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PET/CT-guided versus CT-guided percutaneous core biopsies in the diagnosis of bone tumors and tumor-like lesions: which is the better choice?

The present study aimed to evaluate the diagnostic performance and safety of PET/CT-guided percutaneous core bone biopsy and to compare the PET/CT-guided method to conventional CT-guided percutaneous core biopsies to diagnose Chinese patients with bone tumors and tumor-like lesions. Data for 97 pati...

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Published in:Cancer imaging 2019-10, Vol.19 (1), p.69-69, Article 69
Main Authors: Wu, Min-Hao, Xiao, Ling-Fei, Liu, Huo-Wen, Yang, Zhi-Qiang, Liang, Xiao-Xiao, Chen, Yan, Lei, Jun, Deng, Zhou-Ming
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container_title Cancer imaging
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creator Wu, Min-Hao
Xiao, Ling-Fei
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description The present study aimed to evaluate the diagnostic performance and safety of PET/CT-guided percutaneous core bone biopsy and to compare the PET/CT-guided method to conventional CT-guided percutaneous core biopsies to diagnose Chinese patients with bone tumors and tumor-like lesions. Data for 97 patients with bone tumors and tumor-like lesions diagnosed by percutaneous core bone biopsy from February 2013 to November 2018 were retrospectively analyzed. The study included 42 cases in the PET/CT group and 55 cases in the CT alone group. The diagnostic performance, cost and complications associated with the intervention were compared between the two groups. All patients were eventually confirmed to have bone tumors and tumor-like lesions according to surgical pathology findings. There were no significant differences in patient characteristics (P > 0.05). For the patients in the PET/CT group, the overall diagnostic yield of the initial biopsies and the diagnostic accuracy derived from the surgically proven cases were both 97.62%, which was significantly higher than the values in the CT group during the same period (P  0.05). Compared with CT-guided percutaneous bone biopsy, PET/CT-guided percutaneous bone biopsy is an effective and safe alternative with high diagnostic performance in the evaluation of hypermetabolic bone lesions to diagnose bone tumors and tumor-like lesions.
doi_str_mv 10.1186/s40644-019-0253-1
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Data for 97 patients with bone tumors and tumor-like lesions diagnosed by percutaneous core bone biopsy from February 2013 to November 2018 were retrospectively analyzed. The study included 42 cases in the PET/CT group and 55 cases in the CT alone group. The diagnostic performance, cost and complications associated with the intervention were compared between the two groups. All patients were eventually confirmed to have bone tumors and tumor-like lesions according to surgical pathology findings. There were no significant differences in patient characteristics (P &gt; 0.05). For the patients in the PET/CT group, the overall diagnostic yield of the initial biopsies and the diagnostic accuracy derived from the surgically proven cases were both 97.62%, which was significantly higher than the values in the CT group during the same period (P &lt; 0.05). No major biopsy-related complications (e.g., serious bleeding or tumor dissemination) occurred before, during, or after the intervention. Therefore, no significant difference was observed between the two groups with regard to the complication rate (P &gt; 0.05). 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Therefore, no significant difference was observed between the two groups with regard to the complication rate (P &gt; 0.05). Compared with CT-guided percutaneous bone biopsy, PET/CT-guided percutaneous bone biopsy is an effective and safe alternative with high diagnostic performance in the evaluation of hypermetabolic bone lesions to diagnose bone tumors and tumor-like lesions.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>31665093</pmid><doi>10.1186/s40644-019-0253-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Bone lesions
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - pathology
Bone tumors
CAT scans
Comparative analysis
Complications
CT-guided
Diagnosis
Diagnostic performance
FDG PET/CT
Female
Humans
Image-Guided Biopsy - methods
Image-Guided Biopsy - standards
Image-guided bone biopsy
Male
Medical research
Middle Aged
Positron emission tomography
Positron Emission Tomography Computed Tomography - methods
Positron Emission Tomography Computed Tomography - standards
Tomography, X-Ray Computed - methods
Tomography, X-Ray Computed - standards
Tumors
title PET/CT-guided versus CT-guided percutaneous core biopsies in the diagnosis of bone tumors and tumor-like lesions: which is the better choice?
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