Keywords:
Neoplasia, Infection, Abscess, Biopsy, CT, Musculoskeletal spine, Musculoskeletal bone, Interventional non-vascular
Authors:
F. Diez Renovales, B. I. Ruiz Morin, J. Cardenal Urdampilleta, I. Lecumberri, I. Korta Gómez, L. Anton Mendez, M. Udondo Gonzalez del Tanago, J. L. Del Cura Rodríguez; Bilbao/ES
DOI:
10.1594/essr2017/P-0264
Background
With advances in imaging technology,
there has been a significant increase in the number and range of interventional musculoskeletal image-guided procedures.
Skeletal system is commonly accessible by ultrasound guided techniques but when dealing with spine or bone lesions CT guided procedures are usually required.
Some of these procedures are minimally invasive and generally very safe while offering valuable diagnostic information as well as therapeutic benefit therefore they can and should be performed by any practitioner.
The procedures are accessible under local anesthesia and do not require sophisticated and highly specialized equipment.
In fact only three types of needles are employed
1.- Chiba.
basic needle,
we have different lengths and thicknesses (9.15 and 20 cm and 21 and 22g are most frequently used)
We can use them to infiltrate,
anesthetize and as coaxial guide biopsy needles Fig. 1
2.- Soft tissue biopsy needles.
Coaxial system. Multiple samples can be obtained .
Usually we use trucut system.
Fig. 2
3.- Bone biopsy sistem.
Multiple needles are available in the market.
For spine bone lesions we employ Bonopty® needles whils for long bones or higly sclerotic lesions we prefer using OnControl® Powered Bone Access System Fig. 3