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)

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.

 
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