A comparison of computerized tomography-guided stereotactic and ultrasound-guided techniques for brain biopsy.

Abstract:

:Forty-one patients with brain lesions underwent brain biopsy using either a computerized tomography (CT)-guided stereotactic approach or an ultrasound-guided technique. The cases were selected according to location and size of the mass lesion. Lesions 15 mm or less in diameter and those in the posterior fossa were biopsied by a CT-guided stereotactic technique (18 patients). Supratentorial lesions with a diameter larger than 15 mm were approached using ultrasound guidance (23 patients). These criteria for procedure selection provided a diagnostic yield of 94% for the CT-guided procedures and 91% for those guided by ultrasound. Safety for the two procedures was similar. The ultrasound procedure was more rapid, simpler, and less costly to perform. It is concluded that, with the protocol described, CT-guided stereotactic procedures could be reserved for cases in which absolute accuracy is mandatory.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Di Lorenzo N,Esposito V,Lunardi P,Delfini R,Fortuna A,Cantore G

doi

10.3171/jns.1991.75.5.0763

subject

Has Abstract

pub_date

1991-11-01 00:00:00

pages

763-5

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

75

pub_type

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