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Guillermo F. Carrera, MD; James E. Gonyo, MD; Carl R. Barthelemy, MD

JAMA. 1981;246(8):884-885.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

FLUOROSCOPICALLY guided percutaneous needle biopsy is a safe and reliable method for obtaining cytological or histological specimens from bone lesions. Adequate needle biopsy obviates the need for general anesthesia or extensive open-biopsy procedures in debilitated patients and improves planning for further diagnosis and therapy. Percutaneous needle biopsy under fluoroscopic guidance has become an important technique in our institution for evaluating accessible skeletal lesions.

Materials and Methods

A comprehensive review of percutaneous needle bone biopsy was presented by de Santos et al¹ in 1978. The biopsy site is chosen after reviewing preliminary studies, such as roentgenograms, tomograms, radioisotope bone scans, and computed tomograms. The approach to the lesion is dictated by local anatomy, such as major blood vessels, nerves, or the pleural space. If multiple lesions are present, a specific lesion that allows both good fluoroscopic visualization and a safe approach is selected for biopsy. A lytic lesion, or a . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology, The Medical College of Wisconsin, Milwaukee (Drs Carrera and Gonyo), and the Department of Radiology, Veterans Administration Center, Wood, Wis (Dr Barthelemy).

Footnotes
Reprint requests to Department of Radiology, Milwaukee County Medical Complex, 8700 W Wisconsin Ave, Milwaukee, WI 53226 (Dr Carrera).

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