CT-guided aspirations for the body: comparison of hand guidance with stereotaxis.

Abstract:

:Forty computed tomography (CT)-assisted aspirations performed with only hand guidance were prospectively compared with 40 performed with a CT body-stereotaxic system. Although there was no statistically significant difference in lesion size and path length between the two groups, use of stereotaxis compared with hand guidance decreased by 75% the number of needle manipulations required to place a needle within a lesion. With the stereotaxic method, only 43 needle manipulations were required to confirm a needle placement in 40 lesions, with no lesion requiring more than two attempts. Use of stereotaxis decreased the number of localization scans by 80% and biopsy time by 50%. It is concluded that CT-guided needle placements with hand guidance are often inaccurate and, unless the lesion is large, require multiple needle manipulations to place a needle within the lesion. Stereotaxis-guided biopsies, on the other hand, decrease radiation exposure, biopsy time, and trauma from multiple needle punctures.

journal_name

Radiology

journal_title

Radiology

authors

Onik G,Cosman ER,Wells TH Jr,Goldberg HI,Moss AA,Costello P,Kane RA,Hoddick WI,Demas B

doi

10.1148/radiology.166.2.3275980

subject

Has Abstract

pub_date

1988-02-01 00:00:00

pages

389-94

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

166

pub_type

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