215 results match your criteria Musculoskeletal Biopsy Percutaneous Needle Technique

[From an optimal management of bone tissue samples to a quality patients' care in 2022 : A new paradigm].

Ann Pathol 2022 Apr 31;42(3):202-207. Epub 2022 Jan 31.

Service d'anatomie et cytologie pathologiques, CHRU de Tours, hôpital Trousseau, avenue de la République, 37170 Chambray-les-Tours, France; Faculté de médecine, Université de Tours, 10, boulevard Tonnellé, 37000 Tours, France.

Bone tissue can be involved by primitive or metastatic tumors and requires a specific processing both at the department of pathology and during multidisciplinary meetings. The development of fine-needle percutaneous biopsies and of molecular techniques in bone tumor pathology requires a specific management. Moreover, decalcification of samples is crucial but can be deleterious if not controlled or not appropriate. Read More

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Bone Marrow-Derived Mesenchymal Stem Cells Augment Regeneration of Intervertebral Disc in a Reproducible and Validated Mouse Intervertebral Disc Degeneration Model.

Neurol India 2021 Nov-Dec;69(6):1565-1570

Department of Neurological Sciences, Christian Medical College, Bagayam, Tamil Nadu, India.

Background: Back pain and radicular pain due to disc degeneration are probably the most common problems encountered in neurosurgical practice. The experience and results of stem cell therapy in animal disc degeneration model will help us while doing clinical trials.

Objective: To study the effect of bone marrow-derived mesenchymal stem cells in an established mouse disc degeneration model. Read More

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January 2022

Percutaneous Core Needle Biopsy Can Efficiently and Safely Diagnose Most Primary Bone Tumors.

Diagnostics (Basel) 2021 Aug 27;11(9). Epub 2021 Aug 27.

Département de Chirurgie, Centre de Lutte Contre le Cancer Léon Bérard, 69008 Lyon, France.

A biopsy is a prerequisite for the diagnosis and evaluation of musculoskeletal tumors. It is considered that surgical biopsy provides a more reliable diagnosis because it can obtain more tumor material for pathological analysis. However, it is often associated with a significant complication rate. Read More

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Percutaneous spine biopsy under cone beam computed tomography guidance for spondylodiscitis: Time is diagnosis.

Neuroradiol J 2021 Dec 24;34(6):607-614. Epub 2021 May 24.

Department of Radiological Sciences, Umberto I Policlinico di Roma, Italy.

Background And Purpose: Percutaneous spine biopsies for spondylodiscitis have been long discussed due to the low microbiologic yield. This retrospective study evaluated factors of cone beam computed tomography-guided spine biopsies that may affect microbiologic yield.

Methods: We retrospectively reviewed percutaneous spine biopsies under cone beam computed tomography for spondylodiscitis performed from January 2015-December 2020. Read More

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December 2021

Introducing image-guided synovial aspiration and biopsy in assessing peri-prosthetic joint infection: an early single-centre experience.

Skeletal Radiol 2021 Oct 6;50(10):2031-2040. Epub 2021 Apr 6.

Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK.

Aim: Synovial sampling can be used in the diagnosis of peri-prosthetic joint infection (PJI). The purpose of this study was to establish the role of simultaneous image-guided synovial aspiration and biopsy (SAB) during an initial 2-year experience at our institution.

Methods: Retrospective review of consecutive SABs performed during 2014-2016 at a tertiary referral musculoskeletal centre. Read More

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October 2021

Percutaneous wide bore needle biopsy for spinal lesions using the kyphoplasty cannula-a technical note.

Eur Spine J 2021 10 26;30(10):2852-2856. Epub 2021 Mar 26.

Park clinic, 4, Gorky Terrace, Minto Park, Kolkata, 700017, India.

Purpose: Management of vertebral and discovertebral lesions depends on highly specific modalities like biopsy and histopathology. The transpedicular and transforaminal routes have gained popularity for obtaining samples for diagnosing these lesions. Sample inadequacy plays an important part in lowering the diagnostic accuracy. Read More

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October 2021

Feasibility and safety of fine positioning needle-mediated breathing control in CT-guided percutaneous puncture of small lung/liver nodules adjacent to diaphragm.

Sci Rep 2021 02 9;11(1):3411. Epub 2021 Feb 9.

Department of Radiology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510260, China.

To assess the efficacy, safety, and feasibility of a separate inserted positioning fine needle-mediated breathing-control technique applied to computed tomography (CT)-guided percutaneous puncture for biopsy or microwave ablation (MWA) of small lung/liver nodules near diaphragm. Total 46 patients with pulmonary/liver small nodules (≤ 3 cm in size) near diaphragm(nodule within 1 cm distance to the diaphragm)were undergone percutaneous biopsy ( n = 15) or MWA (n = 31) under the guidance of CT, and a separate positioning fine needle-mediated breathing-control technique was applied for the precise punctures. CT plain scan was performed to monitor the complications after the procedure. Read More

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February 2021

A Study on the Anatomical Relationship of the Lumbar Extrapedicular Puncture Approach with the Spinal Nerve and its Branches.

Spine (Phila Pa 1976) 2021 Jun;46(11):E611-E617

Department of Spine Surgery, the Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Mini: The anatomical relationship of the extrapedicular approach with the spinal nerve and its branches was researched in cadavers. Three types of extrapedicular paths were simulated: puncture inside the medial branch (MB), puncture outside the MB, and puncture outside the lateral branch (LB). At L1-L3, puncture outside the LB could avoid damage to these nerves. Read More

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Transesophageal endoscopic ultrasound fine needle aspiration of vertebral body osteolytic tumors - a novel diagnostic approach. Case series.

Med Ultrason 2021 Feb 28;23(1):42-47. Epub 2020 Oct 28.

Department of Pathology, Emergency Clinical County Hospital Cluj, Romania Department of Morphological Sciences, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.

Aims: Vertebral lesions, either primary or more frequently metastasis, are difficult targets for percutaneous guided biopsies and surgical biopsies and are associated with greater risks of complications. We investigated the feasibility of endoscopic ultrasound (EUS) fine needle aspiration (FNA) biopsy in the assessment of vertebral osteolytic tumors as an alternative to CT guided biopsy which is the technique currently used.

Material And Methods: Four patients with osteolytic tumors of the vertebral bodies identified by imaging methods (CT or MRI) - 3 patients, and one with a tumor detected primarily during EUS procedure were included in order to evaluate the feasibility of the procedure. Read More

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February 2021

A measuring technique for intra-osseous pressure.

Skeletal Radiol 2021 Jul 13;50(7):1461-1464. Epub 2020 Nov 13.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Yawkey 6E, Boston, MA, 02114, USA.

Objective: Pulsatile intra-osseous pressures result in bone remodeling, and therefore may affect lesion growth and response to treatment. However, there is no known method used to measure intra-osseous pressures. The purpose of this study is to describe a novel image-guided technique for measuring intra-osseous pressures. Read More

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Percutaneous CT-Guided Core Needle Biopsies of Head and Neck Masses: Technique, Histopathologic Yield, and Safety at a Single Academic Institution.

AJNR Am J Neuroradiol 2020 11 17;41(11):2117-2122. Epub 2020 Sep 17.

Mallinckrodt Institute of Radiology (T.J.H., J.C.B., M.V.F, J.W.J.), Musculoskeletal Section, Washington University School of Medicine, St. Louis, Missouri.

Background And Purpose: CT-guided head and neck biopsies can be challenging due to the anatomy and adjacent critical structures but can often obviate the need for open biopsy. A few studies and review articles have described approaches to biopsy in the head and neck. This retrospective study evaluated technical considerations, histopathologic yield, and safety in CT-guided head and neck core needle biopsies. Read More

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November 2020

Review article: the current status of CT-guided needle biopsy of the spine.

Skeletal Radiol 2021 Feb 19;50(2):281-299. Epub 2020 Aug 19.

Radiology Department, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK.

CT-guided percutaneous needle biopsy of the spine is a well-described technique for determining the nature of indeterminate vertebral lesions or establishing a diagnosis of spinal infection, the high diagnostic accuracy and the safety of the procedure having been extensively documented. The purpose of the current article is to review the literature to date on CT-guided spinal biopsy. Specifically, indications for spinal biopsy, techniques for optimising yield, detail of the approaches for various spinal levels which is dependent upon both the region within the spinal column and lesion location within the vertebra (body vs. Read More

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February 2021

Percutaneous image-guided sternal biopsy: a cross-institutional retrospective review of diagnostic yield and safety in 50 cases.

Skeletal Radiol 2021 Mar 19;50(3):495-504. Epub 2020 Aug 19.

Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.

Objective: Image-guided sternal biopsy may be technically daunting given the immediately subjacent critical structures. There is a paucity of literature describing technique, safety, and efficacy. This study aims to quantify the diagnostic yield and safety of image-guided sternal biopsies. Read More

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Diagnostic Challenges in Primary Sacral Tumors and the Yield of Computed Tomography-Guided Needle Biopsy in the Modern Era.

World Neurosurg 2020 06 25;138:e806-e818. Epub 2020 Mar 25.

Department of Neurological Surgery, University of California, San Francisco, California, USA. Electronic address:

Objective: Primary sacral tumors pose unique challenges because of their complex radiographic appearances, diverse pathologic entities, and dramatically different treatment paradigms based on tumor type. Magnetic resonance imaging and computed tomography (CT) can provide valuable information; however, sacral lesions can possess unique radiographic features and pose diagnostic dilemmas. CT-guided percutaneous needle biopsy is a critical component of the diagnostic workup. Read More

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MR-Guided Percutaneous Intradiscal Thermotherapy (MRgPIT): Evaluation of a New Technique for the Treatment of Degenerative Disc Disease in Cadaveric Lumbar Spine.

Cardiovasc Intervent Radiol 2020 Mar 26;43(3):505-513. Epub 2019 Nov 26.

Department of Radiology, Ludwig Maximilian University, Munich, Germany.

Purpose: Evaluation of MR feasibility and real-time control of an innovative thermoablative applicator for intradiscal thermotherapy and histological analysis of laser annuloplasty in human ex vivo intervertebral discs.

Materials And Methods: We evaluated a new MR-compatible applicator system for MR-guided percutaneous intradiscal thermotherapy (MRgPIT) in an open 1.0-T MRI-system. Read More

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A Systematic Review of Tissue Sampling Techniques for the Diagnosis of Adenomyosis.

J Minim Invasive Gynecol 2020 02 6;27(2):344-351. Epub 2019 Sep 6.

Department of Minimally Invasive Gynecologic Surgery, Newton Wellesley Hospital, Newton, Massachusetts (all authors).

Objective: Evaluate the accuracy of tissue sampling techniques for the diagnosis of adenomyosis.

Data Sources: Systematic Review via MEDLINE and the Cochrane Library searches.

Methods Of Study Selection: Review performed utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, utilizing MeSH terms and keywords including "Adenomyosis/diagnosis" or "Adenomyosis/pathology" or "Myometrium/pathology" and "Biopsy" or "Hysteroscopy" or "Laparoscopy. Read More

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February 2020

Application of a novel material in the inguinal region using a totally percutaneous approach in an animal model: a new potential technique?

Hernia 2019 Dec 16;23(6):1175-1185. Epub 2019 Jul 16.

University of Strasbourg, Strasbourg, France.

Purpose: To evaluate the feasibility and safety of a new percutaneous image-guided surgery technique to simulate a hernia repair using hydrogel.

Materials And Methods: A comparative prospective study was conducted in animals, with survival. Five pigs without any hernias were used. Read More

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December 2019

Percutaneous technique for fluoroscopy-guided biopsy in the supra-acetabular region.

Eur J Orthop Surg Traumatol 2019 Dec 22;29(8):1801-1803. Epub 2019 Jun 22.

Department of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.

The peri-acetabular area of the pelvis is a common site for a variety of lesions including neoplasia, histiocytosis or infective-like tuberculosis. A biopsy is necessary before planning treatment for these patients. Access to these lesions requires extensive dissection of soft tissues and is associated with blood loss and prolonged operative time. Read More

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December 2019

Treatment of a calcific bursitis of the medial collateral ligament: a rare cause of painful knee.

J Ultrasound 2019 Dec 27;22(4):471-476. Epub 2019 Feb 27.

Musculoskeletal Ultrasound School, Italian Society for Ultrasound in Medicine and Biology (SIUMB), Bologna, Italy.

Medial knee pain is common in clinical practice and can be caused by various conditions. In rare cases, it can even be by calcific bursitis of the medial collateral ligament (MCL). Treatment of calcific bursitis and/or calcification of the MCL classically includes observation, local injections, shockwave therapy and surgical resection. Read More

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December 2019

Percutaneous CT-Guided Skull Biopsy: Feasibility, Safety, and Diagnostic Yield.

AJNR Am J Neuroradiol 2019 02 17;40(2):309-312. Epub 2019 Jan 17.

Mallinckrodt Institute of Radiology (T.J.H., J.W.J.), St. Louis, Missouri.

Background And Purpose: Although percutaneous musculoskeletal biopsies are routinely performed in the axial and appendicular skeleton, there are no published data on the systematic evaluation of the feasibility, safety, and diagnostic accuracy of percutaneous skull biopsy. In certain clinical encounters such as patients with primary skull tumors or patients with known cancer and isolated skull lesions suspected of calvarial metastasis or synchronous primary tumor, percutaneous skull biopsy may be considered a viable option. The purpose of this study was to evaluate the feasibility, safety profile, and diagnostic yield of percutaneous CT-guided skull biopsy. Read More

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February 2019

A simple technique for easier anterior odontoid screw fixation.

Br J Neurosurg 2019 Apr 14;33(2):135-139. Epub 2019 Jan 14.

b Orthopaedic department , Faculty of medicine, Cairo University , Giza , Egypt.

Background: Anterior odontoid screw fixation (AOSF) is an osteosynthetic technique used for fixation of type 2 and rostral type 3 odontoid fractures. Compared to other treatment modalities, it provides immediate stability, preservation of the majority of the remaining C1-2 motion and an achieved union rate of 80-100%. AOSF requires a stable and reduced odontoid to allow for placement of guide wire and cannulated screw. Read More

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The challenges of muscle biopsy in a community based geriatric population.

BMC Res Notes 2018 Nov 26;11(1):830. Epub 2018 Nov 26.

MRC-ARUK Centre for Musculoskeletal Ageing Research, Institute of Inflammation and Ageing, University of Birmingham, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, B15 2WD, UK.

Objectives: To describe the difficulties of obtaining muscle samples using a Bergstrom needle technique in a frail older adult population. The data were obtained from a study primarily investigating immunosenescence in frailty. An intended research technique was skeletal muscle biopsy in a small subset of participants to investigate muscle morphology and local inflammatory factors. Read More

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November 2018

Bone and Soft-Tissue Biopsies: What You Need to Know.

Semin Intervent Radiol 2018 Oct 5;35(4):215-220. Epub 2018 Nov 5.

2nd Radiology Department, "ATTIKON" University General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Percutaneous, image-guided musculoskeletal biopsy, due to its minimal invasive nature, when compared with open surgical biopsy, is a safe and effective technique which is widely used in many institutions as the primary method to acquire tissue and bone samples. Indications include histopathologic and molecular assessment of a musculoskeletal lesion, exclusion of malignancy in a bone/vertebral fracture, examination of bone marrow, and infection investigation. Preprocedural workup should include both imaging (for lesion assessment and staging) and laboratory (including coagulation tests and platelet count) studies. Read More

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October 2018

Percutaneous suction and irrigation for the treatment of recalcitrant pyogenic spondylodiscitis.

J Orthop Traumatol 2018 Aug 20;19(1):10. Epub 2018 Aug 20.

The Centre for Spinal Studies and Surgery, Queen's Medical Centre, Nottingham University Hospitals, Derby Road, Nottingham, NG7 2UH, UK.

Background: The primary management of pyogenic spondylodiscitis is conservative. Once the causative organism has been identified, by blood culture or biopsy, administration of appropriate intravenous antibiotics is started. Occasionally patients do not respond to antibiotics and surgical irrigation and debridement is needed. Read More

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Feasibility, accuracy and safety of a percutaneous fine-needle biopsy technique to obtain qualitative muscle samples of the lumbar multifidus and erector spinae muscle in persons with low back pain.

J Anat 2018 10 22;233(4):542-551. Epub 2018 Jul 22.

Rehabilitation Research Center, Faculty of Medicine and Life Sciences, BIOMED Biomedical Research Institute, UHasselt - Hasselt University, Diepenbeek, Belgium.

The lumbar muscular system, in particular the lumbar multifidus muscle (LM) and the erector spinae muscle (ES), plays an important role in stabilizing and mobilizing the lumbar spine. Based on the topography, the lumbar paraspinal muscles can be classified into local and global muscles. LM is part of the local system, whereas ES is part of the global system. Read More

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October 2018

Percutaneous CT-Guided Biopsies of the Cervical Spine: Technique, Histopathologic and Microbiologic Yield, and Safety at a Single Academic Institution.

AJNR Am J Neuroradiol 2018 05 12;39(5):981-985. Epub 2018 Apr 12.

From the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.

Background And Purpose: Cervical spine biopsies can be challenging due to the anatomy and the adjacent critical structures. Percutaneous image-guided biopsies can obviate the need for an open biopsy, however there have been few studies looking at the approaches, safety, and efficacy of percutaneous cervical spine biopsies. This retrospective study evaluated technical considerations, histopathologic and microbiologic yield, and safety in CT-guided cervical bone biopsies. Read More

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Muscle biopsy technical safety and quality using a self-contained, vacuum-assisted biopsy technique.

Neuromuscul Disord 2018 05 15;28(5):450-453. Epub 2018 Feb 15.

Division of Neurology, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, Canada. Electronic address:

Muscle sampling via percutaneous biopsy has been shown to be safe and effective using a Bergström needle; however, the use of a single-operator, self-contained, vacuum-assisted biopsy technique has not been explored. We performed a retrospective chart review of muscle biopsy samples obtained using the Vacora® self-contained vacuum-assisted biopsy system between 2013 and 2016, at the Toronto General Hospital. During this period, 102 single-operator muscle biopsies were performed using the Vacora® system. Read More

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Identification of the location of the A1 pulley combining palpation technique with palm landmarks and percutaneous release of A1 pulley with a 19-gauge needle: A cadaveric study.

J Orthop Surg (Hong Kong) 2017 Sep-Dec;25(3):2309499017731631

Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Vilnius, Lithuania.

The aims of this study were to identify the location of the A1 pulley combining palpation technique with superficial palm landmarks and to determine the efficacy and safety of A1 pulley percutaneous release with a 19-gauge needle. Fourteen fresh frozen cadaveric specimens were used: 56 fingers and 14 thumbs. The location of the A1 pulley was based on anatomical landmarks and was identified in all digits. Read More

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Cervical vertebroplasty under sedoanalgesia using combined ultrasonography and fluoroscopy guidance: a novel technique.

Eur Spine J 2018 07 8;27(Suppl 3):353-358. Epub 2017 Sep 8.

Department of Anesthesiology and Pain Medicine, Sakarya University Faculty of Medicine, Adapazarı, Sakarya, Turkey.

Purpose: The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia.

Methods: A 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient was placed on the operating table and 2 mg midazolam and 75 µg fentanyl were administered for conscious sedation. Read More

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