CT-guided bone biopsy: Initial experience with a commercially available hand held Black and Decker™ drill

Abstract Purpose To describe the use of a simple commercially available Black and Decker™ hand based drill in performing CT-guided bone biopsies. Materials and methods Three international institutions were enrolled in the study. In each centre, a fellowship trained musculoskeletal radiologist direct...

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Bibliographic Details
Published in:European journal of radiology 2007-01, Vol.61 (1), p.176-180
Main Authors: Buckley, O, Benfayed, W, Geoghegan, T, Al-Ismail, K, Munk, P.L, Torreggiani, William C
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Biopsy, Needle - instrumentation
Biopsy, Needle - methods
Bone
Bone and Bones - diagnostic imaging
Bone and Bones - pathology
Bone biopsy
Bone tumour
Diseases of the osteoarticular system
Equipment Failure Analysis
Female
Humans
Internationality
Male
Medical sciences
Middle Aged
Pilot Projects
Radiography, Interventional - methods
Radiology
Surgery, Computer-Assisted - instrumentation
Surgery, Computer-Assisted - methods
Surgical Instruments
Tomography, X-Ray Computed - methods
Tumors of striated muscle and skeleton
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Summary:Abstract Purpose To describe the use of a simple commercially available Black and Decker™ hand based drill in performing CT-guided bone biopsies. Materials and methods Three international institutions were enrolled in the study. In each centre, a fellowship trained musculoskeletal radiologist directed the assessment of a hand based commercial drill for performing CT-guided bone biopsies. A specially designed component was engineered which allowed the connection of a standard bone biopsy set to a commercial drill. The component was distributed to the three centres involved. Over a 3-year period, data from all three institutions was collected. Information regarding technical success, diagnostic data and complication rates were all collated to assess the technical feasibility of this technique. Results In total 68 patients underwent bone biopsy using a hand held commercial drill. Technical success was achieved in 65 patients. Diagnostic material was obtained in 53 patients. Non-diagnostic material was obtained in 12 patients. Five out of the 12 patients with non-diagnostic material had repeat biopsies with diagnostic material obtained in 2 of these. No major complications occurred in any patient. Conclusion CT-guided bone biopsy using a hand held commercial drill has a technically high success rate with minimal complications.
ISSN:0720-048X
1872-7727
DOI:10.1016/j.ejrad.2006.06.015