Efficacy and safety of bone marrow aspiration and biopsy using fluoroscopic guidance and a drill-powered needle: clinica
- PDF / 499,356 Bytes
- 7 Pages / 595.276 x 790.866 pts Page_size
- 27 Downloads / 232 Views
MUSCULOSKELETAL
Efficacy and safety of bone marrow aspiration and biopsy using fluoroscopic guidance and a drill-powered needle: clinical experience from 775 cases Jeremiah R. Long 1 & J. Derek Stensby 2 & Elizabeth L. Wiesner 3 & Wesley N. Bryson 3 & Travis J. Hillen 3 & Jack W. Jennings 3 Received: 27 January 2020 / Revised: 17 April 2020 / Accepted: 27 May 2020 # European Society of Radiology 2020
Abstract Objectives To evaluate the efficacy and safety of performing a fluoroscopically guided bone marrow aspiration and biopsy (BMAB) using a drill-powered needle in a large patient population. Methods This retrospective study received institutional review board approval with a waiver of patient informed consent. We identified all BMAB procedures from August 2012 through December 2016 performed at our institution using fluoroscopic guidance and a drill-powered needle. Clinical diagnosis, patient age, patient gender, biopsy site, biopsy needle gauge, bone marrow aspirate volume, bone marrow core biopsy length, patient platelet count, conscious sedation details, complications, and diagnostic adequacy were investigated for each case and summarized. Results A total of 775 BMAB procedures were performed and analyzed. These were performed in 436 female patients and 339 male patients ranging in age between 16 and 91 years (average age of 53 years). Samples obtained from the procedures in our series were diagnostic in 95.0% of cases. The complication rate for our series was 0.3%. Conclusions The use of fluoroscopic guidance and a drill-powered needle for bone marrow aspiration and biopsy is a safe and efficacious procedure. Key Points • Fluoroscopy can be utilized for imaging guidance during bone marrow aspiration and biopsy. • The use of fluoroscopic guidance and a drill-powered needle for bone marrow aspiration and biopsy has a high diagnostic yield. • The procedure has an excellent patient safety profile. Keywords Bone marrow examination . Fluoroscopy . Image-guided biopsy . Interventional radiology
Abbreviations BMAB Bone marrow aspiration and biopsy CT Computed tomography
* Jeremiah R. Long [email protected] 1
Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA
2
University of Missouri, One Hospital Drive, Columbia, MO 65212, USA
3
Mallinckrodt Institute of Radiology, Washington University in St. Louis, 510 South Kingshighway Boulevard, St. Louis, MO 63110, USA
Introduction Background/rationale Bone marrow aspiration and biopsy (BMAB) is a valuable diagnostic procedure in the evaluation of many different diseases. Common indications for BMAB include hematologic abnormalities (e.g., anemia, pancytopenia, thrombocytopenia), assessment of a non-hematologic malignancy, metabolic abnormalities, disease treatment response (e.g., bone marrow transplant, chemotherapy), and suspected infection in patients with fever of unknown origin [1, 2]. In most clinical scenarios, both aspiration of the bone marrow along with a trephine bone marrow biopsy provide complementary diagnostic information and sho
Data Loading...
