Percutaneous Image-Guided Spinal Lesion Biopsies: Factors Affecting Higher Diagnostic Yield
DC Field | Value | Language |
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dc.contributor.author | Yang, So Yeon | - |
dc.contributor.author | Oh, Eunsun | - |
dc.contributor.author | Kwon, Jong Won | - |
dc.contributor.author | Kim, Hyun Su | - |
dc.date.accessioned | 2021-08-11T11:43:33Z | - |
dc.date.available | 2021-08-11T11:43:33Z | - |
dc.date.issued | 2018-11 | - |
dc.identifier.issn | 0361-803X | - |
dc.identifier.issn | 1546-3141 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/5566 | - |
dc.description.abstract | OBJECTIVE. The objectives of this study were to determine the diagnostic yield of percutaneous biopsy of osseous spinal lesions under CT and fluoroscopy guidance and to analyze lesion-related and technical factors affecting higher diagnostic yield. MATERIALS AND METHODS. We retrospectively reviewed 247 consecutive percutaneous spinal biopsies and recorded the following information: size, anatomic location, and bone matrix of lesions; guiding modality; years of attending physicians' experience; number of approaches; pathologic result of initial biopsy; and final diagnosis. The pathologic results of the initial biopsies were classified as diagnostic or nondiagnostic. All variables were compared using Pearson chi-square test or Fisher exact test. Multivariate logistic regression was also conducted. RESULTS. Of the initial 247 biopsies, 197 (80%) biopsies were diagnostic. On multivariate analysis, size, bone matrix, and final diagnosis of lesion were significant factors affecting biopsy yield. Biopsies of large lesions (>= 20 mm) showed higher diagnostic yield than biopsies of small lesions (p = 0.006). Biopsies of lytic lesions had the highest diagnostic yield (88%), followed by biopsies of mixed (84%), sclerotic (67%), and isodense lesions (61%). Differences were significant for diagnostic yields of biopsies of lytic versus sclerotic lesions (p = 0.004) and lytic versus isodense lesions (p = 0.031). Biopsies of metastases had significantly highest diagnostic yield (97%), followed by biopsies of primary malignancies (84%) and benign lesions (39%) (p < 0.05). CONCLUSION. For percutaneous image-guided biopsies of spinal tumorous lesions, diagnostic yield was 80%. Size, bone matrix, and final diagnosis of lesions affected diagnostic yield of percutaneous image-guided biopsies. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | American Roentgen Ray Society | - |
dc.title | Percutaneous Image-Guided Spinal Lesion Biopsies: Factors Affecting Higher Diagnostic Yield | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.2214/AJR.17.18817 | - |
dc.identifier.scopusid | 2-s2.0-85055192277 | - |
dc.identifier.wosid | 000450915200028 | - |
dc.identifier.bibliographicCitation | American Journal of Roentgenology, v.211, no.5, pp 1068 - 1074 | - |
dc.citation.title | American Journal of Roentgenology | - |
dc.citation.volume | 211 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1068 | - |
dc.citation.endPage | 1074 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalWebOfScienceCategory | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.subject.keywordPlus | CORE NEEDLE-BIOPSY | - |
dc.subject.keywordPlus | MUSCULOSKELETAL LESIONS | - |
dc.subject.keywordPlus | BONE-BIOPSY | - |
dc.subject.keywordPlus | UTILITY | - |
dc.subject.keywordAuthor | biopsy | - |
dc.subject.keywordAuthor | CT | - |
dc.subject.keywordAuthor | fluoroscopy | - |
dc.subject.keywordAuthor | spine | - |
dc.subject.keywordAuthor | tumor | - |
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