Cone beam CT in percutaneous biopsies of the musculoskeletal system
Abstract
Background: Percutaneous biopsies have become an indispensable part in the diagnostics of musculoskeletal lesions owing to current technological advances in imaging control and performance. The newest technology used for percutaneous biopsies of musculoskeletal lesions is C-arm cone-beam computed tomography (CT) combined with a computer navigation system for needle guidance.
Methods: 28 patients who underwent computer-guided percutaneous biopsies of the musculoskeletal system using cone-beam CT (Phillips Allura ND20) with the XperGuide needle-navigation system were included in the study in order to determine the feasibility and diagnostic accuracy of computer-guided percutaneous biopsies and to evaluate the method’s success rate, its safety, and patient irradiation exposure.
Results: Technical and histological success rates were 90 % and 89.3 %, respectively. The highest histological success rate was observed for lesions in the pelvis and in the lower extremities. Specificity and sensitivity for determining benign and malignant lesions were 100 % and 83.3 %, respectively. Mean patient effective dose was 13.4 mSv.
Conclusion: The results of our study confirm that C-arm cone-beam CT combined with a computer navigation system for needle guidance has proven to be a safe, sensitive and accurate method, with lower patient irradiation and complication rate compared to conventional CT. It is a good alternative to CT-guided percutaneous biopsies.
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References
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