Summary
254 patients affected by intracranial lesions underwent stereotactic biopsy in our department from 1978 to 1986. Target localization was achieved by CT. Multiple biopsy sampling was performed by cup microforceps or sliding cannula. Operative mortality was limited to 2 cases. Definitive tumour diagnosis, including type and approximate grading was obtained in 211 (83%) patients. Diagnostic failures have been investigated from the neuroradiological point of view. Failure rate is low in solid tumours with CT homogeneous appearance and clear-cut borders, gradually increases in non homogeneous tumours, necrotic haemorrhagic or cystic, and is high in non classifiable lesions, generally hypodense at CT, with indefinite borders. In the authors opinion the variability of diagnostic retrieval in different types of lesions must be taken into account when proposing stereotactic biopsy.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Apuzzo ML, Chandrasoma PT (1987) Image directed stereotactic biopsy: methods, utilization, strategies. In: Tasker (ed) Neurosurgery: state of the art review. Hanley and Belfus, Philadelphia, pp 287–308.
Birg W, Mundinger F (1982) Direct target point determination for stereotactic operations from CT data and the calculation of setting parameters for polar coordinates stereotactic devices. Appl Neurophysiol 45: 387–395.
Colombo F, Angrilli F, Zanardo A, Pinna V, Alexandre A, Benedetti A (1981) A new method for utilizing CT data in stereotactic surgery: measurements and transformation technique. Acta Neurochir (Wien) 57: 197–203.
Colombo F, Casentini L, Visoná A, Benedetti A (1982) Stereotactic biopsy: Diagnostic problems, value of cytological and histological examinations. Zentralbl Neurochir 43: 309–315.
Colombo F, Zanardo A (1984) Clinical application of an original stereotactic apparatus. Acta Neurochir (Wien) [Suppl] 33: 569–573.
Colombo F, Benedetti A, Pozza F, Zanardo A, Avanzo RC, Chierego G, Marchetti A (1985) Stereotactic radiosurgery utilizing a linear accelerator. Appl Neurophysiol 48: 145–183.
Conway LW (1973) Stereotaxic diagnosis and treatment of intracranial tumours, including an initial experience with cryosurgery for pinealomas. J Neurosurg 38: 453–460.
Kelly PJ, Alker GJ, Kail BA, Goerss JJ (1984) A method of CT based stereotactic biopsy with artériographie control. Neurosurgery 14: 172–177.
Kelly PJ (1987) Computerized guidance for stereotactic treatment of brain tumours: from CT guided biopsy to computerized laser resection. In: Tasker (ed) Neurosurgery: state of the art review. Hanley and Belfus, Philadelphia.
Mundinger F (1979) Rationale and methods of interstitial Ir 192 brachicurietherapy and Ir 192 and 1125 protracted long term irradiations. In: Szikla (ed) Stereotactic cerebral irradiations. Elsevier, Amsterdam, pp 101–117.
Mundinger F (1985) CT stereotactic biopsy for optimizing therapy of intracranial processes. Acta Neurochir (Wien) [Suppl] 35: 70–74.
Ostertag C, Mennel HG, Kiessling M (1980) Stereotactic biopsy of brain tumours. Surg Neurol 14: 257–262.
Szikla G, Blond S, Daumas-Duport C, Missir O, Myahara S, Munari C, Musolino A, Schlinger N (1983) Stereotaxis in the management of brain tumours: three dimensional angiography, sampling biopsies and focal irradiation using the Talairach system. Ital J Neurol Sci [Suppl] 2: 83–96.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Springer-Verlag/Wien
About this paper
Cite this paper
Colombo, F., Casentini, L., Zanusso, M., Danieli, D., Benedetti, A. (1988). Validity of Stereotactic Biopsy as a Diagnostic Tool. In: Isamat, F., Jefferson, A., Loew, F., Symon, L. (eds) Proceedings of the 8th European Congress of Neurosurgery Barcelona, September 6–11, 1987. Acta Neurochirurgica Supplementum 42, vol 42. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8975-7_30
Download citation
DOI: https://doi.org/10.1007/978-3-7091-8975-7_30
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-8977-1
Online ISBN: 978-3-7091-8975-7
eBook Packages: Springer Book Archive