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After review of all imaging and clinical information, the next step is deciding the route and modality utilized for image-guided biopsy. Almost all bone biopsies are performed under CT guidance at our institution. CT provides excellent spatial localization of the lesion (superficial, deep, invasive, compartments involves, etc.)
Diagnostic image-guided needle biopsy plays a vital role in the work-up and treatment of patients with extremity bone tumors. The radiologist and the orthopedic oncologic surgeon should take a team approach to this procedure, especially when the bone lesion might be a primary sar- coma for which limb-sparing surgery
The purpose of this article is to review the current guidelines and recommendations for percutaneous image-guided treatment of musculoskeletal tumors. CONCLUSION. Pathologic fracture through a unicameral bone cyst of the pelvis: CT-guided percutaneous curettage, biopsy, and bone matrix injection. J Vasc Interv
14 May 2013 Image-guided procedures are playing an ever-increasing role in the diagnosis, staging, and treatment of musculoskeletal tumors. the indications and contraindications for any biopsy or treatment, effective procedure planning (e.g., selection of biopsy path, type of imaging guidance and biopsy needle, etc.)
This article aims to review the percutaneous image-guided treatments of musculoskeletal tumors that could be incorporated into a radiology practice that is may be selected to treat unicameral bone cysts (UBCs) in locations that are difficult to reach surgically; cases of tumor recurrence; or selected soft-tissue tumors, such
Image-guided needle biopsies are commonly used to diagnose musculoskeletal tumors, but nondiagnostic (ND) results can delay diagnosis and treatment. It is important The studies on musculoskeletal biopsies reported an accuracy of 72-99%[56][57][58][59]depending also on tissue type, target location, or biopsy type.
19 May 2013 It must be done carefully, so as not to adversely affect the outcome. Technical considerations include proper location and orientation of the biopsy incision and meticulous hemostasis. It is necessary to obtain tissue for a histological diagnosis without spreading the tumor and so compromise the treatment.
We also discuss and illustrate some proposed biopsy guidelines that will help the radiologist ensure patients' chances of receiving optimal surgical treatment. In a review of 597 cases, the authors found that 19% of patients with musculoskeletal tumors had encountered problems with initial image-guided and open biopsy
Core needle biopsy should be considered in the multidisciplinary approach to chest wall musculoskeletal tumors, especially when induction therapy is CT guidance with smaller needles was preferred particularly in situations where the chest wall tumor had a predominant intrathoracic component or in locations adjacent
14 May 2013 Image-guided procedures are playing an ever-increasing role in the diagnosis, staging, and treatment of musculoskeletal tumors. the indications and contraindications for any biopsy or treatment, effective procedure planning (e.g., selection of biopsy path, type of imaging guidance and biopsy needle, etc.)
     

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