Experience Using Two CT-Guided Stereotactic Biopsy Methods

1983 ◽  
Vol 46 (1-4) ◽  
pp. 188-192
Author(s):  
D.E. Bullard ◽  
B.S. Nashold ◽  
D. Osborne ◽  
P.C. Burger ◽  
R. Byrd ◽  
...  
Author(s):  
Bojan Jelača ◽  
Petar Vuleković ◽  
Vladimir Papić ◽  
Mladen Karan ◽  
Tomislav Cigić ◽  
...  

Author(s):  
J. Gorecki ◽  
E.J. Dolan ◽  
R.R. Tasker ◽  
W. Kucharczyk

ABSTRACT:Magnetic Resonance Imaging (MR) and Computer Assisted Tomography (CT) guided stereotaxis combined with intraoperative impedance monitoring and multiple sequential biopsies provides the opportunity to correlate the results of radiologic imaging with impedance and histopathology. The authors present the methods used and preliminary results obtained from 30 stereotactic biopsies with complete correlation in 12 cases. Impedance changes correlate accurately with lesion margins as defined by histology. CT images of enhancing lesions correlate quite closely to the histopathologic lesion margins whereas the appearance of the lesion on MR images is often larger than subsequently identified by either impedance or at pathologic examination. Impedance monitoring is a useful adjunct to stereotactic biopsy as it helps to accurately define lesion margins and can help direct the choice of biopsy sites.


1991 ◽  
Vol 75 (3) ◽  
pp. 486-488 ◽  
Author(s):  
Roberto Spiegelmann ◽  
William A. Friedman

✓ Previously reported suboccipital transcerebellar stereotactic biopsy methods, performed with the patient in the prone position, have required general endotracheal anesthesia. A technique is described for performing such biopsies with the patient in the lateral decubitus position, under local anesthesia. Phantom planning and routine computerized tomography graphics allow the selection of a safe entry point and intra-axial trajectory to the lesion. The time required for data acquisition and the operative procedure itself compares well with that of more routine biopsy techniques.


1997 ◽  
Vol 86 (6) ◽  
pp. 923-926 ◽  
Author(s):  
Ann-Marie Thomson ◽  
Robert Taylor ◽  
Diane Fraser ◽  
Ian R. Whittle

✓ A prospective study of patients undergoing computerized tomography (CT)—guided stereotactic biopsy of nonpolar tumors in the dominant hemisphere was undertaken to determine if stereotactic biopsy caused a deterioration of language functions. Language was assessed using the Western Aphasia Battery (WAB) and the Boston Naming Test (BNT) before and after a biopsy sample was obtained. Of 16 patients studied, five (31%) were dysphasic preoperatively. After the biopsy the Aphasia Quotient (AQ), derived from the WAB, had significantly deteriorated in four (80%) of these patients, whereas in the fifth it remained relatively unchanged. One of these patients with an extensive infiltrating hemispheric oligoastrocytoma subsequently recovered normal language function after radiotherapy. In 10 of the 11 patients who had normal language function preoperatively there were no deleterious changes after biopsy in either the WAB subtest or BNT scores. In the other patient whose WAB score was normal preoperatively, there was a significant deterioration in postoperative AQ. This patient, who declined steroid therapy before and after biopsy, had a glioblastoma multiforme in Wernicke's area. A postoperative CT scan revealed no changes from what was shown on preoperative scan. This clinical study shows that CT-guided stereotactic biopsy of nonpolar tumors in the dominant hemisphere using the Brown-Roberts-Wells system and the Sedan—Nashold biopsy cannula carries a 9% risk (95% confidence intervals 0–26%) of impairing language functions if the patient is not dysphasic preoperatively. If the patient is dysphasic preoperatively, there is a very high risk of aggravating the dysphasia with stereotactic biopsy.


1993 ◽  
Vol 125 (1-4) ◽  
pp. 142-149 ◽  
Author(s):  
J. Voges ◽  
R. Schr�der ◽  
H. Treuer ◽  
O. Pastyr ◽  
W. Schlegel ◽  
...  

2020 ◽  
Vol 9 (2) ◽  
pp. 86-93
Author(s):  
Moududul Haque ◽  
Sudipta Kumar Mukherjee ◽  
Mustafa Kamal ◽  
ABM Manwar Hossain

153 cases of CT guided stereotactic biopsies for intra-axial deep seated brain lesions performed by one neurosurgeon has been analyzed regarding procedure, success rate and complications. Of the 153 cases, positive tissue biopsy was found in 143 cases. In 6 patients, biopsy showed gliotic grain tissue or normal brain tissue.4 patients had complications after the procedure. Three patient developed intracerebral haemorrhage of the two died, and other died Massive MI. There was no post operative new deficits seen. CT guided Stereotactic biopsy is a very effective and low cost procedure caomparing with frameless image guided brain biopsies or open craniotomy for biopsy due to it’s higher complication rate. The detail procedure are being discussed Bang. J Neurosurgery 2020; 9(2): 86-93


1994 ◽  
Vol 63 (1-4) ◽  
pp. 52-55 ◽  
Author(s):  
R.Q. Quiñones-Molina ◽  
A. Alaminos ◽  
H. Molina ◽  
J. Muñoz ◽  
G. López ◽  
...  

1986 ◽  
Vol 2 (2) ◽  
pp. 126-132 ◽  
Author(s):  
Jonathan D. Fratkin ◽  
Michael M. Ward ◽  
David W. Roberts ◽  
Margaret M. Sullivan

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