1) Demonstrate the various approaches used to biopsy lesions of the cervical spine. 2) Determine the selection of the proper needles to use to biopsy the spine. 3) Provide case examples of cervical biopsies and the thought process used to perform these procedures.
Cervical spine biopsies can be challenging procedures to perform, hence they tend to be performed by a limited number of proceduralists. C-spine biopsy is often performed to evaluate potential neoplastic or infectious processes of the cervical spine. The key to performing these procedures effectively and safely is in appropriate patient selection, careful image analysis in order to properly position the patient and choose an approach, identification of critical structures (such as the carotid artery) and neck spaces that should be avoided, and use of coaxial biopsy techniques. The procedure can be safely performed with CT and/or CT fluoroscopy. Specimen sampling principles and specimen handling are also discussed they can help to optimize this procedure.
Ortiz, A,
Cervical Spine Biopsies. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/9002378.html
