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Review article: the current status of CT-guided needle biopsy of the spine

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Abstract

CT-guided percutaneous needle biopsy of the spine is a well-described technique for determining the nature of indeterminate vertebral lesions or establishing a diagnosis of spinal infection, the high diagnostic accuracy and the safety of the procedure having been extensively documented. The purpose of the current article is to review the literature to date on CT-guided spinal biopsy. Specifically, indications for spinal biopsy, techniques for optimising yield, detail of the approaches for various spinal levels which is dependent upon both the region within the spinal column and lesion location within the vertebra (body vs. neural arch), determinants of biopsy outcome and complications are covered. It is hoped that the review will be of particular benefit to junior radiologists who are required to perform this procedure.

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Authors and Affiliations

  1. Radiology Department, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

    Asif Saifuddin & Syed Ehtasham Junaid

  2. Catterall Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

    Valentina Palloni

  3. Radiology Department, Bart’s Health NHS Trust, Whitechapel Rd, London, E1 1BB, UK

    Hannah du Preez

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  1. Asif Saifuddin
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Saifuddin, A., Palloni, V., du Preez, H. et al. Review article: the current status of CT-guided needle biopsy of the spine. Skeletal Radiol 50, 281–299 (2021). https://doi.org/10.1007/s00256-020-03584-9

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