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AJNR - American Journal of Neuroradiology

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CT-Guided Percutaneous Biopsy of Thoracic and Lumbar Spine: A New Coaxial Technique

Daniel Yaffe^a, Ghal Greenberg^b, Joseph Leitner^b, Reuven Gipstein^b, Myra Shapiro^a and Gil N. Bachar^c

^a Department of Diagnostic Imaging, Sapir Medical Center, Meir General Hospital, Kfar Saba, Israel
^b Spine Unit, Sapir Medical Center, Meir General Hospital, Kfar Saba, Israel
^c Department of Radiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva (affiliate of the Sackler Faculty of Medicine, Tel Aviv University, Israel)

View larger version (67K): [in a new window]   FIG 1. Equipment for coaxial vertebral biopsy. A, An 18-gauge, 24-cm-long anesthetic needle. B, external sheath cannula 5.2 mm in diameter. C, Waldemar spine biopsy needle.

View larger version (67K): [in a new window]   FIG 2. Percutaneous vertebral biopsy with the coaxial system. Parts shown in Figure 1 are labeled.

View larger version (67K): [in a new window]   FIG 3. A 35-year-old patient with lytic lesion (plasmocytoma) involving the body of T10. Percutanous trans costal-transverse approach: the tip of the biopsy needle is visible at the margin of the mass.