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Related Experiment Videos

Percutaneous skeletal aspiration and core biopsy: complementary techniques

M E Schweitzer1, F H Gannon, D M Deely

  • 1Department of Radiology Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.

AJR. American Journal of Roentgenology
|February 1, 1996
PubMed
Summary

Performing both aspiration and core skeletal biopsies offers complementary diagnostic roles. This study suggests routine use of both techniques for skeletal lesions improves diagnostic accuracy.

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Area of Science:

  • Orthopedic Oncology
  • Interventional Radiology
  • Pathology

Background:

  • Core biopsy is standard for percutaneous bone biopsy.
  • Aspiration biopsy is frequently used despite this.

Purpose of the Study:

  • Evaluate the complementary role of aspiration and core skeletal biopsies.
  • Assess diagnostic yield in 138 patients with skeletal lesions.

Main Methods:

  • Prospective evaluation of 138 patients over 2 years.
  • Performed both percutaneous core and aspiration biopsies.
  • Compared histologic and cytologic evaluations for diagnostic accuracy.

Main Results:

  • 28 patients had neoplasms diagnosed by both methods.

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  • 17 diagnoses by core only, 11 by aspiration only.
  • 11 cores and 7 aspirates were more specific; 3 cores and 18 aspirates were insufficient.
  • Conclusions:

    • A complementary diagnostic role exists for aspiration and core skeletal biopsy.
    • Routine performance of both techniques is suggested for skeletal lesions.