Percutaneous Image-guided Needle Biopsy of Musculoskeletal Tumors: Technical Tips.

Takaaki Hasegawa, Shohei Chatani, Yozo Sato, Shinichi Murata, Hidekazu Yamaura, Ryota Tsukii, Terutaka Yoshihara, Masanori Machida, Kyohei Nagasawa, Yoshitaka Inaba
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Abstract

With recent advances in imaging technology, the frequency of detecting musculoskeletal lesions has also increased. Percutaneous image-guided needle biopsy is occasionally required for the diagnosis of such lesions. Moreover, in the era of personalized cancer care, chances in histopathological diagnosis and the importance of histopathological diagnosis by percutaneous needle biopsy are increasing. However, as percutaneous needle biopsy is not a common procedure for musculoskeletal lesions, careful planning and the application of adequate techniques such as hydrodissection and the trans-osseous approach are occasionally required. In this review, we have summarized the indications and techniques for percutaneous image-guided needle biopsy for musculoskeletal lesions, including lymphatic lesions.

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肌肉骨骼肿瘤的经皮图像引导针刺活检:技术窍门。
随着近年来成像技术的进步,发现肌肉骨骼病变的频率也在增加。有时需要在图像引导下进行经皮穿刺活检,以诊断此类病变。此外,在个性化癌症治疗时代,组织病理学诊断的机会越来越多,经皮穿刺活检组织病理学诊断也越来越重要。然而,由于经皮穿刺活检术并不是肌肉骨骼病变的常见术式,因此有时需要仔细规划并应用适当的技术,如水切割和经骨途径。在这篇综述中,我们总结了肌肉骨骼病变(包括淋巴病变)经皮图像引导针活检的适应症和技术。
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