Abstract
Purpose
To describe the techniques, outcomes and complications of CT-guided transosseous biopsy of soft tissue lesions via multiple different routes.
Materials and Methods
Clinical and radiologic data from all consecutive soft tissue biopsies performed via a transosseous approach between April 2009 and July 2015 were retrospectively compiled. Fifty biopsies performed in 50 patients (n = 17 males, n = 33 females) were included. Biopsies were performed using a 13-gauge biopsy needle which was advanced through the selected bone to the lesion margin followed by coaxial placement of either an 18- or 20-gauge biopsy gun. Sampling accuracy was determined from the final pathology report as diagnostic or non-diagnostic. Complications included rates of pneumothorax, pneumomediastinum, hemoptysis, immediate admission, chest tube insertion, surgical consultation, 30-day readmission, fracture, osteomyelitis or tract seeding.
Results
Number of diagnostic samples per bone included: sternum (n = 17, 34%), rib (n = 7, 14%), scapula (n = 6, 12%), transverse process (n = 4, 8%), vertebral body (n = 4, 8%), spinous process (n = 1, 2%), ilium (n = 7, 14%), sacrum (n = 4, 8%). Complications included 10 pneumothoraces in 39 cases that crossed the pleura, 8 pneumomediastinum in 17 transsternal cases, one immediate surgical consultation and one 30-day readmission.
Conclusion
Transosseous biopsy approach is a technically feasible means of obtaining core needle samples of soft tissue lesions.
Level of Evidence
Case series, IV.
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For this type of study formal consent is not required. This study was approved by the local institutional review board.
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Chehab, M., Zintsmaster, S., Jafri, S.Z. et al. CT-guided Transosseous Soft Tissue Biopsy: Techniques, Outcomes and Complications in 50 Cases. Cardiovasc Intervent Radiol 40, 1461–1468 (2017). https://doi.org/10.1007/s00270-017-1669-2
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DOI: https://doi.org/10.1007/s00270-017-1669-2