Abstract
Purpose
The objective of this study is to assess the effectiveness of computed tomography-guided trans-osseous biopsies in deep-seated lesions and report encountered complications.
Materials and Methods
A retrospective cohort study was performed which included twenty-four patients with pathologic medical history and lesions non-accessible by common approaches. Exclusion criteria include patients who could be biopsied without trans-osseous access, as for example procedures aided with hydro- or pneumo-dissection. The population studied included 13 females (54.2%) and the overall average age was 64.5 (IIQ 43–69). The procedures were carried out through the following bones: sternum (n = 6), vertebral (n = 5), iliac (n = 5), scapula (n = 3), rib (n = 2), sacral (n = 2), and pubis (n = 1).
Results
The efficiency for these procedures was 87.5%, while 8.33% of them were non-diagnostic and 4.17% were inconclusive due to vital risk during the procedure.
Conclusion
Computed tomography-guided trans-osseous biopsy resulted in a safe and effective technique for those lesions blocked by vital structures or apparently directly inaccessible.
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Change history
28 December 2023
A Correction to this paper has been published: https://doi.org/10.1007/s00270-023-03639-z
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Acknowledgements
I would like to thank the interventional team of the Hospital Italiano de Buenos Aires, especially JDV who was my mentor and tutor throughout this work. I would also like to thank MB who has played a fundamental role as reviewer, and GD and LS who also shared their knowledge to make this paper possible.
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This study was not supported by any funding.
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This study has obtained IRB approval from Research Protocols Ethics Committee and the need for informed consent was waived.
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The original online version of this article was revised: This article was originally published under a working title, ‘Trans-osseous Biopsy CT Guided: Experience Report on 24 Patients’, which was refined during the peer-review process to ‘CT-Guided Trans-osseous Biopsy: Experience in 24 Patients’.
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Rendon, F.O., Del Valle, J.B., Savluk, J.L. et al. CT-Guided Trans-osseous Biopsy: Experience in 24 Patients. Cardiovasc Intervent Radiol 47, 234–237 (2024). https://doi.org/10.1007/s00270-023-03616-6
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DOI: https://doi.org/10.1007/s00270-023-03616-6