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Histological and microbiological diagnoses remain crucial for management of skull, skull base, neck, and cervical spine lesions. Percutaneous biopsies and fine-needle aspiration have become popular in the past decades for many organs because they allow minimally invasive, safe, and accurate tissue sampling. Percutaneous biopsies of head and neck lesions present unique challenges, mainly related to the vicinity of critical structures including vasculature and nerves as well as complex bone anatomy of the region. This chapter presents the tools routinely used to perform such biopsies, from the imaging devices to the biopsy needles. Various approaches are described and illustrated for reaching a majority of lesions, from the most superficial to the deepest. An emphasis is placed on the practical aspects such as preprocedural planning, anesthesia, preferred image guidance, and patient positioning. Finally, potential complications of percutaneous biopsies, albeit rare, and their management are covered.

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Image-Guided Percutaneous Biopsies of the Skull, Skull Base, Neck, and Cervical Spine

  • 实验方案

  • 发表日期：

    2025年

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  • Pierre-Marie Chiaroni,
  • Kevin Premat,
  • Bertrand Mathon,
  • Anne-Laure Boch,
  • Mehdi Drir,
  • Jugurtha Mathout,
  • Rémi Hervochon,
  • Lauranne Alciato,
  • Frédéric Tankere,
  • Raphael Bonaccorsi,
  • Stephanie Trunet,
  • Julien Allard,
  • Frédéric Clarençon,
  • Eimad Shotar

摘要

Histological and microbiological diagnoses remain crucial for management of skull, skull base, neck, and cervical spine lesions. Percutaneous biopsies and fine-needle aspiration have become popular in the past decades for many organs because they allow minimally invasive, safe, and accurate tissue sampling. Percutaneous biopsies of head and neck lesions present unique challenges, mainly related to the vicinity of critical structures including vasculature and nerves as well as complex bone anatomy of the region. This chapter presents the tools routinely used to perform such biopsies, from the imaging devices to the biopsy needles. Various approaches are described and illustrated for reaching a majority of lesions, from the most superficial to the deepest. An emphasis is placed on the practical aspects such as preprocedural planning, anesthesia, preferred image guidance, and patient positioning. Finally, potential complications of percutaneous biopsies, albeit rare, and their management are covered.