Article Sidebar

pdf
Date Published: 23/12/2024
Abstract Views: 30
Views pdf: 27
DOI: https://doi.org/10.51298/vmj.v545i3.12357
Issue
Vol. 545 No. 3 (2024)
Section
Các bài báo
How to Cite
Đỗ, V. C. N., Võ , T. T., Trần, T. K., Đặng, P. V. T., & Nguyễn, C. T. (2024). PRELIMINARY RESULTS OF PERCUTANEOUS SPINE BIOPSY UNDER CT GUIDANCE AT THONG NHAT HOSPITAL. Vietnam Medical Journal, 545(3). https://doi.org/10.51298/vmj.v545i3.12357

PRELIMINARY RESULTS OF PERCUTANEOUS SPINE BIOPSY UNDER CT GUIDANCE AT THONG NHAT HOSPITAL

Võ Công Nguyên Đỗ, Thành Toàn Võ , Trung Kiên Trần, Phan Vĩnh Toàn Đặng, Chí Thành Nguyễn

Main Article Content

Abstract

Subjects and methods: 31 cases of spinal bone biopsy were conducted at the Radiology Department, Thong Nhat Hospital – Ho Chi Minh City, from July 2023 to July 2024. Results: The common age group was over 60 years, with females making up the majority (61%). The primary biopsy site was the lumbar spine (77.42%). The biopsy locations included: transpedicular (32.26%), vertebral body (61.29%), and paraspinal soft tissue (6.45%). Bone biopsy needles were used in 64.52% of cases, soft tissue biopsy needles in 29.03%, and a combination of both in 6.45%. The histopathological results were: spinal metastasis (41.94%), tuberculosis (22.58%), necrotic inflammatory tissue (19.35%), lymphoma (6.45%), benign tissue with hemorrhage (6.45%). Adequate biopsy specimens were obtained for histopathological diagnosis in 96.77% of cases. Post-procedure complications included local hematoma (3.23%) and prolonged spinal pain (3.23%), with no other significant complications observed.

Article Details

Keywords

Biopsy, spinal lesion, computed tomography.

References

Murphy WA, Destouet JM, Gilula LA. Percutaneous skeletal biopsy 1981: a procedure for radiologists--results, review, and recommendations. Radiology. 1981;139(3):545-9.
2. Renfrew DL, Whitten CG, Wiese JA, el-Khoury GY, Harris KG. CT-guided percutaneous transpedicular biopsy of the spine. Radiology. 1991;180(2):574-6.
3. Civardi G, Livraghi T, Colombo P, Fornari F, Cavanna L, Buscarini L. Lytic bone lesions suspected for metastasis: ultrasonically guided fine-needle aspiration biopsy. J Clin Ultrasound. 1994;22(5):307-11.
4. Lewin JS, Petersilge CA, Hatem SF, Duerk JL, Lenz G, Clampitt ME, et al. Interactive MR imaging-guided biopsy and aspiration with a modified clinical C-arm system. AJR Am J Roentgenol. 1998;170(6):1593-601.
5. Binkert CA, Verdun FR, Zanetti M, Pfirrmann CW, Hodler J. CT arthrography of the glenohumeral joint: CT fluoroscopy versus conventional CT and fluoroscopy--comparison of image-guidance techniques. Radiology. 2003; 229 (1):153-8.
6. Tuan DGKTDHTQ. Kết quả sinh thiết cột sống qua da dưới hướng dẫn của cắt lớp vi tính và robot Maxio. Tạp chí y dược lâm sàng 108. 2021;16(4).
7. Yaffe D, Greenberg G, Leitner J, Gipstein R, Shapiro M, Bachar GN. CT-Guided Percutaneous Biopsy of Thoracic and Lumbar Spine: A New Coaxial Technique. American Journal of Neuroradiology. 2003;24(10):2111-3.
8. Singh DK, Kumar N, Nayak BK, Jaiswal B, Tomar S, Mittal MK, et al. Approach-based techniques of CT-guided percutaneous vertebral biopsy. Diagn Interv Radiol. 2020;26(2):143-6.
9. Kornblum MB, Wesolowski DP, Fischgrund JS, Herkowitz HN. Computed tomography-guided biopsy of the spine. A review of 103 patients. Spine (Phila Pa 1976). 1998;23(1):81-5.
10. Kattapuram SV, Rosenthal DI. Percutaneous biopsy of skeletal lesions. AJR Am J Roentgenol. 1991;157(5):935-42.