Department of Diagnostic Imaging, The Warren Alpert Medical School of Brown University, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Abdom Radiol (NY). 2022 Aug;47(8):2612-2622. doi: 10.1007/s00261-021-03167-9. Epub 2021 Jun 16.
Percutaneous image-guided biopsy is an invaluable technique in the management of a myriad of different conditions; however, percutaneous access to some targets remains challenging. Trans-osseous biopsy provides safe, high-yield access to many challenging lesions in the chest, abdomen, and pelvis which might otherwise require more invasive procedures, such as mediastinoscopy or surgery to establish a histological diagnosis. Additionally, trans-osseous biopsy is well tolerated and may reduce the risk of injury to intervening vital structures as compared to other percutaneous techniques. In this article we review the indications, technical challenges, alternative techniques, and potential complications of trans-sternal, trans-costal, trans-scapular, trans-vertebral, trans-iliac, and trans-sacral biopsies.
经皮影像引导活检在处理各种不同疾病中是一项非常有价值的技术；然而，对于某些目标的经皮进入仍然具有挑战性。经骨活检为胸部、腹部和骨盆中许多具有挑战性的病变提供了安全、高产量的进入途径，否则这些病变可能需要更具侵入性的程序，如纵隔镜检查或手术来建立组织学诊断。此外，与其他经皮技术相比，经骨活检耐受性良好，并且可能降低对介入重要结构的损伤风险。在本文中，我们回顾了胸骨内、肋内、肩胛内、椎内、髂内和骶骨内活检的适应证、技术挑战、替代技术和潜在并发症。
