Pediatric and Young Adult Image-Guided Percutaneous Bone Biopsy—A New Standard of Care?
Background There are no consensus guidelines regarding the use of percutaneous needle biopsy for the diagnosis of soft tissue and bone tumors. The aim of this study was to understand the efficacy of image-guided percutaneous biopsy for pediatric patients with soft tissue and bony masses, the role of...
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| Veröffentlicht in: | Annals of surgical oncology 2023-06, Vol.30 (6), p.3658-3665 |
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| container_title | Annals of surgical oncology |
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| creator | Cooke-Barber, Jo Brungardt, Joseph G. Sorger, Michael Pressey, Joseph G. Turpin, Brian Nagarajan, Rajaram Szabo, Sara Sorger, Joel Johnson, Neil Dasgupta, Roshni |
| description | Background
There are no consensus guidelines regarding the use of percutaneous needle biopsy for the diagnosis of soft tissue and bone tumors. The aim of this study was to understand the efficacy of image-guided percutaneous biopsy for pediatric patients with soft tissue and bony masses, the role of intraoperative image guidance, and diagnostic accuracy.
Patients and Methods
A retrospective institutional chart review was performed on patients who underwent percutaneous biopsy of soft tissue or bone tumors between 2007 and 2017. Data collected included preoperative imaging, type of biopsy, demographics, insurance status, number of samples taken, and pathologic results.
Results
One hundred forty-one children and young adults underwent 169 biopsies. Female patients received 48.2% of biopsies. The mean age was 14.3 ± 7.0 years. Core needle biopsies made up 89.4% of procedures, while 10.6% were fine needle aspirate. The mean number of samples per patient was 3.6 ± 2.5. All patients had imaging guidance, with computed tomography used in 44.7% of patients, 9.9% using fluoroscopy, 7.1% using ultrasound for guidance, and 53 (37.6%) patients had more than one modality. Diagnostic specimens were obtained in 97.9% of biopsies. The most common overall pathology was osteoid osteoma. The most common malignant tumors were osteosarcoma and Ewing’s sarcoma.
Conclusion
Image-guided percutaneous biopsy is a safe and effective method of obtaining accurate tissue samples in children and young adults with soft tissue or bone masses.
Level of Evidence
Level 4—Study of diagnostic test |
| doi_str_mv | 10.1245/s10434-023-13097-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2768239269</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2768239269</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-e4e4e3bc7017018fd537e44f42bf190b37f44b69fc6948036bfe079b701d127c3</originalsourceid><addsrcrecordid>eNp9kMtKxDAUhoMoOo6-gAsJuHFTza1Ju5Jx8DIw6IC6cBXa5mTo0GnHpEV05UP4hD6J0XoBF5JFQs53_nP4ENqj5IgyER97SgQXEWE8opykKnpeQwMahy8hE7oe3kQmUcpkvIW2vV8QQhUn8Sba4lLGCRPpAN3PwJRZ68oCZ7XB901Xz_HIdFWLJ8tsDtFFVxoweAau6Nqshqbz-LSpAZ-Wzco_vb28jvAVPOKbUDSZM7ixeJw5ONlBGzarPOx-3UN0d352O76MptcXk_FoGhVcxW0EIhyeFyosR2hiTcwVCGEFyy1NSc6VFSKXqS1kKhLCZW6BqDQPsKFMFXyIDvvclWseOvCtXpa-gKrql9VMyYTxYCEN6MEfdNF0rg7baZZQxj7ik0Cxnipc470Dq1euXGbuSVOiP8TrXrwO4vWneP0cmva_ort8Cean5dt0AHgP-FCq5-B-Z_8T-w5jR42B</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2812280368</pqid></control><display><type>article</type><title>Pediatric and Young Adult Image-Guided Percutaneous Bone Biopsy—A New Standard of Care?</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Cooke-Barber, Jo ; Brungardt, Joseph G. ; Sorger, Michael ; Pressey, Joseph G. ; Turpin, Brian ; Nagarajan, Rajaram ; Szabo, Sara ; Sorger, Joel ; Johnson, Neil ; Dasgupta, Roshni</creator><creatorcontrib>Cooke-Barber, Jo ; Brungardt, Joseph G. ; Sorger, Michael ; Pressey, Joseph G. ; Turpin, Brian ; Nagarajan, Rajaram ; Szabo, Sara ; Sorger, Joel ; Johnson, Neil ; Dasgupta, Roshni</creatorcontrib><description>Background
There are no consensus guidelines regarding the use of percutaneous needle biopsy for the diagnosis of soft tissue and bone tumors. The aim of this study was to understand the efficacy of image-guided percutaneous biopsy for pediatric patients with soft tissue and bony masses, the role of intraoperative image guidance, and diagnostic accuracy.
Patients and Methods
A retrospective institutional chart review was performed on patients who underwent percutaneous biopsy of soft tissue or bone tumors between 2007 and 2017. Data collected included preoperative imaging, type of biopsy, demographics, insurance status, number of samples taken, and pathologic results.
Results
One hundred forty-one children and young adults underwent 169 biopsies. Female patients received 48.2% of biopsies. The mean age was 14.3 ± 7.0 years. Core needle biopsies made up 89.4% of procedures, while 10.6% were fine needle aspirate. The mean number of samples per patient was 3.6 ± 2.5. All patients had imaging guidance, with computed tomography used in 44.7% of patients, 9.9% using fluoroscopy, 7.1% using ultrasound for guidance, and 53 (37.6%) patients had more than one modality. Diagnostic specimens were obtained in 97.9% of biopsies. The most common overall pathology was osteoid osteoma. The most common malignant tumors were osteosarcoma and Ewing’s sarcoma.
Conclusion
Image-guided percutaneous biopsy is a safe and effective method of obtaining accurate tissue samples in children and young adults with soft tissue or bone masses.
Level of Evidence
Level 4—Study of diagnostic test</description><identifier>ISSN: 1068-9265</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-023-13097-z</identifier><identifier>PMID: 36658249</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adolescent ; Adult ; Biopsy ; Biopsy, Large-Core Needle ; Bone cancer ; Bone imaging ; Bone Neoplasms - diagnostic imaging ; Bone Neoplasms - pathology ; Bone Neoplasms - surgery ; Bone tumors ; Child ; Computed tomography ; Female ; Fluoroscopy ; Humans ; Image-Guided Biopsy - methods ; Medicine ; Medicine & Public Health ; Oncology ; Osteoid ; Osteoid osteoma ; Osteoma ; Osteosarcoma ; Pediatric Oncology ; Pediatrics ; Retrospective Studies ; Sarcoma ; Standard of Care ; Surgery ; Surgical Oncology ; Young Adult ; Young adults</subject><ispartof>Annals of surgical oncology, 2023-06, Vol.30 (6), p.3658-3665</ispartof><rights>Society of Surgical Oncology 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Society of Surgical Oncology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e4e4e3bc7017018fd537e44f42bf190b37f44b69fc6948036bfe079b701d127c3</citedby><cites>FETCH-LOGICAL-c375t-e4e4e3bc7017018fd537e44f42bf190b37f44b69fc6948036bfe079b701d127c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-023-13097-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-023-13097-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36658249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cooke-Barber, Jo</creatorcontrib><creatorcontrib>Brungardt, Joseph G.</creatorcontrib><creatorcontrib>Sorger, Michael</creatorcontrib><creatorcontrib>Pressey, Joseph G.</creatorcontrib><creatorcontrib>Turpin, Brian</creatorcontrib><creatorcontrib>Nagarajan, Rajaram</creatorcontrib><creatorcontrib>Szabo, Sara</creatorcontrib><creatorcontrib>Sorger, Joel</creatorcontrib><creatorcontrib>Johnson, Neil</creatorcontrib><creatorcontrib>Dasgupta, Roshni</creatorcontrib><title>Pediatric and Young Adult Image-Guided Percutaneous Bone Biopsy—A New Standard of Care?</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description>Background
There are no consensus guidelines regarding the use of percutaneous needle biopsy for the diagnosis of soft tissue and bone tumors. The aim of this study was to understand the efficacy of image-guided percutaneous biopsy for pediatric patients with soft tissue and bony masses, the role of intraoperative image guidance, and diagnostic accuracy.
Patients and Methods
A retrospective institutional chart review was performed on patients who underwent percutaneous biopsy of soft tissue or bone tumors between 2007 and 2017. Data collected included preoperative imaging, type of biopsy, demographics, insurance status, number of samples taken, and pathologic results.
Results
One hundred forty-one children and young adults underwent 169 biopsies. Female patients received 48.2% of biopsies. The mean age was 14.3 ± 7.0 years. Core needle biopsies made up 89.4% of procedures, while 10.6% were fine needle aspirate. The mean number of samples per patient was 3.6 ± 2.5. All patients had imaging guidance, with computed tomography used in 44.7% of patients, 9.9% using fluoroscopy, 7.1% using ultrasound for guidance, and 53 (37.6%) patients had more than one modality. Diagnostic specimens were obtained in 97.9% of biopsies. The most common overall pathology was osteoid osteoma. The most common malignant tumors were osteosarcoma and Ewing’s sarcoma.
Conclusion
Image-guided percutaneous biopsy is a safe and effective method of obtaining accurate tissue samples in children and young adults with soft tissue or bone masses.
Level of Evidence
Level 4—Study of diagnostic test</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biopsy</subject><subject>Biopsy, Large-Core Needle</subject><subject>Bone cancer</subject><subject>Bone imaging</subject><subject>Bone Neoplasms - diagnostic imaging</subject><subject>Bone Neoplasms - pathology</subject><subject>Bone Neoplasms - surgery</subject><subject>Bone tumors</subject><subject>Child</subject><subject>Computed tomography</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Image-Guided Biopsy - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oncology</subject><subject>Osteoid</subject><subject>Osteoid osteoma</subject><subject>Osteoma</subject><subject>Osteosarcoma</subject><subject>Pediatric Oncology</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Sarcoma</subject><subject>Standard of Care</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>1068-9265</issn><issn>1534-4681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kMtKxDAUhoMoOo6-gAsJuHFTza1Ju5Jx8DIw6IC6cBXa5mTo0GnHpEV05UP4hD6J0XoBF5JFQs53_nP4ENqj5IgyER97SgQXEWE8opykKnpeQwMahy8hE7oe3kQmUcpkvIW2vV8QQhUn8Sba4lLGCRPpAN3PwJRZ68oCZ7XB901Xz_HIdFWLJ8tsDtFFVxoweAau6Nqshqbz-LSpAZ-Wzco_vb28jvAVPOKbUDSZM7ixeJw5ONlBGzarPOx-3UN0d352O76MptcXk_FoGhVcxW0EIhyeFyosR2hiTcwVCGEFyy1NSc6VFSKXqS1kKhLCZW6BqDQPsKFMFXyIDvvclWseOvCtXpa-gKrql9VMyYTxYCEN6MEfdNF0rg7baZZQxj7ik0Cxnipc470Dq1euXGbuSVOiP8TrXrwO4vWneP0cmva_ort8Cean5dt0AHgP-FCq5-B-Z_8T-w5jR42B</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Cooke-Barber, Jo</creator><creator>Brungardt, Joseph G.</creator><creator>Sorger, Michael</creator><creator>Pressey, Joseph G.</creator><creator>Turpin, Brian</creator><creator>Nagarajan, Rajaram</creator><creator>Szabo, Sara</creator><creator>Sorger, Joel</creator><creator>Johnson, Neil</creator><creator>Dasgupta, Roshni</creator><general>Springer International Publishing</general><general>Springer Nature B.V</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>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20230601</creationdate><title>Pediatric and Young Adult Image-Guided Percutaneous Bone Biopsy—A New Standard of Care?</title><author>Cooke-Barber, Jo ; Brungardt, Joseph G. ; Sorger, Michael ; Pressey, Joseph G. ; Turpin, Brian ; Nagarajan, Rajaram ; Szabo, Sara ; Sorger, Joel ; Johnson, Neil ; Dasgupta, Roshni</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-e4e4e3bc7017018fd537e44f42bf190b37f44b69fc6948036bfe079b701d127c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biopsy</topic><topic>Biopsy, Large-Core Needle</topic><topic>Bone cancer</topic><topic>Bone imaging</topic><topic>Bone Neoplasms - diagnostic imaging</topic><topic>Bone Neoplasms - pathology</topic><topic>Bone Neoplasms - surgery</topic><topic>Bone tumors</topic><topic>Child</topic><topic>Computed tomography</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Image-Guided Biopsy - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oncology</topic><topic>Osteoid</topic><topic>Osteoid osteoma</topic><topic>Osteoma</topic><topic>Osteosarcoma</topic><topic>Pediatric Oncology</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Sarcoma</topic><topic>Standard of Care</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cooke-Barber, Jo</creatorcontrib><creatorcontrib>Brungardt, Joseph G.</creatorcontrib><creatorcontrib>Sorger, Michael</creatorcontrib><creatorcontrib>Pressey, Joseph G.</creatorcontrib><creatorcontrib>Turpin, Brian</creatorcontrib><creatorcontrib>Nagarajan, Rajaram</creatorcontrib><creatorcontrib>Szabo, Sara</creatorcontrib><creatorcontrib>Sorger, Joel</creatorcontrib><creatorcontrib>Johnson, Neil</creatorcontrib><creatorcontrib>Dasgupta, Roshni</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cooke-Barber, Jo</au><au>Brungardt, Joseph G.</au><au>Sorger, Michael</au><au>Pressey, Joseph G.</au><au>Turpin, Brian</au><au>Nagarajan, Rajaram</au><au>Szabo, Sara</au><au>Sorger, Joel</au><au>Johnson, Neil</au><au>Dasgupta, Roshni</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric and Young Adult Image-Guided Percutaneous Bone Biopsy—A New Standard of Care?</atitle><jtitle>Annals of surgical oncology</jtitle><stitle>Ann Surg Oncol</stitle><addtitle>Ann Surg Oncol</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>30</volume><issue>6</issue><spage>3658</spage><epage>3665</epage><pages>3658-3665</pages><issn>1068-9265</issn><eissn>1534-4681</eissn><abstract>Background
There are no consensus guidelines regarding the use of percutaneous needle biopsy for the diagnosis of soft tissue and bone tumors. The aim of this study was to understand the efficacy of image-guided percutaneous biopsy for pediatric patients with soft tissue and bony masses, the role of intraoperative image guidance, and diagnostic accuracy.
Patients and Methods
A retrospective institutional chart review was performed on patients who underwent percutaneous biopsy of soft tissue or bone tumors between 2007 and 2017. Data collected included preoperative imaging, type of biopsy, demographics, insurance status, number of samples taken, and pathologic results.
Results
One hundred forty-one children and young adults underwent 169 biopsies. Female patients received 48.2% of biopsies. The mean age was 14.3 ± 7.0 years. Core needle biopsies made up 89.4% of procedures, while 10.6% were fine needle aspirate. The mean number of samples per patient was 3.6 ± 2.5. All patients had imaging guidance, with computed tomography used in 44.7% of patients, 9.9% using fluoroscopy, 7.1% using ultrasound for guidance, and 53 (37.6%) patients had more than one modality. Diagnostic specimens were obtained in 97.9% of biopsies. The most common overall pathology was osteoid osteoma. The most common malignant tumors were osteosarcoma and Ewing’s sarcoma.
Conclusion
Image-guided percutaneous biopsy is a safe and effective method of obtaining accurate tissue samples in children and young adults with soft tissue or bone masses.
Level of Evidence
Level 4—Study of diagnostic test</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36658249</pmid><doi>10.1245/s10434-023-13097-z</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1068-9265 |
| ispartof | Annals of surgical oncology, 2023-06, Vol.30 (6), p.3658-3665 |
| issn | 1068-9265 1534-4681 |
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| subjects | Adolescent Adult Biopsy Biopsy, Large-Core Needle Bone cancer Bone imaging Bone Neoplasms - diagnostic imaging Bone Neoplasms - pathology Bone Neoplasms - surgery Bone tumors Child Computed tomography Female Fluoroscopy Humans Image-Guided Biopsy - methods Medicine Medicine & Public Health Oncology Osteoid Osteoid osteoma Osteoma Osteosarcoma Pediatric Oncology Pediatrics Retrospective Studies Sarcoma Standard of Care Surgery Surgical Oncology Young Adult Young adults |
| title | Pediatric and Young Adult Image-Guided Percutaneous Bone Biopsy—A New Standard of Care? |
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