title: A simplified technique to resect abnormal bony radiolocalizations using a gamma counter.
abstract: A simplified technique for localizing and verifying the correct biopsy site of lesions identified on a bone scan has been utilized. A hand-held gamma counter was used for localization of incision placement, determination of extent of bone to be resected, and verification that appropriate tissue was resected. This technique was used to guide biopsy of bony lesions in five patients and to guide resection of a pubic ramus chondrosarcoma. We conclude that intraoperative use of a gamma counter to guide biopsy of bony lesions minimizes surgery time, increases the confidence of obtaining correct tissue, and makes a frequently frustrating procedure very simple. In addition, the probe may assist with determining adequate margins at definitive resection of tumours which accumulate technetium-99m MDP.
authors.affiliation: Department of Surgery and Nuclear Medicine, University of Vermont, Burlington.
authors.forename: D N
authors.initials: DN
authors.lastname: Krag
authors.forename: P V
authors.initials: PV
authors.lastname: Ford
authors.forename: M
authors.initials: M
authors.lastname: Patel
authors.forename: P D
authors.initials: PD
authors.lastname: Schneider
authors.forename: J E
authors.initials: JE
authors.lastname: Goodnight
mesh_terms: D000328:Adult; D001706:Biopsy / Q000379:methods; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D005260:Female; D015902:Gamma Cameras; D006801:Humans; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D012272:Ribs / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013669:Technetium Tc 99m Medronate
chemical_list: D013669:Technetium Tc 99m Medronate