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Percutaneous C-Arm Free O-Arm Navigated Biopsy for Spinal Pathologies: A Technical Note
Background: Percutaneous biopsy under computed tomography (CT) guidance is a standard technique to obtain a definitive diagnosis when spinal tumors, metastases or infections are suspected. However, specimens obtained using a needle are sometimes inadequate for correct diagnosis. This report describe...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065997/ https://www.ncbi.nlm.nih.gov/pubmed/33915927 http://dx.doi.org/10.3390/diagnostics11040636 |
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author | Tanaka, Masato Sonawane, Sumeet Uotani, Koji Fujiwara, Yoshihiro Sessumpun, Kittipong Yamauchi, Taro Sugihara, Shinsuke |
author_facet | Tanaka, Masato Sonawane, Sumeet Uotani, Koji Fujiwara, Yoshihiro Sessumpun, Kittipong Yamauchi, Taro Sugihara, Shinsuke |
author_sort | Tanaka, Masato |
collection | PubMed |
description | Background: Percutaneous biopsy under computed tomography (CT) guidance is a standard technique to obtain a definitive diagnosis when spinal tumors, metastases or infections are suspected. However, specimens obtained using a needle are sometimes inadequate for correct diagnosis. This report describes a unique biopsy technique which is C-arm free O-arm navigated using microforceps. This has not been previously described as a biopsy procedure. Case description: A 74-year-old man with T1 vertebra pathology was referred to our hospital with muscle weakness of the right hand, clumsiness and cervicothoracic pain. CT-guided biopsy was performed, but histopathological diagnosis could not be obtained due to insufficient tissue. The patient then underwent biopsy under O-arm navigation, so we could obtain sufficient tissue and small cell carcinoma was diagnosed on histopathological examination. A patient later received chemotherapy and radiation. Conclusions: C-arm free O-arm navigated biopsy is an effective technique for obtaining sufficient material from spine pathologies. Tissue from an exact pathological site can be obtained with 3-D images. This new O-arm navigation biopsy may provide an alternative to repeat CT-guided or open biopsy. |
format | Online Article Text |
id | pubmed-8065997 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-80659972021-04-25 Percutaneous C-Arm Free O-Arm Navigated Biopsy for Spinal Pathologies: A Technical Note Tanaka, Masato Sonawane, Sumeet Uotani, Koji Fujiwara, Yoshihiro Sessumpun, Kittipong Yamauchi, Taro Sugihara, Shinsuke Diagnostics (Basel) Technical Note Background: Percutaneous biopsy under computed tomography (CT) guidance is a standard technique to obtain a definitive diagnosis when spinal tumors, metastases or infections are suspected. However, specimens obtained using a needle are sometimes inadequate for correct diagnosis. This report describes a unique biopsy technique which is C-arm free O-arm navigated using microforceps. This has not been previously described as a biopsy procedure. Case description: A 74-year-old man with T1 vertebra pathology was referred to our hospital with muscle weakness of the right hand, clumsiness and cervicothoracic pain. CT-guided biopsy was performed, but histopathological diagnosis could not be obtained due to insufficient tissue. The patient then underwent biopsy under O-arm navigation, so we could obtain sufficient tissue and small cell carcinoma was diagnosed on histopathological examination. A patient later received chemotherapy and radiation. Conclusions: C-arm free O-arm navigated biopsy is an effective technique for obtaining sufficient material from spine pathologies. Tissue from an exact pathological site can be obtained with 3-D images. This new O-arm navigation biopsy may provide an alternative to repeat CT-guided or open biopsy. MDPI 2021-04-01 /pmc/articles/PMC8065997/ /pubmed/33915927 http://dx.doi.org/10.3390/diagnostics11040636 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Technical Note Tanaka, Masato Sonawane, Sumeet Uotani, Koji Fujiwara, Yoshihiro Sessumpun, Kittipong Yamauchi, Taro Sugihara, Shinsuke Percutaneous C-Arm Free O-Arm Navigated Biopsy for Spinal Pathologies: A Technical Note |
title | Percutaneous C-Arm Free O-Arm Navigated Biopsy for Spinal Pathologies: A Technical Note |
title_full | Percutaneous C-Arm Free O-Arm Navigated Biopsy for Spinal Pathologies: A Technical Note |
title_fullStr | Percutaneous C-Arm Free O-Arm Navigated Biopsy for Spinal Pathologies: A Technical Note |
title_full_unstemmed | Percutaneous C-Arm Free O-Arm Navigated Biopsy for Spinal Pathologies: A Technical Note |
title_short | Percutaneous C-Arm Free O-Arm Navigated Biopsy for Spinal Pathologies: A Technical Note |
title_sort | percutaneous c-arm free o-arm navigated biopsy for spinal pathologies: a technical note |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065997/ https://www.ncbi.nlm.nih.gov/pubmed/33915927 http://dx.doi.org/10.3390/diagnostics11040636 |
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