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Title
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Experience with a frontal core biopsy device in soft tissue and bone lesions
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Author
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Abstract
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| Objective To assess the efficacy and cost of a new frontloading biopsy system, Spirotome® (system 1), in musculoskeletal lesions, and to compare the results with those obtained with commonly used biopsy devices. Methods System 1 was used in all soft tissue lesions (STL) and osteolytic bone lesions (OBL) of patients who presented at our department for CT-guided biopsy between January 2009 and June 2010. Accuracy and cost were compared to those of Bonopty® (system 2) and Tru-cut (system 3) procedures. Results The efficacy of system 1 was 85% in STL and 89% in OBL. The procedure was well tolerated and caused no complications. System 3 had an efficacy of 84% in STL and OBL combined. The efficacy of system 2 in OBL was 85%. The cost of single-use system 1 and system 2 was comparable, the cost of system 3 and multiuse system 1 compared to single-use system 1 was 25 and 7%, respectively. Conclusions The efficacy of system 1 in biopsy of STL and OBL was better than that of system 3. In OBL, the efficacy of system 1 was better than that of system 2. In STL at hazardous locations and small OBL with a thin cortical shell, system 1 offers the advantage of variable length and controlled loading. In these cases, single-use system 1 was cost-effective when compared to surgical biopsy. The cost per procedure of multiuse system 1 was lower than of system 3. |
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Language
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English
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Source (journal)
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Skeletal radiology. - New York, N.Y., 1976, currens
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Publication
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New York, N.Y.
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2012
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ISSN
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0364-2348
[print]
1432-2161
[online]
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DOI
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10.1007/S00256-011-1191-6
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Volume/pages
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41
:4
(2012)
, p. 447-458
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ISI
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000300851700010
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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