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J Neurol Surg A Cent Eur Neurosurg 2012; 73(04): 199-203
DOI: 10.1055/s-0032-1304217
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Core Needle Biopsy of Spinal Lesions under CT Guidance: Review of 79 Cases

Ioannis Kaltsikis
1   Department of Radiology, Hyppokratio Hospital, Thessaloniki, Greece
,
Danai Chourmouzi
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Kostas Drevelegas
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Stamatia Potsi
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Anestis Moumtzouoglou
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Antonios Drevelegas
3   Department of Radiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
› Author Affiliations
Further Information

Publication History

09 April 2011

25 November 2011

Publication Date:
14 May 2012 (online)

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Abstract

The authors report the results of a retrospective study about computed tomography (CT)-guided percutaneous vertebral biopsies in 79 cases (44 males and 35 females, aged from 6 to 84 years old). Five biopsies were performed at the cervical level, 31 at the thoracic, 30 at the lumbar, and 13 at the sacrum. A diagnosis was obtained in 75 out of the 79 patients. Diagnostic yield was 95%, and diagnostic accuracy was 97.3%. Core needle biopsy under CT guidance for spinal lesions is a fast, relatively simple, minimally invasive, and low-cost method, with high levels of diagnostic accuracy and few complications. It plays a major role in the correct diagnosis and therapeutic planning. CT guidance allows safe and accurate biopsy of osseous lesions throughout the spine, obviating invasive open biopsy in most cases.

Keywords

spinal lesion - core needle biopsy - CT guidance
 

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