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Birmingham Intervention Tent Technique (BITT): A Technical Note.

R Rajakulasingam¹, J Kho¹, G Almeer¹

¹Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK.

The Indian Journal of Radiology & Imaging

|September 24, 2021

Summary

This summary is machine-generated.

A new CT biopsy method, the Birmingham intervention tent technique (BITT), offers a safe approach for bone lesions when direct access is difficult. This inexpensive and reproducible technique has been successfully used in over 10 cases.

Keywords:

intervention technique tent

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Area of Science:

Medical imaging
Interventional radiology
Orthopedic oncology

Background:

Biopsying osseous lesions can be challenging due to difficult patient positioning.
Existing CT-guided biopsy techniques may not be suitable for all anatomical locations.

Purpose of the Study:

To introduce and describe a novel CT biopsy technique, the Birmingham intervention tent technique (BITT).
To evaluate the safety and applicability of the BITT for osseous lesions with challenging access.

Main Methods:

The BITT involves attaching a plastic surgical forceps clamp to a biopsy needle at an angle, forming a tent shape.
The forceps are stabilized on the examination table to guide the needle insertion.

Main Results:

The BITT was successfully implemented in over 10 cases at the authors' institution.
The technique demonstrated feasibility in biopsying osseous lesions where direct approaches were not possible.

Conclusions:

The Birmingham intervention tent technique (BITT) is a novel, safe, and effective method for CT-guided bone biopsies.
The BITT is an inexpensive, reproducible, and valuable addition to the interventional radiology toolkit for challenging osseous lesion biopsies.