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2003•Journal of China Medical ImagingRequires access

The diagnostic value of CT-guided percutaneous biopsy in the musculoskeletal system

Kemin Chen

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Abstract

Objective:To analyze the diagnostic value of CT-guided percutaneous biopsy in the musculoskeletal system.Methods:CT-guided percutaneous biopsy was performed in319patients with musculoskeletal lesions.Results:In273(85.6%)patients,pathologic results were obtained,in29(9.1%)cases,no results of pathology were obtained owing to having not e-nough samples,in17(5.3%)cases,no results were obtained owing to not able to acquire samples.In257cases,pathologic re-sults were obtained subsequently at surgery,in212cases,percutaneous biopsy results were consistent with surgery(82.5%),in45cases(17.5%)the biopsy result s were not consistent with the results of surgery.Conclusion:CT-guided percutaneous biopsy is effective for the diagnosis of musculoskeletal system.Open biopsy can be obviated in the majority of cases.The diagnostic ac-curacy was related to the lesion’s pathologic type.The majority cases of unsuccessful biopsy were in the cystic and sclerotic le-sions.

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What this paper is about

Objective:To analyze the diagnostic value of CT-guided percutaneous biopsy in the musculoskeletal system.Methods:CT-guided percutaneous biopsy was performed in319patients with musculoskeletal lesions.Results:In273(85.6%)patients,pathologic results were obtained,in29(9.1%)cases,no results of pathology were obtained owing to having not e-nough samples,in17(5.3%)cases,no results were obtained owing to not able to acquire samples.In257cases,pathologic re-sults were obtained subsequently at surgery,in212cases,percutaneous biopsy results were consistent with surgery(82.5%),in45cases(17.5%)the biopsy result s were not consistent with the results of surgery.Conclusion:CT-guided percutaneous biopsy is effective for the diagnosis of musculoskeletal system.Open biopsy can be obviated in the majority of cases.The diagnostic ac-curacy was related to the lesion’s pathologic type.The majority cases of unsuccessful biopsy were in the cystic and sclerotic le-sions.

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Available abstract

Objective:To analyze the diagnostic value of CT-guided percutaneous biopsy in the musculoskeletal system.Methods:CT-guided percutaneous biopsy was performed in319patients with musculoskeletal lesions.Results:In273(85.6%)patients,pathologic results were obtained,in29(9.1%)cases,no results of pathology were obtained owing to having not e-nough samples,in17(5.3%)cases,no results were obtained owing to not able to acquire samples.In257cases,pathologic re-sults were obtained subsequently at surgery,in212cases,percutaneous biopsy results were consistent with surgery(82.5%),in45cases(17.5%)the biopsy result s were not consistent with the results of surgery.Conclusion:CT-guided percutaneous biopsy is effective for the diagnosis of musculoskeletal system.Open biopsy can be obviated in the majority of cases.The diagnostic ac-curacy was related to the lesion’s pathologic type.The majority cases of unsuccessful biopsy were in the cystic and sclerotic le-sions.

Key concepts: Medicine, Biopsy, Percutaneous, Radiology, Percutaneous biopsy, Lesion, Target lesion, Surgery

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