Health Condition 1: M00-M99- Diseases of the musculoskeletal system and connective tissue
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with bone lesions amenable to CT guided biopsy as assessed by consultant radiologist. Patients with associated soft tissue mass or fluid collection where biopsy or aspiration can be performed. Patients having pre biopsy MRI with STIR and diffusion weighted imaging sequences available for fusion. Patients willing to provide written informed consent.
Exclusion criteria
Exclusion criteria: Bone lesions not amenable to CT guided biopsy in a safe manner. Patients unable to cooperate during the procedure. Non availability of pre biopsy MRI for fusion analysis. Patients with contraindications to percutaneous procedures such as uncorrected coagulopathy or pregnancy. Patients refusing consent for participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnostic yield defined as proportion of biopsies providing conclusive histopathological diagnosis in MRI assisted CT guided biopsy compared with conventional CT guided biopsy assessed after histopathological and or microbiological examination.Timepoint: 2 weeks after the biopsy is performed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Procedure related complications including major & minor complications.Timepoint: At baseline.;Association of imaging parameters such as lesion size, lesion type lytic or sclerotic, STIR signal intensity ratio, ADC ratio & CT attenuation with diagnostic yield.Timepoint: 2 weeks after biopsy;Diagnostic yield of concomitant soft tissue biopsy or fluid aspiration associated with bone lesions.Timepoint: 2 weeks after biopsy;Pain score measured using visual analog scale.Timepoint: At baseline | — |
Countries
India
Contacts
AIIMS, Bathinda