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Title: CT Guided Bone Biopsy Using a Battery Powered Intraosseous Device

Abstract

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 usingmore » the Jamshidi needle leading to significantly reduced intervention time and radiation exposure.« less

Authors:
; ; ;  [1];  [2];  [3]; ; ;  [1]
  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)
Publication Date:
OSTI Identifier:
22208002
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 36; Journal Issue: 5; Other Information: Copyright (c) 2013 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOPSY; BONE MARROW; CARDIOVASCULAR SYSTEM; FLUOROSCOPY; PATIENTS; PERFORMANCE; RADIATION DOSES; SKELETON; VASCULAR DISEASES

Citation Formats

Schnapauff, Dirk, Marnitz, Tim, Freyhardt, Patrick, Collettini, Federico, Hartwig, Kerstin, Joehrens, Korinna, Hamm, Bernd, Kroencke, Thomas, and Gebauer, Bernhard. CT Guided Bone Biopsy Using a Battery Powered Intraosseous Device. United States: N. p., 2013. Web. doi:10.1007/S00270-013-0617-Z.
Schnapauff, Dirk, Marnitz, Tim, Freyhardt, Patrick, Collettini, Federico, Hartwig, Kerstin, Joehrens, Korinna, Hamm, Bernd, Kroencke, Thomas, & Gebauer, Bernhard. CT Guided Bone Biopsy Using a Battery Powered Intraosseous Device. United States. doi:10.1007/S00270-013-0617-Z.
Schnapauff, Dirk, Marnitz, Tim, Freyhardt, Patrick, Collettini, Federico, Hartwig, Kerstin, Joehrens, Korinna, Hamm, Bernd, Kroencke, Thomas, and Gebauer, Bernhard. Tue . "CT Guided Bone Biopsy Using a Battery Powered Intraosseous Device". United States. doi:10.1007/S00270-013-0617-Z.
@article{osti_22208002,
title = {CT Guided Bone Biopsy Using a Battery Powered Intraosseous Device},
author = {Schnapauff, Dirk and Marnitz, Tim and Freyhardt, Patrick and Collettini, Federico and Hartwig, Kerstin and Joehrens, Korinna and Hamm, Bernd and Kroencke, Thomas and Gebauer, Bernhard},
abstractNote = {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.},
doi = {10.1007/S00270-013-0617-Z},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 5,
volume = 36,
place = {United States},
year = {2013},
month = {10}
}