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CT-guided and computer assisted stereotactic biopsy

Technique, results, indications

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Summary

On the base of a stereotactic device originally described by Riechert and Mundinger a three-dimensional localization and treatment planning system for CT-guided computer assisted stereotactic procedures has been developed. The experience with 338 patients, in which image guided stereotaxy has been used for the assessment of various intracerebral lesions, is presented. In 54 of these patients the cannula was introduced with a 20 MHz Doppler-probe positioned at the tip of the needle. A comparison of tissue specimens taken stereotactically with tissue material after tumour resection and/or autopsy was performed in 35 patients. The accuracy of the histological diagnosis was 88%. Bleeding as a complication due to the stereotactic intervention occurred in 8 patients (2.4%). Two of these patients had a fatal outcome (mortality: 0.6%). The morbidity (transient and permanent deterioration of the clinical status) was 1.2%.

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Authors and Affiliations

  1. Abteilung für Stereotaxie und funktionelle Neurochirurgie, Neurochirurgische Universitätsklinik, Köln

    J. Voges, H. Treuer & V. Sturm

  2. Institut für Pathologie, Labor für Neuropathologie, Universität zu Köln, Federal Republic of Germany

    R. Schröder

  3. Deutsches Krebsforschungszentrum, Heidelberg, Federal Republic of Germany

    O. Pastyr, W. Schlegel & W. -J. Lorenz

Authors
  1. J. Voges
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  2. R. Schröder
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  3. H. Treuer
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  4. O. Pastyr
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  5. W. Schlegel
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  6. W. -J. Lorenz
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  7. V. Sturm
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Voges, J., Schröder, R., Treuer, H. et al. CT-guided and computer assisted stereotactic biopsy. Acta neurochir 125, 142–149 (1993). https://doi.org/10.1007/BF01401842

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