[CT-guided biopsies of the axial skeleton. The approaches and results].
The value of percutaneous CT-guided biopsies of the axial skeleton for establishing a diagnosis is determined from a series of 75 punctures in 74 patients in retrospect. Indications showed benign conditions to prevail over malignant lesions by a ratio of 1.6:1. Biopsy routes turned out to be strongly determined by regional anatomy allowing for a standardised procedure in each area. 64 out of 75 histological diagnoses were confirmed by open surgery (n = 17) or follow-up (n = 58) accounting for an accuracy of 85.3%. In 7 cases no definite diagnosis could be made from the sample and in 4 cases the diagnosis proved false although tissue cores could be obtained in each case. No serious or irreversible complications occurred. CT-guided punctures of the axial skeleton are considered a safe and highly accurate procedure to establish a definite diagnosis unless there is a primary indication for surgery or the need for decompression.
Reuther
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Fachbereich Bildgebende Diagnostik, Deutsche Klinik für Diagnostik, Wiesbaden.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000473:pathology; D001842:Bone and Bones / Q000000981:diagnostic imaging / Q000473:pathology*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
CT-kontrollierte Biopsien des Achsenskeletts. Zugangswege und Ergebnisse.