AJR AJR Integrative Imaging Dec 2008 articles
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DOI:10.2214/AJR.07.3138
AJR 2008; 190:W283-W289
© American Roentgen Ray Society

Pictorial Essay

CT-Guided Biopsy of Bone: A Radiologist's Perspective

Leandro A. Espinosa1, David A. Jamadar1, Jon A. Jacobson1, Michel O. DeMaeseneer2, Farhad S. Ebrahim3, Brian J. Sabb1, Matthew T. Kretschmer1, Janet S. Biermann4 and Sung-Moon Kim1

1 Department of Radiology, University of Michigan Hospitals, 1500 E Medical Center Dr., Ann Arbor, MI 48109.
2 Division of Radiologic Sciences, Wake Forest University, Winston-Salem, NC.
3 Department of Radiology, University of Toledo Medical Center, Toledo, OH.
4 Department of Orthopedic Surgery, University of Michigan Hospitals, Ann Arbor, MI.

OBJECTIVE. We present an overview of approaches for bone biopsy used to minimize potential tumor seeding of adjacent soft-tissue structures and compartments. We discuss a variety of approaches related to specific anatomic parts and review pertinent anatomy.

CONCLUSION. We provide important guidelines and key examples that will help readers perform percutaneous needle bone biopsy safely.

Keywords: bone biopsy • bone cancer • CT-guided biopsy • metastases • oncologic imaging


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