TY - JOUR
T1 - CT-guided needle placement in the central nervous system
T2 - Results in 146 consecutive patients
AU - Moran, C. J.
AU - Naidich, T. P.
AU - Marchoski, J. A.
PY - 1984
Y1 - 1984
N2 - The authors present their experiences with 185 computed tomography (CT)-guided needle placement procedures in 146 consecutive patients. There was 100% accuracy in first-bypass entry into the lesion using a needle guide; 100% success in drainage of intracranial abscesses; 100% success in palliative decompression of intracranial cystic lesions including tumor cysts; and 97% accuracy in histologic diagnosis of unknown lesions. CT-guided aspiration biopsy corrected clinically incorrect diagnoses and altered patient management in 23% of all cases biopsied. Tabulation of complications revealed 0% incidence of scalp infection, bone infection, dissemination of tumor, or dissemination of infection; 13.5% incidence of clinically insignificant postprocedural bleeding; and 0.5% incidence of serious postprocedural hemorrhage leading to death (one patient only). Transient hemipareses were observed in three of 22 procedures for implantation of 192Ir but in none of 163 procedures for aspiration biopsy alone.
AB - The authors present their experiences with 185 computed tomography (CT)-guided needle placement procedures in 146 consecutive patients. There was 100% accuracy in first-bypass entry into the lesion using a needle guide; 100% success in drainage of intracranial abscesses; 100% success in palliative decompression of intracranial cystic lesions including tumor cysts; and 97% accuracy in histologic diagnosis of unknown lesions. CT-guided aspiration biopsy corrected clinically incorrect diagnoses and altered patient management in 23% of all cases biopsied. Tabulation of complications revealed 0% incidence of scalp infection, bone infection, dissemination of tumor, or dissemination of infection; 13.5% incidence of clinically insignificant postprocedural bleeding; and 0.5% incidence of serious postprocedural hemorrhage leading to death (one patient only). Transient hemipareses were observed in three of 22 procedures for implantation of 192Ir but in none of 163 procedures for aspiration biopsy alone.
UR - http://www.scopus.com/inward/record.url?scp=0021222610&partnerID=8YFLogxK
U2 - 10.2214/ajr.143.4.861
DO - 10.2214/ajr.143.4.861
M3 - Article
C2 - 6332497
AN - SCOPUS:0021222610
SN - 0361-803X
VL - 143
SP - 861
EP - 868
JO - American Journal of Roentgenology
JF - American Journal of Roentgenology
IS - 4
ER -