The value of micro-doppler in stereotactic brain biopsy
Identifieur interne : 000A55 ( PascalFrancis/Corpus ); précédent : 000A54; suivant : 000A56The value of micro-doppler in stereotactic brain biopsy
Auteurs : F. Hertel ; W. Feiden ; M. BettagSource :
- Minimally invasive neurosurgery [ 0946-7211 ] ; 2005.
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- Pascal (Inist)
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Abstract
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. 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. 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. 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.
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Format Inist (serveur)
| NO : | PASCAL 05-0329258 INIST |
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| ET : | The value of micro-doppler in stereotactic brain biopsy |
| AU : | HERTEL (F.); FEIDEN (W.); BETTAG (M.) |
| AF : | Department of Neurosurgery, Brüderkrankenhaus/Trier/Allemagne (1 aut., 3 aut.); Department of Neuropathology, Saarland University/Homburg-Saar/Allemagne (2 aut.) |
| DT : | Publication en série; Niveau analytique |
| SO : | Minimally invasive neurosurgery; ISSN 0946-7211; Allemagne; Da. 2005; Vol. 48; No. 3; Pp. 165-168; Bibl. 21 ref. |
| LA : | Anglais |
| EA : | 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. 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. 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. 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. |
| CC : | 002B25J |
| FD : | Système nerveux pathologie; Hémorragie; Chirurgie; Dopplérométrie; Stéréotaxie; Encéphale; Biopsie |
| ED : | Nervous system diseases; Hemorrhage; Surgery; Doppler ultrasound study; Stereotaxia; Encephalon; Biopsy |
| SD : | Sistema nervioso patología; Hemorragia; Cirugía; Dopplerometría; Estereotaxia; Encéfalo; Biopsia |
| LO : | INIST-5246B.354000124670810080 |
| ID : | 05-0329258 |
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Pascal:05-0329258Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">The value of micro-doppler in stereotactic brain biopsy</title><author><name sortKey="Hertel, F" sort="Hertel, F" uniqKey="Hertel F" first="F." last="Hertel">F. Hertel</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brüderkrankenhaus</s1><s2>Trier</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Feiden, W" sort="Feiden, W" uniqKey="Feiden W" first="W." last="Feiden">W. Feiden</name><affiliation><inist:fA14 i1="02"><s1>Department of Neuropathology, Saarland University</s1><s2>Homburg-Saar</s2><s3>DEU</s3><sZ>2 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Bettag, M" sort="Bettag, M" uniqKey="Bettag M" first="M." last="Bettag">M. Bettag</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brüderkrankenhaus</s1><s2>Trier</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">05-0329258</idno><date when="2005">2005</date><idno type="stanalyst">PASCAL 05-0329258 INIST</idno><idno type="RBID">Pascal:05-0329258</idno><idno type="wicri:Area/PascalFrancis/Corpus">000A55</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The value of micro-doppler in stereotactic brain biopsy</title><author><name sortKey="Hertel, F" sort="Hertel, F" uniqKey="Hertel F" first="F." last="Hertel">F. Hertel</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brüderkrankenhaus</s1><s2>Trier</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Feiden, W" sort="Feiden, W" uniqKey="Feiden W" first="W." last="Feiden">W. Feiden</name><affiliation><inist:fA14 i1="02"><s1>Department of Neuropathology, Saarland University</s1><s2>Homburg-Saar</s2><s3>DEU</s3><sZ>2 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Bettag, M" sort="Bettag, M" uniqKey="Bettag M" first="M." last="Bettag">M. Bettag</name><affiliation><inist:fA14 i1="01"><s1>Department of Neurosurgery, Brüderkrankenhaus</s1><s2>Trier</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author></analytic><series><title level="j" type="main">Minimally invasive neurosurgery</title><title level="j" type="abbreviated">Minim. invasive neurochir.</title><idno type="ISSN">0946-7211</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Minimally invasive neurosurgery</title><title level="j" type="abbreviated">Minim. invasive neurochir.</title><idno type="ISSN">0946-7211</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biopsy</term><term>Doppler ultrasound study</term><term>Encephalon</term><term>Hemorrhage</term><term>Nervous system diseases</term><term>Stereotaxia</term><term>Surgery</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term><term>Hémorragie</term><term>Chirurgie</term><term>Dopplérométrie</term><term>Stéréotaxie</term><term>Encéphale</term><term>Biopsie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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. 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. 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. 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.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0946-7211</s0></fA01><fA03 i2="1"><s0>Minim. invasive neurochir.</s0></fA03><fA05><s2>48</s2></fA05><fA06><s2>3</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>The value of micro-doppler in stereotactic brain biopsy</s1></fA08><fA11 i1="01" i2="1"><s1>HERTEL (F.)</s1></fA11><fA11 i1="02" i2="1"><s1>FEIDEN (W.)</s1></fA11><fA11 i1="03" i2="1"><s1>BETTAG (M.)</s1></fA11><fA14 i1="01"><s1>Department of Neurosurgery, Brüderkrankenhaus</s1><s2>Trier</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Neuropathology, Saarland University</s1><s2>Homburg-Saar</s2><s3>DEU</s3><sZ>2 aut.</sZ></fA14><fA20><s1>165-168</s1></fA20><fA21><s1>2005</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>5246B</s2><s5>354000124670810080</s5></fA43><fA44><s0>0000</s0><s1>© 2005 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>21 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>05-0329258</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Minimally invasive neurosurgery</s0></fA64><fA66 i1="01"><s0>DEU</s0></fA66><fC01 i1="01" l="ENG"><s0>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. 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. 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. 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.</s0></fC01><fC02 i1="01" i2="X"><s0>002B25J</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Hémorragie</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Hemorrhage</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Hemorragia</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Chirurgie</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Surgery</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Cirugía</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Dopplérométrie</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Doppler ultrasound study</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Dopplerometría</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Stéréotaxie</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Stereotaxia</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Estereotaxia</s0><s5>11</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Encéphale</s0><s5>12</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Encephalon</s0><s5>12</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Encéfalo</s0><s5>12</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Biopsie</s0><s5>13</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Biopsy</s0><s5>13</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Biopsia</s0><s5>13</s5></fC03><fN21><s1>234</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard><server><NO>PASCAL 05-0329258 INIST</NO><ET>The value of micro-doppler in stereotactic brain biopsy</ET><AU>HERTEL (F.); FEIDEN (W.); BETTAG (M.)</AU><AF>Department of Neurosurgery, Brüderkrankenhaus/Trier/Allemagne (1 aut., 3 aut.); Department of Neuropathology, Saarland University/Homburg-Saar/Allemagne (2 aut.)</AF><DT>Publication en série; Niveau analytique</DT><SO>Minimally invasive neurosurgery; ISSN 0946-7211; Allemagne; Da. 2005; Vol. 48; No. 3; Pp. 165-168; Bibl. 21 ref.</SO><LA>Anglais</LA><EA>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. 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. 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. 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.</EA><CC>002B25J</CC><FD>Système nerveux pathologie; Hémorragie; Chirurgie; Dopplérométrie; Stéréotaxie; Encéphale; Biopsie</FD><ED>Nervous system diseases; Hemorrhage; Surgery; Doppler ultrasound study; Stereotaxia; Encephalon; Biopsy</ED><SD>Sistema nervioso patología; Hemorragia; Cirugía; Dopplerometría; Estereotaxia; Encéfalo; Biopsia</SD><LO>INIST-5246B.354000124670810080</LO><ID>05-0329258</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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