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Percutaneous bone biopsy
Salman Masood1, Paul I Mallinson1, Adnan Sheikh1
1Vancouver General Hospital/ University of British Columbia, Vancouver, Canada.
Techniques in Vascular and Interventional Radiology
|March 6, 2022
Summary
Image-guided percutaneous bone biopsy is a minimally invasive technique for obtaining bone samples. It offers advantages over open biopsy, including fewer complications and faster recovery, making it ideal for diagnosing bone conditions.
Area of Science:
- Interventional Radiology
- Orthopedic Oncology
- Pathology
Background:
- Image-guided percutaneous biopsy is the preferred method for bone sampling.
- It is minimally invasive, preserving bone structure and minimizing soft tissue damage.
- Advantages include reduced anesthesia, shorter hospital stays, and fewer complications compared to open biopsy.
Purpose of the Study:
- To outline the essential principles of image-guided percutaneous bone biopsy.
- To provide guidance for radiologists, especially in cases of suspected bone sarcoma.
- To discuss indications, contraindications, planning, techniques, and complication management.
Main Methods:
- Review of core concepts and principles of percutaneous bone biopsy.
- Discussion of imaging modalities, equipment, and procedural approaches.
- Emphasis on complication avoidance, recognition, and treatment.
Main Results:
- Percutaneous biopsy is a safe and effective method for bone sampling.
- The procedure allows for histological and microbiological assessment.
- It can be combined with therapeutic interventions like cementoplasty and cryoablation.
Conclusions:
- Image-guided percutaneous bone biopsy is a cornerstone in diagnosing bone pathologies.
- Radiologists require thorough knowledge for safe and effective execution.
- Technological advancements continue to enhance this minimally invasive procedure.

