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European Journal of Radiology

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Presentation on theme: "European Journal of Radiology"— Presentation transcript:

1 European Journal of Radiology
The role of ultrasound-guided fine needle aspiration biopsy in musculoskeletal diseases  Marco Sperandeo, Francesca Maria Trovato, Nadia Melillo, Lucia Dimitri, Giuseppe Musumeci, Giuseppe Guglielmi  European Journal of Radiology  Volume 90, Pages (May 2017) DOI: /j.ejrad Copyright © 2017 Elsevier B.V. Terms and Conditions

2 Fig. 1 Nodular lesion localized between the muscles of the arm (arrow), at the radial neurovascular bundle: a) MRI imaging; b) US imaging: mass was subcutaneous although limited and homogeneous, ovoid and well encapsulated. Finally diagnosis with surgery biopsy: benign schwannoma. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions

3 Fig. 2 Metastatic subcutaneous lesion: a) Biopsy of the hypoechoic rounded lesion by convex probe; b) the same lesion by linear probe. C) PET TC of lesion (with arrow). Diagnosis with US guided biopsy: Metastatic chest wall lesion from clear cell renal carcinoma. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions

4 Fig. 3 Cytological and histological material after FNAB with Menghini type semi-automatic biopsy device (BIOMOL, HS). European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions

5 Fig. 4 Chest wall involvement in light chain multiple myeloma: US guided biopsy of hypoechoic lesion, the needle is visible along the biopsy trajectory (arrow). European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions

6 Fig. 5 Oval mass surrounding the left iliac crest, involving the iliac muscle and the gluteus minimus (arrow): a) Biopsy was guided by US imaging: metastasis of squamous carcinoma undifferenziated of tongue; b) CT imaging. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions

7 Fig. 6 Bone metastasis from lung adenocarcinoma tumour involving iliac crest CT imaging: b) Biopsy was guided by US imaging, the needle is visible along the biopsy trajectory (arrow). The use of color Doppler is crucial during a biopsy, to evaluate the vascularity of the mass and the superficial tissues. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions

8 Fig. 7 Metastatic rib fractures at US imaging: inhomogeneous lesion: a) convex probe; b) linear probe. US guided biopsy: metastasis of squamous carcinoma of the lung. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions

9 Fig. 8 Metastatic rib fractures from breast ductal carcinoma (arrow): a) CT imaging; b)US imaging: fragmentation of hyperechoic rib edge. Diagnosis with biopsy was guided by US imaging. European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions

10 Fig. 9 Metastatic subcutaneous lesion of adenocarcinoma of lung cancer: A) CT imaging of lesion (white arrow) b) US image: disomogeneous hypoechoic round image; the needle is visible along the biopsy trajectory (blue arrow). European Journal of Radiology  , DOI: ( /j.ejrad ) Copyright © 2017 Elsevier B.V. Terms and Conditions


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