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CT Guided BiopsyBhavin Jankharia

Current Case:

A 64-yrs old patient presented with low backache and MRI showed an osteolytic lesion in the L5 vertebral body.

She was referred for a biopsy. On the MRI, it seemed a transpedicular approach may be possible, but once she was prone, the only approach was through the facet joint.

The video describes the case, the use of the transfacet joint approach and other similar cases.

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Region: Spine, Lumbar
Age: 64
Findings: L5 osteolytic lesion with prevertebral and epidural soft tissue
Lesion Biopsied: L5 osteolytic lesion
Size of Lesion: Not relevant
Gun: 11G Cook bone biopsy and 18 G BARD - 20 mm throw, long
No of cores: 3 for histopath and aspirate for microbiology
Sedation: Yes
Position & Approach: Prone, transfacetal
Time Taken (marker to wash-out): 10 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Tuberculosis

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Table of Contents and Other Spine Biopsies

Table of Contents
Table of Contents
CT Guided BiopsyBhavin Jankharia

Previous Post:

Case 164: Parting of the Bowel Loops with a Blunt-Tip
Those who do CT guided biopsies should use the blunt-tip technique more often. It allows safe passage past bowel and vessels to reach the target.
CT Guided BiopsyBhavin Jankharia

Other Sites and Cases:

Case of the Day on YouTube

Snippet 24: The Radiologist’s Role in Pulmonary Hypertension
What is our role as radiologists in the diagnosis of pulmonary hypertension (PH) and its causes.
CT Chest ReviewBhavin Jankharia
Case 53: A Throbbing Finger
60-years old with a 2-years history of throbbing pain in the thumb.
Bone and Soft Tissue NeoplasmsBhavin Jankharia
Should You Take Ozempic or Mounjaro if You are Not Obese or Diabetic?
There is no data to support the use of GLP-1 and GIP receptor agonists like Ozempic and Mounjaro if you are not obese or diabetic, but people are using them anyway...this becomes an individual personal call and there is no right or wrong here.
AtmasvasthBhavin Jankharia