Drill-Assisted Biopsy of the Axial and Appendicular Skeleton: Safety, Technical Success, and Diagnostic Efficacy

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• 作者：Adam N. Wallace ; MD^a ; ^{wallacea@mir.wustl.edu" class="auth_mail" title="E-mail the corresponding author} ; Sebastian R. McWilliams ; MB^a ; Andrew Wallace ; MD^a ; Randy O. Chang ; BS^b ; Devin Vaswani ; MD^a ; Robert E. Stone ; MD^a ; Ari N. Berlin ; BS^b ; Kevin X. Liu ; MD^a ; Brian Gilcrease-Garcia ; MD^a ; Thomas P. Madaelil ; MD^a ; Ramy A. Shoela ; MD^a ; Travis J. Hillen ; MD^a ; Jeremiah Long ; MD^a ; Jack W. Jennings ; MD^a ; ¹
• 关键词：IQR ; interquartile range
• 刊名：Journal of Vascular and Interventional Radiology
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：27
• 期：10
• 页码：1618-1622
• 全文大小：617 K

文摘

The purpose of this study was to evaluate the safety, technical success rate, and diagnostic efficacy of drill-assisted axial and appendicular bone biopsies. During a 3-y period, 703 drill-assisted biopsies were performed. The cohort included 54.2% men, with a mean age of 57.6 y ± 17.1. Median lesion volume was 10.9 mL (interquartile range, 3.4–30.2 mL). Lesions were lytic (31.7%), sclerotic (21.2%), mixed lytic and sclerotic (27.7%), or normal radiographic bone quality (19.3%). No complications were reported. The technical biopsy success rate was 99.9%. Crush artifact was present in 5.8% of specimens submitted for surgical pathologic examination, and 2.1% of specimens were inadequate for histologic evaluation.