Frame-based stereotactic biopsy remains an important diagnostic tool with distinct advantages over frameless stereotactic biopsy

As the availability of image-guided surgical navigation systems has increased, the application of frame-based biopsy has declined at our institution, despite equivalent accuracy and safety. There are several cost issues separating the use of surgical navigation systems and stereotactic frames for si...

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Bibliographic Details
Published in:Journal of neuro-oncology 2005-06, Vol.73 (2), p.173-179
Main Authors: SMITH, Justin S, QUINONES-HINOJOSA, Alfredo, BARBARO, Nicholas M, MCDERMOTT, Michael W
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Biopsy, Needle - economics
Biopsy, Needle - methods
Brain Neoplasms - pathology
Child
Female
Hospital Costs
Human viral diseases
Humans
Infectious diseases
Intraoperative Period
Length of Stay
Male
Medical sciences
Middle Aged
Neurology
Neuronavigation - methods
Neurosurgery
Retrospective Studies
Skull, brain, vascular surgery
Stereotaxic Techniques - economics
Stereotaxic Techniques - instrumentation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery, Computer-Assisted - economics
Surgery, Computer-Assisted - methods
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:As the availability of image-guided surgical navigation systems has increased, the application of frame-based biopsy has declined at our institution, despite equivalent accuracy and safety. There are several cost issues separating the use of surgical navigation systems and stereotactic frames for simple biopsy which may have implications in this era of health care cost control. We retrospectively reviewed the UCSF experience with stereotactic brain biopsy from a 9 year period. Data were collected for 213 consecutive stereotactic brain biopsies performed at UCSF (139 frame-based and 74 frameless). There were no significant differences between the frame-based and frameless biopsy groups with regard to patient demographics, overall histopathology, proportion of nondiagnostic biopsies, or incidence of complications. General anesthesia was used for 9 (6%) and 70 (95%) of the frame-based and frameless biopsy cases, respectively. Frame-based biopsies required a mean of 114+/-3 min of operating room time, while frameless biopsies required 185+/-6 min (P
ISSN:0167-594X
1573-7373
DOI:10.1007/s11060-004-4208-3