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Percutaneous Biopsy of Osteoid Osteomas Prior to Percutaneous Treatment Using Two Different Biopsy Needles

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Abstract

Biopsy is usually performed as the first step in percutaneous treatment of osteoid osteomas prior to laser photocoagulation. At our institution, 117 patients with a presumed diagnosis of osteoid osteoma had a trephine biopsy before a percutaneous laser photocoagulation. Biopsies were made using two different types of needles. A Bonopty biopsy needle (14-gauge cannula, 16-gauge trephine needle; Radi Medical Systems, Uppsala, Sweden) was used in 65 patients, and a Laurane biopsy needle (11-gauge cannula, 12.5-gauge trephine needle; Laurane Medical, Saint-Arnoult, France) in 43 patients. Overall biopsy results were positive for osteoid osteoma in 83 (70.9%) of the 117 cases. The Laurane needle provided a significantly higher positive rate (81.4%) than the Bonopty needle (66.1%; p < 0.05). This difference was not due to the size of the nidus, which was similar in the two groups (p < 0.05) and may be an effect of differences in needle caliber (12.5 vs. 14 gauge) as well as differences in needle design. The rate of positive biopsy results obtained in the present series with the Laurane biopsy needle is, to our knowledge, the highest rate reported in series dealing with percutaneous radiofrequency ablation and laser photocoagulation of osteoid osteomas.

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Conflict of interest

Two of the others (J.L. and B.H.) are co-inventors of the Laurane needle but guarantee that all the information provided in this article is completely realistic.

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Authors and Affiliations

  1. Service de Radiologie, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France

    Jean-Denis Laredo, Bassam Hamze & Riadh Jeribi

  2. Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA

    Jean-Denis Laredo

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  1. Jean-Denis Laredo
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  2. Bassam Hamze
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  3. Riadh Jeribi
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Correspondence to Jean-Denis Laredo.

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Laredo, JD., Hamze, B. & Jeribi, R. Percutaneous Biopsy of Osteoid Osteomas Prior to Percutaneous Treatment Using Two Different Biopsy Needles. Cardiovasc Intervent Radiol 32, 998–1003 (2009). https://doi.org/10.1007/s00270-009-9635-2

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  • DOI: https://doi.org/10.1007/s00270-009-9635-2

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