Computed tomography guidance for skeletal biopsy

• Published in: Skeletal radiology 1987-01, Vol.16 (8), p.644-646
• Main Authors: FRAGER, D. H, GOLDMAN, M. J, SEIMON, L. P, ELKIN, C. M, CYNAMON, J, SCHREIBER, K, HABERMANN, E. T, FREEMAN, L. M, LEEDS, N. E
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Biopsy, Needle - methods; Bone Diseases - diagnostic imaging; Bone Diseases - pathology; Evaluation Studies as Topic; Humans; Investigative techniques, diagnostic techniques (general aspects); Medical sciences; Osteoarticular system. Muscles; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques; Spinal Diseases - diagnostic imaging; Spinal Diseases - pathology; Tomography, X-Ray Computed
• ISSN: 0364-2348; 1432-2161
• DOI: 10.1007/BF00357113

Computed tomographic (CT) guided biopsy and abscess drainage of multiple organ systems have been well described. Reports of spinal and skeletal applications have been less common. This study describes the use of CT guidance in the biopsy of various skeletal lesions in 46 patients. Forty-one patients had skinny needle aspirations (18 or 22 gauge) and 23 patients had trephine core biopsies. Sites of the lesions included: thoracic spine-15 patients, lumbosacral spine-17 patients, bony pelvis-6 patients, rib-2 patients, and long bones-6 patients. Fast scanners capable of rapid image reconstruction have overcome many constraints. With CT guidance, the physician who performs the procedure receives virtually no ionizing radiation. The exact location of the needle tip is accurately visualized in relation to the lesion being biopsied and to the vital organs.