Computed tomography - guided intracranial biopsy and cyst aspiration: Accumulated experience in 60 patients

      This paper is only available as a PDF. To read, Please Download here.


      We have reviewed our continued experience with computed tomography guided freehand percutaneous brain biopsy using a needle guide sheath of our own devising. The guide sheath is equipped with small metallic marker beads and throws no artifacts. It is useful in demonstrating the exact tip of the guide biopsy sheath in relation to the wall of the intracerebral lesion. The deforming response of the target lesion wall to the guide sheath and the biopsy needle is easily seen using our technique and is highly correlated to obtaining a satisfactory pathologic specimen. Combination of this guide sheath with a suitable computed tomography compatible head frame may represent a highly accurate and reliable but relatively simple guidance system.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Greenblatt S.H.
        • Rayport M.
        • Savolaine E.R.
        • et al.
        Computed tomography-guided intracranial biopsy and cyst aspiration.
        Neurosurgery. 1982; 11: 589-598
        • Yeates A.
        • Dieter R.E.
        • Britt R.H.
        • Silverberg G.
        Simplified and accurate CT-guided needle biopsy of central nervous system lesions.
        J Neurosurg. 1982; 57: 390-393
        • Hahn J.F.
        • Levy W.J.
        • Weinstein M.J.
        Needle biopsy of intracranial lesions guided by computerized tomography.
        Neurosurgery. 1979; 5: 11-15
        • Levy W.J.
        • Hahn J.F.
        Inexpensive plastic brain biopsy needle for use in the computed tomographic scanner.
        Neurosurgery. 1980; 7: 606-607
        • Moran C.J.
        • Naidich T.P.
        • Gado M.H.
        • Marchosky J.A.
        Central nervous system lesions biopsied or treated by CT-guided needle placement.
        Neuroradiology. 1979; 131: 681-686
        • Moran C.J.
        • Naidich T.P.
        • Marchosky J.A.
        • Barbier J.Y.
        A simple stabilization device for intracranial aspiration procedures guided by computed tomography.
        Technical Developments and Instrumentation. 1982; 144: 183-184
        • Moran C.J.
        • Naidich T.P.
        • Marchosky J.A.
        CT-guided needle placement in the central nervous system: Results in 146 consecutive patients.
        AJR. 1984; 5: 419-426
        • Rushworth R.G.
        Stereotactic guided biopsy in the computerized tomographic scanner.
        Surg Neurol. 1980; 14: 451-454
        • Piskun W.S.
        • Stevens E.A.
        • LaMorgese J.R.
        • et al.
        A simplified method of CT assisted localization and biopsy of intracranial lesions.
        Surg Neurol. 1979; 11: 413-417
        • Feild J.R.
        • Lawrence J.A.
        • White T.J.
        • et al.
        Scalp localization of supratentorial lesions demonstrated by computerized tomography.
        Neurosurgery. 1980; 6: 164-175
        • Roberts T.S.
        • Brown R.
        Technical and clinical aspects of CTdirected stereotaxis.
        Appl Neurophysiol. 1980; 43: 170-171
        • Huk W.
        • Baer U.
        A new targeting device for stereotaxic procedures within the CT scanner.
        Neuroradiology. 1980; 19: 13-17
        • Gahbauer H.
        • Sturm V.
        • Schlegel W.
        • et al.
        Combined use of stereotaxic CT and angiography for brain biopsies and stereotaxic irradiation.
        AJR. 1983; 4: 715-718
        • Peters T.M.
        • Olivier A.
        CT aided stereotaxy for depth electrode implantation and biopsy.
        Can J Neuro Sci. 1983; 10: 166-169
        • Bullard D.E.
        • Nashold B.S.
        • Osborne D.
        • et al.
        Experience using two CT-guided stereotactic biopsy methods.
        Appl Neurophysiol. 1983; 46: 188-192
        • Gildenberg P.L.
        Stereotactic neurosurgery and computerized tomographic scanning.
        Appl Neurophysiol. 1983; 46: 170-179
        • Bouvier G.
        • Couillard P.
        • Leger S.L.
        • et al.
        Stereotactic biopsy of cerebral space-occupying lesions.
        Appl Neuropbysiol. 1983; 46: 227-230
        • Kelly P.J.
        • Kall B.
        • Goerss S.
        Stereotactic CT scanning for the biopsy of intracranial lesions and functional neurosurgery.
        Appl Neurophysiol. 1983; 46: 193-199