Comparative Effectiveness of Frame-Based, Frameless, and Intraoperative Magnetic Resonance Imaging–Guided Brain Biopsy Techniques
Objective To compare the diagnostic yield and safety profiles of intraoperative magnetic resonance imaging (MRI)–guided needle brain biopsy with 2 traditional brain biopsy methods: frame-based and frameless stereotactic brain biopsy. Methods A retrospective analysis was performed of 288 consecutive...
Gespeichert in:
| Veröffentlicht in: | World neurosurgery 2015-03, Vol.83 (3), p.261-268 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 268 |
|---|---|
| container_issue | 3 |
| container_start_page | 261 |
| container_title | World neurosurgery |
| container_volume | 83 |
| creator | Lu, Yi Yeung, Cecil Radmanesh, Alireza Wiemann, Robert Black, Peter M Golby, Alexandra J |
| description | Objective To compare the diagnostic yield and safety profiles of intraoperative magnetic resonance imaging (MRI)–guided needle brain biopsy with 2 traditional brain biopsy methods: frame-based and frameless stereotactic brain biopsy. Methods A retrospective analysis was performed of 288 consecutive needle brain biopsies in 277 patients undergoing stereotactic brain biopsy with any of the 3 biopsy methods at Brigham and Women’s Hospital from 2000–2008. Variables including age, sex, history of radiation and previous surgery, pathology results, complications, and postoperative length of hospital stay were analyzed. Results Over the course of 8 years, 288 brain biopsies were performed. Of these, 253 (87.8%) biopsies yielded positive diagnostic tissue. Young age ( |
| doi_str_mv | 10.1016/j.wneu.2014.07.043 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1671214682</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1878875014007037</els_id><sourcerecordid>1671214682</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3703-6444488283f45e5936400cc7bd6138d1fcff125512a62b13d56b2d0b35809a863</originalsourceid><addsrcrecordid>eNp9ks1u1DAUhS0EotXQF2CBvGTRBP8kjkdCSMyoLSMVIUFZW459M3hI7GBPimaHxCPwhjwJjmboggV342v5nGP700XoOSUlJVS82pXfPUwlI7QqSVOSij9C51Q2spCNWD5-6Gtyhi5S2pFcnFay4U_RGauJlIzzc_RzHYZRR71394Cvug7M3HlICYcOX0c9QLHSCezlcdPnk0usvcUbv486jHDyvtdbD3tn8EdIwWtvAG8GvXV--_vHr5vJWbB4FbXzeOXCmA74DswX775NkJ6hJ53uE1yc1gX6fH11t35X3H642azf3haGN4QXosqVny15V9VQL7moCDGmaa2gXFrama6jrK4p04K1lNtatMySlteSLLUUfIFeHnPHGOZ792pwyUDfaw9hSoqKhjJaiUxmgdhRamJIKUKnxugGHQ-KEjXzVzs181czf0Ualfln04tT_tQOYB8sf2lnweujAPIv7x1ElYyDjMq6mMErG9z_89_8Yze9887o_iscIO3CFH3mp6hKTBH1aZ6AeQBo5pQBNvwPp--sew</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1671214682</pqid></control><display><type>article</type><title>Comparative Effectiveness of Frame-Based, Frameless, and Intraoperative Magnetic Resonance Imaging–Guided Brain Biopsy Techniques</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Lu, Yi ; Yeung, Cecil ; Radmanesh, Alireza ; Wiemann, Robert ; Black, Peter M ; Golby, Alexandra J</creator><creatorcontrib>Lu, Yi ; Yeung, Cecil ; Radmanesh, Alireza ; Wiemann, Robert ; Black, Peter M ; Golby, Alexandra J</creatorcontrib><description>Objective To compare the diagnostic yield and safety profiles of intraoperative magnetic resonance imaging (MRI)–guided needle brain biopsy with 2 traditional brain biopsy methods: frame-based and frameless stereotactic brain biopsy. Methods A retrospective analysis was performed of 288 consecutive needle brain biopsies in 277 patients undergoing stereotactic brain biopsy with any of the 3 biopsy methods at Brigham and Women’s Hospital from 2000–2008. Variables including age, sex, history of radiation and previous surgery, pathology results, complications, and postoperative length of hospital stay were analyzed. Results Over the course of 8 years, 288 brain biopsies were performed. Of these, 253 (87.8%) biopsies yielded positive diagnostic tissue. Young age (<40 years old) and history of brain radiation or surgery were significant negative predictors for a positive biopsy diagnostic yield. Excluding patients with prior radiation or surgeries, no significant difference in diagnostic yield was detected among the 3 groups, with frame-based biopsies yielding 96.9%, frameless biopsies yielding 91.8%, and intraoperative MRI–guided needle biopsies yielding 89.9% positive diagnostic yield. Serious adverse events occurred 19 biopsies (6.6%). Intraoperative MRI–guided brain biopsies were associated with less serious adverse events and the shortest postoperative hospital stay. Conclusions Frame-based, frameless stereotactic, and intraoperative MRI–guided brain needle biopsy techniques have comparable diagnostic yield for patients with no prior treatments (either radiation or surgery). Intraoperative MRI–guided brain biopsy is associated with fewer serious adverse events and shorter hospital stay.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2014.07.043</identifier><identifier>PMID: 25088233</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Aged ; Biopsy, Needle - instrumentation ; Biopsy, Needle - methods ; Brain - pathology ; Brain biopsy ; Brain Neoplasms - diagnosis ; Female ; Frame-based ; Frameless stereotactic ; Humans ; Image-Guided Biopsy - adverse effects ; Image-Guided Biopsy - instrumentation ; Image-Guided Biopsy - methods ; Intraoperative MRI ; Longevity ; Magnetic Resonance Imaging - adverse effects ; Magnetic Resonance Imaging - instrumentation ; Magnetic Resonance Imaging - methods ; Male ; Middle Aged ; Neuroimaging - adverse effects ; Neuroimaging - instrumentation ; Neuroimaging - methods ; Neurosurgery ; Predictive Value of Tests ; Sex Factors ; Stereotaxic Techniques ; Surgery, Computer-Assisted - adverse effects ; Surgery, Computer-Assisted - instrumentation ; Surgery, Computer-Assisted - methods</subject><ispartof>World neurosurgery, 2015-03, Vol.83 (3), p.261-268</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3703-6444488283f45e5936400cc7bd6138d1fcff125512a62b13d56b2d0b35809a863</citedby><cites>FETCH-LOGICAL-c3703-6444488283f45e5936400cc7bd6138d1fcff125512a62b13d56b2d0b35809a863</cites><orcidid>0000-0002-8581-2600 ; 0000-0001-8180-8578</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.wneu.2014.07.043$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25088233$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lu, Yi</creatorcontrib><creatorcontrib>Yeung, Cecil</creatorcontrib><creatorcontrib>Radmanesh, Alireza</creatorcontrib><creatorcontrib>Wiemann, Robert</creatorcontrib><creatorcontrib>Black, Peter M</creatorcontrib><creatorcontrib>Golby, Alexandra J</creatorcontrib><title>Comparative Effectiveness of Frame-Based, Frameless, and Intraoperative Magnetic Resonance Imaging–Guided Brain Biopsy Techniques</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Objective To compare the diagnostic yield and safety profiles of intraoperative magnetic resonance imaging (MRI)–guided needle brain biopsy with 2 traditional brain biopsy methods: frame-based and frameless stereotactic brain biopsy. Methods A retrospective analysis was performed of 288 consecutive needle brain biopsies in 277 patients undergoing stereotactic brain biopsy with any of the 3 biopsy methods at Brigham and Women’s Hospital from 2000–2008. Variables including age, sex, history of radiation and previous surgery, pathology results, complications, and postoperative length of hospital stay were analyzed. Results Over the course of 8 years, 288 brain biopsies were performed. Of these, 253 (87.8%) biopsies yielded positive diagnostic tissue. Young age (<40 years old) and history of brain radiation or surgery were significant negative predictors for a positive biopsy diagnostic yield. Excluding patients with prior radiation or surgeries, no significant difference in diagnostic yield was detected among the 3 groups, with frame-based biopsies yielding 96.9%, frameless biopsies yielding 91.8%, and intraoperative MRI–guided needle biopsies yielding 89.9% positive diagnostic yield. Serious adverse events occurred 19 biopsies (6.6%). Intraoperative MRI–guided brain biopsies were associated with less serious adverse events and the shortest postoperative hospital stay. Conclusions Frame-based, frameless stereotactic, and intraoperative MRI–guided brain needle biopsy techniques have comparable diagnostic yield for patients with no prior treatments (either radiation or surgery). Intraoperative MRI–guided brain biopsy is associated with fewer serious adverse events and shorter hospital stay.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biopsy, Needle - instrumentation</subject><subject>Biopsy, Needle - methods</subject><subject>Brain - pathology</subject><subject>Brain biopsy</subject><subject>Brain Neoplasms - diagnosis</subject><subject>Female</subject><subject>Frame-based</subject><subject>Frameless stereotactic</subject><subject>Humans</subject><subject>Image-Guided Biopsy - adverse effects</subject><subject>Image-Guided Biopsy - instrumentation</subject><subject>Image-Guided Biopsy - methods</subject><subject>Intraoperative MRI</subject><subject>Longevity</subject><subject>Magnetic Resonance Imaging - adverse effects</subject><subject>Magnetic Resonance Imaging - instrumentation</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neuroimaging - adverse effects</subject><subject>Neuroimaging - instrumentation</subject><subject>Neuroimaging - methods</subject><subject>Neurosurgery</subject><subject>Predictive Value of Tests</subject><subject>Sex Factors</subject><subject>Stereotaxic Techniques</subject><subject>Surgery, Computer-Assisted - adverse effects</subject><subject>Surgery, Computer-Assisted - instrumentation</subject><subject>Surgery, Computer-Assisted - methods</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks1u1DAUhS0EotXQF2CBvGTRBP8kjkdCSMyoLSMVIUFZW459M3hI7GBPimaHxCPwhjwJjmboggV342v5nGP700XoOSUlJVS82pXfPUwlI7QqSVOSij9C51Q2spCNWD5-6Gtyhi5S2pFcnFay4U_RGauJlIzzc_RzHYZRR71394Cvug7M3HlICYcOX0c9QLHSCezlcdPnk0usvcUbv486jHDyvtdbD3tn8EdIwWtvAG8GvXV--_vHr5vJWbB4FbXzeOXCmA74DswX775NkJ6hJ53uE1yc1gX6fH11t35X3H642azf3haGN4QXosqVny15V9VQL7moCDGmaa2gXFrama6jrK4p04K1lNtatMySlteSLLUUfIFeHnPHGOZ792pwyUDfaw9hSoqKhjJaiUxmgdhRamJIKUKnxugGHQ-KEjXzVzs181czf0Ualfln04tT_tQOYB8sf2lnweujAPIv7x1ElYyDjMq6mMErG9z_89_8Yze9887o_iscIO3CFH3mp6hKTBH1aZ6AeQBo5pQBNvwPp--sew</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Lu, Yi</creator><creator>Yeung, Cecil</creator><creator>Radmanesh, Alireza</creator><creator>Wiemann, Robert</creator><creator>Black, Peter M</creator><creator>Golby, Alexandra J</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8581-2600</orcidid><orcidid>https://orcid.org/0000-0001-8180-8578</orcidid></search><sort><creationdate>20150301</creationdate><title>Comparative Effectiveness of Frame-Based, Frameless, and Intraoperative Magnetic Resonance Imaging–Guided Brain Biopsy Techniques</title><author>Lu, Yi ; Yeung, Cecil ; Radmanesh, Alireza ; Wiemann, Robert ; Black, Peter M ; Golby, Alexandra J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3703-6444488283f45e5936400cc7bd6138d1fcff125512a62b13d56b2d0b35809a863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biopsy, Needle - instrumentation</topic><topic>Biopsy, Needle - methods</topic><topic>Brain - pathology</topic><topic>Brain biopsy</topic><topic>Brain Neoplasms - diagnosis</topic><topic>Female</topic><topic>Frame-based</topic><topic>Frameless stereotactic</topic><topic>Humans</topic><topic>Image-Guided Biopsy - adverse effects</topic><topic>Image-Guided Biopsy - instrumentation</topic><topic>Image-Guided Biopsy - methods</topic><topic>Intraoperative MRI</topic><topic>Longevity</topic><topic>Magnetic Resonance Imaging - adverse effects</topic><topic>Magnetic Resonance Imaging - instrumentation</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neuroimaging - adverse effects</topic><topic>Neuroimaging - instrumentation</topic><topic>Neuroimaging - methods</topic><topic>Neurosurgery</topic><topic>Predictive Value of Tests</topic><topic>Sex Factors</topic><topic>Stereotaxic Techniques</topic><topic>Surgery, Computer-Assisted - adverse effects</topic><topic>Surgery, Computer-Assisted - instrumentation</topic><topic>Surgery, Computer-Assisted - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lu, Yi</creatorcontrib><creatorcontrib>Yeung, Cecil</creatorcontrib><creatorcontrib>Radmanesh, Alireza</creatorcontrib><creatorcontrib>Wiemann, Robert</creatorcontrib><creatorcontrib>Black, Peter M</creatorcontrib><creatorcontrib>Golby, Alexandra J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lu, Yi</au><au>Yeung, Cecil</au><au>Radmanesh, Alireza</au><au>Wiemann, Robert</au><au>Black, Peter M</au><au>Golby, Alexandra J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative Effectiveness of Frame-Based, Frameless, and Intraoperative Magnetic Resonance Imaging–Guided Brain Biopsy Techniques</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>83</volume><issue>3</issue><spage>261</spage><epage>268</epage><pages>261-268</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Objective To compare the diagnostic yield and safety profiles of intraoperative magnetic resonance imaging (MRI)–guided needle brain biopsy with 2 traditional brain biopsy methods: frame-based and frameless stereotactic brain biopsy. Methods A retrospective analysis was performed of 288 consecutive needle brain biopsies in 277 patients undergoing stereotactic brain biopsy with any of the 3 biopsy methods at Brigham and Women’s Hospital from 2000–2008. Variables including age, sex, history of radiation and previous surgery, pathology results, complications, and postoperative length of hospital stay were analyzed. Results Over the course of 8 years, 288 brain biopsies were performed. Of these, 253 (87.8%) biopsies yielded positive diagnostic tissue. Young age (<40 years old) and history of brain radiation or surgery were significant negative predictors for a positive biopsy diagnostic yield. Excluding patients with prior radiation or surgeries, no significant difference in diagnostic yield was detected among the 3 groups, with frame-based biopsies yielding 96.9%, frameless biopsies yielding 91.8%, and intraoperative MRI–guided needle biopsies yielding 89.9% positive diagnostic yield. Serious adverse events occurred 19 biopsies (6.6%). Intraoperative MRI–guided brain biopsies were associated with less serious adverse events and the shortest postoperative hospital stay. Conclusions Frame-based, frameless stereotactic, and intraoperative MRI–guided brain needle biopsy techniques have comparable diagnostic yield for patients with no prior treatments (either radiation or surgery). Intraoperative MRI–guided brain biopsy is associated with fewer serious adverse events and shorter hospital stay.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25088233</pmid><doi>10.1016/j.wneu.2014.07.043</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8581-2600</orcidid><orcidid>https://orcid.org/0000-0001-8180-8578</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1878-8750 |
| ispartof | World neurosurgery, 2015-03, Vol.83 (3), p.261-268 |
| issn | 1878-8750 1878-8769 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1671214682 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Age Factors Aged Biopsy, Needle - instrumentation Biopsy, Needle - methods Brain - pathology Brain biopsy Brain Neoplasms - diagnosis Female Frame-based Frameless stereotactic Humans Image-Guided Biopsy - adverse effects Image-Guided Biopsy - instrumentation Image-Guided Biopsy - methods Intraoperative MRI Longevity Magnetic Resonance Imaging - adverse effects Magnetic Resonance Imaging - instrumentation Magnetic Resonance Imaging - methods Male Middle Aged Neuroimaging - adverse effects Neuroimaging - instrumentation Neuroimaging - methods Neurosurgery Predictive Value of Tests Sex Factors Stereotaxic Techniques Surgery, Computer-Assisted - adverse effects Surgery, Computer-Assisted - instrumentation Surgery, Computer-Assisted - methods |
| title | Comparative Effectiveness of Frame-Based, Frameless, and Intraoperative Magnetic Resonance Imaging–Guided Brain Biopsy Techniques |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T07%3A07%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparative%20Effectiveness%20of%20Frame-Based,%20Frameless,%20and%20Intraoperative%20Magnetic%20Resonance%20Imaging%E2%80%93Guided%20Brain%20Biopsy%20Techniques&rft.jtitle=World%20neurosurgery&rft.au=Lu,%20Yi&rft.date=2015-03-01&rft.volume=83&rft.issue=3&rft.spage=261&rft.epage=268&rft.pages=261-268&rft.issn=1878-8750&rft.eissn=1878-8769&rft_id=info:doi/10.1016/j.wneu.2014.07.043&rft_dat=%3Cproquest_cross%3E1671214682%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1671214682&rft_id=info:pmid/25088233&rft_els_id=S1878875014007037&rfr_iscdi=true |