CT Guided Bone Biopsy Using a Battery Powered Intraosseous Device

Journal Article · Tue Oct 15 04:00:00 EDT 2013 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-013-0617-Z· OSTI ID:22208002

Schnapauff, Dirk; Marnitz, Tim; Freyhardt, Patrick; Collettini, Federico ^[1]; Hartwig, Kerstin ^[2]; Joehrens, Korinna ^[3]; Hamm, Bernd; Kroencke, Thomas; Gebauer, Bernhard ^[1]

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1. Charite Universitaetsmedizin Berlin, Campus Virchow-Klinikum, Department of Radiology (Germany)
2. Charite Universitaetsmedizin Berlin, Campus Charite Mitte, Department of Haematology and Oncology (Germany)
3. Charite Universitaetsmedizin Berlin, Campus Charite Mitte, Department of Pathology (Germany)

Purpose: To evaluate the feasibility of a battery powered intraosseous device to perform CT-fluoroscopy guided bone biopsy. Methods: Retrospective analysis of 12 patients in whom bone specimen were acquired from different locations under CT-fluoroscopy guidance using the OnControl bone marrow biopsy system (OBM, Vidacare, Shavano Park, TX, USA). Data of the 12 were compared to a historic cohort in whom the specimen were acquired using the classic Jamshidi Needle, as reference needle using manual force for biopsy. Results: Technical success was reached in 11 of 12 cases, indicated by central localisation of the needle within the target lesion. All specimen sampled were sufficient for histopathological workup. Compared to the historical cohort the time needed for biopsy decreased significantly from 13 {+-} 6 to 6 {+-} 4 min (P = 0.0001). Due to the shortened intervention time the radiation dose (CTDI) during CT-fluoroscopy was lowered significantly from 169 {+-} 87 to 111 {+-} 54 mGy Multiplication-Sign cm (P = 0.0001). Interventional radiologists were confident with the performance of the needle especially when using in sclerotic or osteoblastic lesions. Conclusion: The OBM is an attractive support for CT-fluoroscopy guided bone biopsy which is safe tool and compared to the classical approach using the Jamshidi needle leading to significantly reduced intervention time and radiation exposure.

• OSTI ID: 22208002
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 5 Vol. 36; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BIOPSY
BONE MARROW
CARDIOVASCULAR SYSTEM
FLUOROSCOPY
PATIENTS
PERFORMANCE
RADIATION DOSES
SKELETON
VASCULAR DISEASES