Percutaneous vertebral puncture biopsy and MRI are useful in diagnosis of malignant vertebral fractures

被引：0

作者：

Zou, Debo ^{[1
,2
]}

Ren, Yanjun ^{[2
]}

Zhang, Kaining ^{[2
]}

Wu, Yingguang ^{[2
]}

Yang, Yun ^{[2
]}

Li, Wenbin ^{[3
]}

机构：

[1] Shandong Univ, Sch Med, Jinan 250012, Shandong, Peoples R China

[2] Shandong Univ, Shandong Prov Qianfoshan Hosp, Dept Spine Surg, Jinan 250014, Shandong, Peoples R China

[3] Shandong Prov Qianfoshan Hosp, Dept Nephrol, 16766 Jingshi Rd, Jinan 250014, Shandong, Peoples R China

来源：

INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE | 2016年 / 9卷 / 06期

关键词：

Vertebral fractures; malignant; magnetic resonance imaging; BENIGN COMPRESSION FRACTURES; DIFFUSION-WEIGHTED MRI; NEEDLE-BIOPSY; DIFFERENTIATION; SPECIFICITY; KYPHOPLASTY; SENSITIVITY; ACCURACY; SPINE;

D O I：

暂无

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

This study is to investigate the clinical application of percutaneous vertebral puncture biopsy and MRI in diagnosis of malignant vertebral fractures. A total of 46 patients were enrolled in this study. Percutaneous kyphoplasty was performed for each patient. The coaxial puncture biopsies in broken spines were conducted. The pathological results were compared with the magnetic resonance imaging (MRI) results. The MRI scan showed that there were 67 possible malignant vertebral fractures in 46 patients. Among the 67 possible malignant vertebral fractures, 64 were successfully confirmed by pathological examination. The successfulness and positive rates in biopsy were 95.52% and 76.56%, respectively. No complication occurred. Kappa analysis indicated that preoperative MRI for malignant vertebral fracture was consistent with biopsy. Percutaneous vertebral puncture biopsy and MRI are useful in diagnosis of malignant vertebral fractures.

引用

页码：12404 / 12410

页数：7

共 23 条

[1]

Abanoz Recep, 2003, Tani Girisim Radyol, V9, P176

[2]

Aggarwal Ashish, 2013, Surg Neurol Int, V4, pS323, DOI 10.4103/2152-7806.112619

[3] Biopsy of Osteoporotic Vertebral Compression Fractures During Kyphoplasty Unsuspected Histologic Findings of Chronic Osteitis Without Clinical Evidence of Osteomyelitis [J].

Allen, R. Todd ;

Kum, Jennifer B. ;

Weidner, Noel ;

Hulst, Jonah B. ;

Garfin, Steven R. .

SPINE, 2009, 34 (14) :1486-1491

[4] Multiparameter MRI assessment of normal-appearing and diseased vertebral bone marrow [J].

Biffar, Andreas ;

Baur-Melnyk, Andrea ;

Schmidt, Gerwin P. ;

Reiser, Maximilian F. ;

Dietrich, Olaf .

EUROPEAN RADIOLOGY, 2010, 20 (11) :2679-2689

[5] Comparison of MR imaging and FDG-PET/CT in the differential diagnosis of benign and malignant vertebral compression fractures Clinical article [J].

Cho, Won-Ik ;

Chang, Ung-Kyu .

JOURNAL OF NEUROSURGERY-SPINE, 2011, 14 (02) :177-183

[6] Percutaneous harlow wood needle biopsy of the spine: A retrospective analysis of 238 spine lesions [J].

Christodoulou, A ;

Zidrou, C ;

Savvidou, OD ;

Givissis, P ;

Apostolou, T ;

Mavrogenis, AF ;

Papagelopoulos, PJ ;

Pournaras, J .

ORTHOPEDICS, 2005, 28 (08) :784-789

[7] Comparison of Qualitative and Quantitative Evaluation of Diffusion-Weighted MRI and Chemical-Shift Imaging in the Differentiation of Benign and Malignant Vertebral Body Fractures [J].

Geith, Tobias ;

Schmidt, Gerwin ;

Biffar, Andreas ;

Dietrich, Olaf ;

Duerr, Hans Roland ;

Reiser, Maximilian ;

Baur-Melnyk, Andrea .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2012, 199 (05) :1083-1092

[8]

GLAROS AG, 1988, J CLIN PSYCHOL, V44, P1013, DOI 10.1002/1097-4679(198811)44:6<1013::AID-JCLP2270440627>3.0.CO

[9]

2-Z

[10] Diagnostic value of 99mTc-MDP SPECT/spiral CT in assessing indeterminate spinal solitary lesion of patients without malignant history [J].

Jiang, Lei ;

Han, Lei ;

Tan, Hui ;

Hu, Pengcheng ;

Zhang, Yiqiu ;

Shi, Hongcheng .

ANNALS OF NUCLEAR MEDICINE, 2013, 27 (05) :460-467

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