Abstract
In the first part of this article we discuss some special technical aspects of percutaneous bone biopsy (PBB). But our main intention is to illuminate the critical indication of PBB against the background of the diagnostic and clinical utility. Reliable indications for PBB are: lytic metastases, solitary lytic lesions in a patient with known primary tumour and infection. Sclerotic metascases and vertebral compressions, on the other hand, have a lower diagnostic utility. Negative biopsies must be interpreted carefully and repeated if considered to be nonreprcsentative. The indication for percutaneous biopsy of primary bone tumours remains doubtful. Most of them require open biopsy.
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Murphy WA Jr (1991) Imaging bone tumours in the 1990s. Cancer 67 (4) (Suppl): 1169.
Kattapuram SV Rosenthal DI (1991) Percutaneous biopsy of skeletal lesions. AJR 157: 935.
Schajowicz F (1994) Tumors and tumorlike lesions of bone. Springer, Berlin Heidelberg New York.
Freyschmidt J, Ostertag H (1988) Knochentumoren. Springer, Berlin Heidelberg New York.
Fraser-Hill MA, Renfrew DL (1992) Percutaneous needle biopsy of musculoskeletal lesions. 1. Effective accuracy and diagnostic utility. AIR 158: 809.
Levin DC, Matteucci T (1989) Do radiologists control imaging studies? Survey results from 198 academic institutions. Radiology 170: 879.
Laredo J-D, Bard M, Cywiner-Golenzer Ch et al. (1984) Percutaneous biopsy of musculo-skeletal lesions. In: Bard M, Laredo J (eds) Interventional radiology in bone and joint. Springer, Berlin Heidelberg New York.
Ayala AG, Zornoza J (1983) Primary bone tumours: percutaneous needle biopsy. Radiologic-pathologic study of 222 biopsies. Radiology 149: 675.
Ayala AG, Raymond AK, Ro JY et al. (1989) Needle biopsy of primary bone lesions. M. D. Anderson experience. Pathol Annu 24: 219.
Kattapuram SV, Rosenthal DI (1987) Percutaneous biopsy of the cervical spine using CT guidance. AIR 149: 539.
Frager DH, Goldman MJ, Seimon LP et al. (1987) Computed tomography guidance for skeletal biopsy. Skeletal Radiol 16: 644.
Klose KCh, Günther RW (1988) CT gesteuerte Punktionen. In: Giinther RW, Thelen M (eds) Interventionelle Radiologie. Thieme, Stuttgart.
Fraser-Hill MA, Renfrew DL, Hilsenrath PE (1992) Percutaneous needle biopsy of musculoskeletal lesions. 2. Cost-effectiveness. AJR 158: 813.
Maclarnon JC (1982) Biopsy of the spine using a needle with a rigid guide wire. Clin Radiol 33: 189.
Vorwerk D, Klose KCh, Günther RW, Loer F (1989) A new motor-driven percutaneous bone biopsy system: technical note. Cardiovasc Intervent Radiol 12: 232.
AhIstrom KH, Astrom KG (1993) CT-guided bone biopsy performed by means of a coaxial biopsy system with an eccentric drill. Radiology 188: 549.
Hauenstein KH, Wimmer B, Beck A et al. (1988) Knochenbiopsie unklarer Knochenläsionen mit einer neuen 1,4 mm messenden Biopsiekanüle. Radiologe 28: 251.
Berning W, Freyschmidt J, Ostertag H (1993) Zur perkutanen Knochenbiopsie. Kritische Analyse von 153 Patienten. Unfallchirurgie 96: 34.
Mink J (1986) Percutaneous bone biopsy in the patient with known or suspected osseous metastases. Radiology 161: 191.
Freyschmidt J (1993) Skeletterkrankungen. Springer, Berlin Heidelberg New York.
Kasperczyk A, Freyschmidt J (1994) Pustulotic arthroosteitis: spectrum of bone lesions with palmoplantar pustulosis. Radiology 191: 207.
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Berningt, W., Freyschmidt, J. & Ostertag, H. Percutaneous bone biopsy, techniques and indications. Eur. Radiol. 6, 875–881 (1996). https://doi.org/10.1007/BF00240695
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DOI: https://doi.org/10.1007/BF00240695