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Title: Freehand Two-Step CT-Guided Brain Tumor Biopsy: A Fast and Effective Interventional Procedure in Selected Patients

Abstract

Purpose. To evaluate the efficacy and safety of CT-guided needle biopsy of brain lesions without a stereotactic device, and to determine the best possible indications for this technique. Methods. From February 2001 to February 2004, 20 patients (12 men, 8 women; age 61-82 years) underwent CT-guided brain lesion biopsy. The procedure started with a brain CT scan for lesion localization and for selection of the inlet for needle insertion. The patient was then transported to the operating room where cranioanatrisis was performed. Subsequently, the biopsy was performed under CT guidance using a 14G brain biopsy needle with a blind smooth end and lateral holes. At the end of the biopsy, the field was checked for possible complications with a CT scan. Results. Histopathologic results were: brain tumor in 16 patients (80%), inflammatory process in 3 (15%), and no conclusive diagnosis in 1 (5%). A repeat of the process was required in 2 patients. A minor complication of local hematoma was found in 1 patient (5%). There were no deaths or other serious complications.Conclusion. CT-guided biopsy is a reliable method for histopathologic diagnosis of brain lesions in selected cases. It is a simple, fast, effective, low-cost procedure with minimal complications, indicatedmore » especially for superficial and large tumors.« less

Authors:
; ; ; ; ;  [1]
  1. 'Korgialeneio-Benakeio', Hellenic Red-Cross Hospital of Athens, Radiology Department (Greece)
Publication Date:
OSTI Identifier:
21091256
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 29; Journal Issue: 2; Other Information: DOI: 10.1007/s00270-005-0015-2; Copyright (c) 2006 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; BIOPSY; BRAIN; COMPUTERIZED TOMOGRAPHY; COST; DEATH; DIAGNOSIS; HEMATOMAS; IMAGE PROCESSING; INFLAMMATION; NEOPLASMS; PATIENTS

Citation Formats

Thanos, Loukas, E-mail: loutharad@yahoo.com, Mylona, Sofia, Galani, Panagiota, Kalioras, Vasilios, Pomoni, Maria, and Batakis, Nikolaos. Freehand Two-Step CT-Guided Brain Tumor Biopsy: A Fast and Effective Interventional Procedure in Selected Patients. United States: N. p., 2006. Web. doi:10.1007/S00270-005-0015-2.
Thanos, Loukas, E-mail: loutharad@yahoo.com, Mylona, Sofia, Galani, Panagiota, Kalioras, Vasilios, Pomoni, Maria, & Batakis, Nikolaos. Freehand Two-Step CT-Guided Brain Tumor Biopsy: A Fast and Effective Interventional Procedure in Selected Patients. United States. doi:10.1007/S00270-005-0015-2.
Thanos, Loukas, E-mail: loutharad@yahoo.com, Mylona, Sofia, Galani, Panagiota, Kalioras, Vasilios, Pomoni, Maria, and Batakis, Nikolaos. Sat . "Freehand Two-Step CT-Guided Brain Tumor Biopsy: A Fast and Effective Interventional Procedure in Selected Patients". United States. doi:10.1007/S00270-005-0015-2.
@article{osti_21091256,
title = {Freehand Two-Step CT-Guided Brain Tumor Biopsy: A Fast and Effective Interventional Procedure in Selected Patients},
author = {Thanos, Loukas, E-mail: loutharad@yahoo.com and Mylona, Sofia and Galani, Panagiota and Kalioras, Vasilios and Pomoni, Maria and Batakis, Nikolaos},
abstractNote = {Purpose. To evaluate the efficacy and safety of CT-guided needle biopsy of brain lesions without a stereotactic device, and to determine the best possible indications for this technique. Methods. From February 2001 to February 2004, 20 patients (12 men, 8 women; age 61-82 years) underwent CT-guided brain lesion biopsy. The procedure started with a brain CT scan for lesion localization and for selection of the inlet for needle insertion. The patient was then transported to the operating room where cranioanatrisis was performed. Subsequently, the biopsy was performed under CT guidance using a 14G brain biopsy needle with a blind smooth end and lateral holes. At the end of the biopsy, the field was checked for possible complications with a CT scan. Results. Histopathologic results were: brain tumor in 16 patients (80%), inflammatory process in 3 (15%), and no conclusive diagnosis in 1 (5%). A repeat of the process was required in 2 patients. A minor complication of local hematoma was found in 1 patient (5%). There were no deaths or other serious complications.Conclusion. CT-guided biopsy is a reliable method for histopathologic diagnosis of brain lesions in selected cases. It is a simple, fast, effective, low-cost procedure with minimal complications, indicated especially for superficial and large tumors.},
doi = {10.1007/S00270-005-0015-2},
journal = {Cardiovascular and Interventional Radiology},
number = 2,
volume = 29,
place = {United States},
year = {Sat Apr 15 00:00:00 EDT 2006},
month = {Sat Apr 15 00:00:00 EDT 2006}
}