Today, biopsy of spinal lesions is best performed under computed tomography (CT) fluoroscopic guidance. Indications for imaging-guided biopsy include confirming metastasis in a patient with a known primary tumour, determining the nature of a solitary bone lesion, excluding malignancy in vertebral body compression, and investigating for infection.

2025年3月1日 · What Is a Bone Biopsy? A bone biopsy is a test that takes a sample of tissue or cells from your bone to check for cancer or other bone diseases. The sample comes from the outer part of your bone....

What is a spine biopsy and how is it performed? A bone biopsy is a test in which a small sample of bone is removed from the body and examined under a microscope for cancer, infection, or other bone disorders. The procedure is done with the patient lying on his or her abdomen.

The key principles for successful and safe CT-guided vertebral biopsy are best denoted in form of 3 Ps: “planning” of successful biopsy, “positioning” of the patient to achieve optimum biopsy plane and “protection” of the vital vascular and neural structures in the trajectory of a biopsy needle.

Percutaneous biopsy under fluoroscopic or CT (CT) guidance is a safe and almost painless, and is preferred for lesions that have a soft-tissue component or are located close to vital structures. The reported accuracy of CT-guided spinal bone biopsy is 67–97%, and the complication rate ranges from 0–26% (1 – 7).

2017年10月13日 · Image-guided percutaneous biopsy of the lumbar spine allows access to the vertebral body, posterior elements, intervertebral disks, as well as surrounding soft tissues. Requests for lumbar spine biopsies are most frequently a result of imaging (i.e., CT, MRI, PET-CT, bone scan) that shows the possible presence of a neoplastic or infectious ...

2020年12月18日 · The Society of Interventional Radiology considers percutaneous spine biopsy to have a high procedure-associated bleeding risk and recommends correction of an international normalized ratio to less than 1.5–1.8, transfusion with platelets if platelet count is less than 50,000/mm 3, and discontinuation of anticoagulant and antiplatelet agents ...

CT-guided percutaneous sampling of vertebral disci-tis-osteomyelitis, despite a relatively low microbiologic yield, may be safely performed for detection of caus-ative microorganisms. Although antimicrobial therapy should be withheld before biopsy when clinically feasible, biopsy may still be

2020年8月19日 · 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.

2008年9月23日 · Percutaneous transpedicular vertebral biopsy under local anesthesia is an important tool in the evaluation of vertebral body lesions, especially in older...