Percutaneous Bone Biopsies: Comparison between Flat-Panel Cone-Beam CT and CT-Scan Guidance

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• 作者：Lambros Tselikas ; Julien Joskin…
• 关键词：Bone biopsy ; Guidance modality ; Cone beam CT ; CT scan ; Radiation dose
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：38
• 期：1
• 页码：167-176
• 全文大小：1,291 KB
• 参考文献：1. Mundy GR (2002) Metastasis to bone: causes, consequences and therapeutic opportunities. Nat Rev Cancer 2:584-93 CrossRef
  2. Miller TT (2008) Bone tumors and tumorlike conditions: analysis with conventional radiography. Radiology 246:662-74 CrossRef
  3. Taira AV, Herfkens RJ, Gambhir SS, Quon A (2007) Detection of bone metastases: assessment of integrated FDG PET/CT imaging. Radiology 243:204-11 CrossRef
  4. Wang CK, Li CW, Hsieh TJ, Chien SH, Liu GC, Tsai KB (2004) Characterization of bone and soft-tissue tumors with in vivo 1H MR spectroscopy: initial results. Radiology 232:599-05 CrossRef
  5. Goetz MP, Callstrom MR, Charboneau JW et al (2004) Percutaneous image-guided radiofrequency ablation of painful metastases involving bone: a multicenter study. J Clin Oncol 22:300-06 CrossRef
  6. Rosenthal D, Callstrom MR (2012) Critical review and state of the art in interventional oncology: benign and metastatic disease involving bone. Radiology 262:765-80 CrossRef
  7. Gianfelice D, Gupta C, Kucharczyk W, Bret P, Havill D, Clemons M (2008) Palliative treatment of painful bone metastases with MR imaging-guided focused ultrasound. Radiology 249:355-63 CrossRef
  8. Ayala AG, Zornosa J (1983) Primary bone tumors: percutaneous needle biopsy. Radiologic–pathologic study of 222 biopsies. Radiology 149:675-79 CrossRef
  9. Jelinek JS, Murphey MD, Welker JA et al (2002) Diagnosis of primary bone tumors with image-guided percutaneous biopsy: experience with 110 tumors. Radiology 223:731-37 CrossRef
  10. Solomon SB, Silverman SG (2010) Imaging in interventional oncology. Radiology 257:624-40 CrossRef
  11. Sarti M, Brehmer WP, Gay SB (2012) Low-dose techniques in CT-guided interventions. Radiographics 32:1109-119 discussion 1119-120 CrossRef
  12. Rimondi E, Rossi G, Bartalena T et al (2011) Percutaneous CT-guided biopsy of the musculoskeletal system: results of 2027 cases. Eur J Radiol 77:34-2 CrossRef
  13. Heautot JF, Chabert E, Gandon Y et al (1998) Analysis of cerebrovascular diseases by a new 3-dimensional computerised X-ray angiography system. Neuroradiology 40:203-09 CrossRef
  14. Deschamps F, Solomon SB, Thornton RH et al (2010) Computed analysis of three-dimensional cone-beam computed tomography angiography for determination of tumor-feeding vessels during chemoembolization of liver tumor: a pilot study. Cardiovasc Intervent Radiol. doi:10.1007/s00270-010-9846-6
  15. Braak SJ, van Strijen MJ, van Leersum M, van Es HW, van Heesewijk JP (2010) Real-Time 3D fluoroscopy guidance during needle interventions: technique, accuracy, and feasibility. AJR Am J Roentgenol 194:W445–W451 CrossRef
  16. Descat E, Ferron S, Cornelis F, Palussiere J (2011) Fluoroscopy-guided percutaneous biopsies: value of real-time guidance with image fusion software. J Radiol 92:864-67 CrossRef
  17. Tam AL, Mohamed A, Pfister M et al (2010) C-arm cone beam computed tomography needle path overlay for fluoroscopic guided vertebroplasty. Spine (Phila Pa 1976) 35:1095-099
  18. Pedicelli A, Verdolotti T, Pompucci A et al (2011) Interventional spinal procedures
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Nuclear Medicine
  Ultrasound
  Cardiology
  
• 出版者：Springer New York
• ISSN：1432-086X

文摘

Purpose This study was designed to compare the accuracy of targeting and the radiation dose of bone biopsies performed either under fluoroscopic guidance using a cone-beam CT with real-time 3D image fusion software (FP-CBCT-guidance) or under conventional computed tomography guidance (CT-guidance). Methods Sixty-eight consecutive patients?with a bone lesion were prospectively included. The bone biopsies?were?scheduled under FP-CBCT-guidance or under CT-guidance according to operating room availability. Thirty-four patients underwent a bone biopsy under FP-CBCT and 34 under CT-guidance. We prospectively compared the two guidance modalities for their technical success, accuracy, puncture time, and pathological success rate. Patient and physician radiation doses also were compared. Results All biopsies were technically successful, with both guidance modalities. Accuracy was significantly better using FP-CBCT-guidance (3 and 5?mm respectively: p?=?0.003). There was no significant difference in puncture time (32 and 31?min respectively, p?=?0.51) nor in pathological results (88 and 88?% of pathological success respectively, p?=?1). Patient radiation doses were significantly lower with FP-CBCT (45 vs. 136?mSv, p?CBCT than CT-guidance (27 vs. 59?%, p?=?0.01). Conclusions FP-CBCT-guidance for bone biopsy is accurate and reduces patient and operator radiation doses compared with CT-guidance.