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Battery-powered bone drill: caution needed in densely blastic lesions

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Abstract

Image-guided biopsies play an important role for pathologic diagnosis of bone tumors. Recently, motorized, battery powered bone marrow biopsy devices have been used to biopsy focal bone lesions with high accuracy. We present here two cases of densely blastic metastases where the biopsy sample could not be removed from the needle. These two cases suggest that if the lesion is densely blastic, then the sample should be small (<5 mm) to ensure that the biopsy specimen will not be stuck within the biopsy needle.

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References

  1. Dupuy DE, Rosenberg AE, Punyaratabandhu T, Tan MH, Mankin HJ. Accuracy of CT-guided needle biopsy of musculoskeletal neoplasms. AJR Am J Roentgenol. 1998;171:759–62.

    Article  CAS  PubMed  Google Scholar 

  2. Altuntas AO, Slavin J, Smith PJ, Schlict SM, Powell GJ, Ngan S, et al. Accuracy of computed tomography guided core needle biopsy of musculoskeletal tumours. ANZ J Surg. 2005;75:187–91.

    Article  PubMed  Google Scholar 

  3. Fraser-Hill MA, Renfrew DL. Percutaneous needle biopsy of musculoskeletal lesions, 1: effective accuracy and diagnostic utility. AJR Am J Roentgenol. 1992;158:809–12.

    Article  CAS  PubMed  Google Scholar 

  4. Fraser-Hill MA, Renfrew DL, Hilsenrath PE. Percutaneous needle biopsy of musculoskeletal lesions, 2: cost-effectiveness. AJR Am J Roentgenol. 1992;158:813–8.

    Article  CAS  PubMed  Google Scholar 

  5. Pohlig F, Kirchhoff C, Lenze U, Schauwecker J, Burgkart R, Rechl H, et al. Percutaneous core needle biopsy versus open biopsy in diagnostics of bone and soft tissue sarcoma: a retrospective study. Eur J Med Res. 2012;17:29.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Skrzynski MC, Biermann JS, Montag A, Simon MA. Diagnostic accuracy and charge-savings of outpatient core needle biopsy compared with open biopsy of musculoskeletal tumors. J Bone Joint Surg Am. 1996;78:644–9.

    CAS  PubMed  Google Scholar 

  7. Springfield DS, Rosenberg A. Biopsy: complicated and risky. J Bone Joint Surg Am. 1996;78:639–43.

    CAS  PubMed  Google Scholar 

  8. Yao L, Nelson SD, Seeger LL, Eckardt JJ, Eilber FR. Primary musculoskeletal neoplasms: effectiveness of core-needle biopsy. Radiology. 1999;212:682–6.

    Article  CAS  PubMed  Google Scholar 

  9. Bucher CM, Lehmann T, Tichelli A, Tzankov A, Dirnhofer S, Passweg J, et al. Comparison of a powered bone marrow biopsy device with a manual system: results of a prospective randomised controlled trial. J Clin Pathol. 2013;66:24–8.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Miller LJ, Philbeck TE, Montez DF, Puga TA, Brodie KE, Cohen SC, et al. Powered bone marrow biopsy procedures produce larger core specimens, with less pain, in less time than with standard manual devices. Hematol Rep. 2011;3, e8.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Cohen SC, Gore JM. Evaluation of a powered intraosseous device for bone marrow sampling. Anticancer Res. 2008;28:3843–6.

    PubMed  Google Scholar 

  12. Berenson JR, Yellin O, Blumenstein B, Bojanower D, Croopnick J, Aboulafia D, et al. Using a powered bone marrow biopsy system results in shorter procedures, causes less residual pain to adult patients, and yields larger specimens. Diagn Pathol. 2011;6:23.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Reed LJ, Raghupathy R, Strakhan M, Philbeck TE, Kim MY, Battini R, et al. The OnControl bone marrow biopsy technique is superior to the standard manual technique for hematologists-in-training: a prospective, randomized comparison. Hematol Rep. 2011;3, e21.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Swords RT, Kelly KR, Cohen SC, Miller LJ, Philbeck TE, Hacker SO, et al. Rotary powered device for bone marrow aspiration and biopsy yields excellent specimens quickly and efficiently. J Clin Pathol. 2010;63:562–5.

    Article  PubMed  Google Scholar 

  15. Swords RT, Anguita J, Higgins RA, Yunes AC, Naski M, Padmanabhan S, et al. A prospective randomised study of a rotary powered device (OnControl) for bone marrow aspiration and biopsy. J Clin Pathol. 2011;64:809–13.

    Article  PubMed  Google Scholar 

  16. Schnapauff D, Marnitz T, Freyhardt P, Collettini F, Hartwig K, Jöhrens K, et al. CT guided bone biopsy using a battery powered intraosseous device. Cardiovasc Intervent Radiol. 2013;36:1405–10.

    Article  PubMed  Google Scholar 

  17. Schnapauff D, Streitparth F, Jöhrens K, Wieners G, Collettini F, Hamm B, et al. CT-guided radiofrequency ablation of osteoid osteoma using a novel battery-powered drill. Skeletal Radiol. 2014.

  18. Lee RKL, Ng AWH, Griffith JF. CT-guided bone biopsy with a battery-powered drill system: preliminary results. AJR Am J Roentgenol. 2013;201:1093–5.

    Article  PubMed  Google Scholar 

  19. Willems NMBK, Mulder L, den Toonder JMJ, Zentner A, Langenbach GEJ. The correlation between mineralization degree and bone tissue stiffness in the porcine mandibular condyle. J Bone Miner Metab. 2014;32:29–37.

    Article  PubMed  Google Scholar 

  20. Willems NMBK, Mulder L, Bank RA, Grünheid T, den Toonder JMJ, Zentner A, et al. Determination of the relationship between collagen cross-links and the bone-tissue stiffness in the porcine mandibular condyle. J Biomech. 2011;44:1132–6.

    Article  PubMed  Google Scholar 

  21. Mulder L, Koolstra JH, den Toonder JMJ, van Eijden TMGJ. Intratrabecular distribution of tissue stiffness and mineralization in developing trabecular bone. Bone. 2007;41:256–65.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, Boston, MA, 02114, USA

    Connie Y. Chang, F. Joseph Simeone & Ambrose J. Huang

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  1. Connie Y. Chang
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  2. F. Joseph Simeone
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  3. Ambrose J. Huang
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Correspondence to Connie Y. Chang.

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Chang, C.Y., Simeone, F.J. & Huang, A.J. Battery-powered bone drill: caution needed in densely blastic lesions. Skeletal Radiol 44, 1845–1848 (2015). https://doi.org/10.1007/s00256-015-2241-2

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  • DOI: https://doi.org/10.1007/s00256-015-2241-2

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