Ultrasound-Guided Biopsies of Bone Lesions Without Cortical Disruption Using Fusion Imaging and Needle Tracking: Proof of Concept.

Details

Serval ID
serval:BIB_5D9638B4889E
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Ultrasound-Guided Biopsies of Bone Lesions Without Cortical Disruption Using Fusion Imaging and Needle Tracking: Proof of Concept.
Journal
Cardiovascular and interventional radiology
Author(s)
Garnon J., Koch G., Tsoumakidou G., Caudrelier J., Chari B., Cazzato R.L., Gangi A.
ISSN
1432-086X (Electronic)
ISSN-L
0174-1551
Publication state
Published
Issued date
08/2017
Peer-reviewed
Oui
Volume
40
Number
8
Pages
1267-1273
Language
english
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Abstract
To assess the technical feasibility and safety of combined fusion imaging and needle tracking under ultrasound guidance to target bone lesions without cortical disruption.
Between January 2016 and March 2016, seven patients underwent US-guided biopsy of bone lesions without cortical disruption. Targeted bone lesions were measuring more than 1.5 cm with a thin cortex, a trans-osseous pathway not exceeding 2 cm and without any adjacent vulnerable structures. First three procedures were performed in the CT suite to aid the needle tracking where necessary (group 1), the remaining four procedures were performed in the US suite (group 2). In group 1, deviation from the real position of the bone trocar (estimated on CT) was compared to the virtual position (estimated on the fusion CT-US images). In both group, procedure data and histopathological results were collected, and compared to the suspected diagnosis and follow-up.
Mean procedure duration was 44 min. Total number of synchronisation points for combined fusion imaging were 3.3 on average. In group 1, mean deviation between the virtual and real CT coordinates was 5.3 mm on average. All biopsies yielded adequate quality analysable bone sample. Histopathological analysis revealed malignancy in three cases, non-specific inflammation in two cases, and normal bone in two cases. The four benign results were confirmed as true negative results. There were no immediate or post-procedural complications.
The use of combined fusion imaging and needle tracking ultrasound guidance to target bone lesions without cortical disruption seems technically feasible, provided the patient and lesion selection is appropriate.
Keywords
Aged, Aged, 80 and over, Biopsy, Needle/instrumentation, Biopsy, Needle/methods, Bone Neoplasms/pathology, Cortical Bone/pathology, Feasibility Studies, Female, Humans, Image-Guided Biopsy/instrumentation, Image-Guided Biopsy/methods, Male, Middle Aged, Multimodal Imaging/instrumentation, Multimodal Imaging/methods, Needles, Proof of Concept Study, Retrospective Studies, Tomography, X-Ray Computed/instrumentation, Tomography, X-Ray Computed/methods, Ultrasonography, Interventional/instrumentation, Ultrasonography, Interventional/methods, Biopsy, Bone, Fusion imaging, Needle tracking, Ultrasound
Pubmed
Web of science
Create date
09/10/2018 11:18
Last modification date
20/08/2019 14:15
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