Title
|
|
|
|
Experience with a frontal core biopsy device in soft tissue and bone lesions
| |
Author
|
|
|
|
| |
Abstract
|
|
|
|
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. |
| |
Language
|
|
|
|
English
| |
Source (journal)
|
|
|
|
Skeletal radiology. - New York, N.Y., 1976, currens
| |
Publication
|
|
|
|
New York, N.Y.
:
2012
| |
ISSN
|
|
|
|
0364-2348
[print]
1432-2161
[online]
| |
DOI
|
|
|
|
10.1007/S00256-011-1191-6
| |
Volume/pages
|
|
|
|
41
:4
(2012)
, p. 447-458
| |
ISI
|
|
|
|
000300851700010
| |
Full text (Publisher's DOI)
|
|
|
|
| |
Full text (publisher's version - intranet only)
|
|
|
|
| |
|