The value of micro-Doppler in stereotactic brain biopsy.
Identifieur interne : 000206 ( Ncbi/Merge ); précédent : 000205; suivant : 000207The value of micro-Doppler in stereotactic brain biopsy.
Auteurs : F. Hertel [Allemagne] ; W. Feiden ; M. BettagSource :
- Minimally invasive neurosurgery : MIN [ 0946-7211 ] ; 2005.
English descriptors
- KwdEn :
- Biopsy, Blood Loss, Surgical (prevention & control), Brain Diseases (diagnostic imaging), Brain Diseases (pathology), Brain Diseases (surgery), Female, Humans, Male, Middle Aged, Reproducibility of Results, Retrospective Studies, Stereotaxic Techniques, Surgery, Computer-Assisted, Treatment Outcome, Ultrasonography, Doppler, Pulsed.
- MESH :
- diagnostic imaging : Brain Diseases.
- pathology : Brain Diseases.
- prevention & control : Blood Loss, Surgical.
- surgery : Brain Diseases.
- Biopsy, Female, Humans, Male, Middle Aged, Reproducibility of Results, Retrospective Studies, Stereotaxic Techniques, Surgery, Computer-Assisted, Treatment Outcome, Ultrasonography, Doppler, Pulsed.
Abstract
The aim of this study was to analyse the value of intraoperative micro-Doppler in stereotactic brain biopsy (SBB). So far, only a few studies have reported about the usefulness of micro-Doppler in stereotactic brain biopsy.
DOI: 10.1055/s-2004-830269
PubMed: 16015494
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pubmed:16015494Le document en format XML
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Hertel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Brüderkrankenhaus, Trier, Germany. f.hertel@bk-trier.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurosurgery, Brüderkrankenhaus, Trier</wicri:regionArea><wicri:noRegion>Trier</wicri:noRegion><wicri:noRegion>Trier</wicri:noRegion><wicri:noRegion>Trier</wicri:noRegion></affiliation></author><author><name sortKey="Feiden, W" sort="Feiden, W" uniqKey="Feiden W" first="W" last="Feiden">W. Feiden</name></author><author><name sortKey="Bettag, M" sort="Bettag, M" uniqKey="Bettag M" first="M" last="Bettag">M. Bettag</name></author></analytic><series><title level="j">Minimally invasive neurosurgery : MIN</title><idno type="ISSN">0946-7211</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biopsy</term><term>Blood Loss, Surgical (prevention & control)</term><term>Brain Diseases (diagnostic imaging)</term><term>Brain Diseases (pathology)</term><term>Brain Diseases (surgery)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Reproducibility of Results</term><term>Retrospective Studies</term><term>Stereotaxic Techniques</term><term>Surgery, Computer-Assisted</term><term>Treatment Outcome</term><term>Ultrasonography, Doppler, Pulsed</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Brain Diseases</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain Diseases</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Blood Loss, Surgical</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Brain Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Biopsy</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Reproducibility of Results</term><term>Retrospective Studies</term><term>Stereotaxic Techniques</term><term>Surgery, Computer-Assisted</term><term>Treatment Outcome</term><term>Ultrasonography, Doppler, Pulsed</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to analyse the value of intraoperative micro-Doppler in stereotactic brain biopsy (SBB). So far, only a few studies have reported about the usefulness of micro-Doppler in stereotactic brain biopsy.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16015494</PMID><DateCreated><Year>2005</Year><Month>07</Month><Day>14</Day></DateCreated><DateCompleted><Year>2005</Year><Month>09</Month><Day>27</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0946-7211</ISSN><JournalIssue CitedMedium="Print"><Volume>48</Volume><Issue>3</Issue><PubDate><Year>2005</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Minimally invasive neurosurgery : MIN</Title><ISOAbbreviation>Minim Invasive Neurosurg</ISOAbbreviation></Journal><ArticleTitle>The value of micro-Doppler in stereotactic brain biopsy.</ArticleTitle><Pagination><MedlinePgn>165-8</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to analyse the value of intraoperative micro-Doppler in stereotactic brain biopsy (SBB). So far, only a few studies have reported about the usefulness of micro-Doppler in stereotactic brain biopsy.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Between 1998 and 2003, 155 SBBs were performed in 153 patients with micro-Doppler (81 males, 72 females, mean age: 59 years). All operations were performed using a ZD-frame and a multiplanar computer tomography-guided trajectory planning system (Leibinger SPP). A 16 MHz micro-Doppler probe (diameter 1 mm, DWL) was used in all cases to explore the area of biopsy before the tissue probes were taken. Serial biopsies (mean, 6 samples) were taken with the Sedan side-cutting cannula (n = 145) or the small forceps (n = 10). We evaluated the number of intraoperative detectable vessel signals by micro-Doppler, intraoperative bleedings as well as bleedings detected by postoperative CT (which was performed in all cases). We compared our results according to bleeding-related complications with the data of stereotactic biopsy series from the recent literature.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A conclusive histopathological diagnosis was achieved in 150/153 patients (98 %). A re-biopsy had to be undertaken in 2 cases. In 98 biopsies (63 %), no vessel could be detected with the micro-Doppler. In the remainder, a signal of arterial vessels was detected in 22 (14 %) and a signal of venous vessels in 35 cases (23 %). Detection of a vessel in the micro-Doppler led to a change of the biopsy site in each case within the same trajectory. Biopsy-related bleedings were detected in 4 cases (2.6 %). Among these, the only bleeding which occurred without any signs of vessels in the micro-Doppler happened in a case of a melanoma. The overall biopsy-related permanent morbidity was 0.6 % (n = 1). The biopsy-related mortality was 0.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Despite the overall high security of SBB, the use of intraoperative micro-Doppler may lead to an additional reduction of the risk for a biopsy-related bleeding without enormous expense.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hertel</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Brüderkrankenhaus, Trier, Germany. f.hertel@bk-trier.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Feiden</LastName><ForeName>W</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Bettag</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Minim Invasive Neurosurg</MedlineTA><NlmUniqueID>9440973</NlmUniqueID><ISSNLinking>0946-7211</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001706" MajorTopicYN="N">Biopsy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016063" MajorTopicYN="N">Blood Loss, Surgical</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001927" MajorTopicYN="N">Brain Diseases</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013238" MajorTopicYN="Y">Stereotaxic Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D025321" MajorTopicYN="Y">Surgery, Computer-Assisted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018617" MajorTopicYN="Y">Ultrasonography, Doppler, Pulsed</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>7</Month><Day>15</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>9</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>7</Month><Day>15</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16015494</ArticleId><ArticleId IdType="doi">10.1055/s-2004-830269</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="Bettag, M" sort="Bettag, M" uniqKey="Bettag M" first="M" last="Bettag">M. Bettag</name><name sortKey="Feiden, W" sort="Feiden, W" uniqKey="Feiden W" first="W" last="Feiden">W. Feiden</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Hertel, F" sort="Hertel, F" uniqKey="Hertel F" first="F" last="Hertel">F. Hertel</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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