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

Research output: Contribution to journalReview articlepeer-review

Abstract

Ultrasonography (US) is a readily available non-invasive tool useful for the detection of musculoskeletal and soft tissue masses. Although X-Ray is often the first imaging study for evaluating both bone and soft tissue lesions, and magnetic resonance imaging and computed tomography are mandatory in lesions staging, US is increasingly used for the early assessment of musculoskeletal and soft-tissue masses and for guiding procedures and biopsies. Surgical biopsy or fine needle aspiration biopsy (FNAB) is needed to ascertain the nature of any lesion. FNAB is a low cost technique, safer and less traumatic than an open surgical biopsy. Significant complications are rare, mostly related to the site of biopsy. Knowledge of indications, limitations, anatomical and pathological access, adequate technical expertise in US imaging and in intervention skills are the critical factors of the appropriate and safe use of FNAB. By now, the role of FNAB in musculoskeletal diseases is controversial and there is still a heated debate in the scientific community.

Original languageEnglish
Pages (from-to)234-244
Number of pages11
JournalEuropean Journal of Radiology
Volume90
DOIs
Publication statusPublished - May 1 2017

Keywords

  • FNAB
  • Musculoskeletal diseases
  • Percutaneous biopsy
  • Ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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