal lesions. Prebiopsy evaluation included spine radiographs, radionuclide bone scans, computed tomographic scans, magnetic resonance imaging scans in some cases, and coagulation studies. Forty-five patients were diagnosed as having metastatic lesions, 11 infection, and 12 primary bone tumors. Of all patients, 34 had lytic vertebral lesions with significant collapse and questionable spinal stability. Six of those had a concomitant paravertebral mass. A clinical and pathologic correlation was completed for each of the cases studied. Histologic diagnosis confirming the clinical suspicion was obtained on the first biopsy attempt in 65 (86%) of the 76 cases.
引用
收藏
页码:736 / 739
页数:4
相关论文
共 13 条
[1]  
Ackerman W., Vertebral trephine biopsy, Ann Surg, 143, pp. 373-385, (1956)
[2]  
Adapon B.D., Legada B.D., Lime V.A., Et al., CT guided closed biopsy of the spine, J Comput Assist Tomogr, 5, 1, pp. 73-78, (1981)
[3]  
Carrera G.F., Gonyo J.E., Barthelemy C.R., Fluoroscopically guided percutaneous bone biopsy, JAMA, 246, pp. 884-885, (1981)
[4]  
Craig F.S., Vertebral body biopsy, J Bone Joint Surg, 38 A, pp. 93-102, (1956)
[5]  
Desantos L.A., Murray J.A., Ayala A.G., The value of percutaneous needle biopsy in the management of primary bone tumors, Cancer, 43, pp. 735-739, (1979)
[6]  
Fyfe I.S., Henry Mulholland I.S.A.R.C., Closed vertebral biops, J Bone Joint Surg, 65 B, pp. 140-143, (1983)
[7]  
Hardy D.C., Murphy W.A., Gilula L.A., Computed tomography in planning percutaneous bone biopsy, Radiology, 134, pp. 447-453, (1980)
[8]  
Hewes R.C., Vigorita V.J., Freiberger R.H., Percutaneous bone biopsy: The importance of aspirated osseous blood, Radiology, 148, pp. 69-72, (1983)
[9]  
Murphy W.A., Radiologically guided percutaneous musculoskeletal biopsy, Orthop Clin North Am, 14, pp. 223-241, (1983)
[10]  
Ottolenghi C.E., Diagnosis of orthopedic lesions by aspiration biopsy: Results of 1061 punctures, J Bone Joint Surg, 37 A, pp. 443-464, (1955)