TY  - JOUR
T1  - Computed Tomography-guided Percutaneous Pelvic Bone Biopsy: Technical Success, Diagnostic Performance, and Safety
TT  - Bilgisayarlı Tomografi Kılavuzluğunda Perkütan Pelvik Kemik Biyopsisi: Teknik Başarı, Tanısal Performans ve Güvenilirlik
AU  - Alver, Kadir Han
AU  - Arslan, Muhammet
PY  - 2025
DA  - October
Y2  - 2025
DO  - 10.52827/hititmedj.1687115
JF  - Hitit Medical Journal
JO  - Hitit Medical Journal
PB  - Hitit University
WT  - DergiPark
SN  - 2687-4717
SP  - 369
EP  - 378
VL  - 7
IS  - 3
LA  - en
AB  - Objective: To evaluate the technical success, diagnostic performance, and complications of CT-guided pelvic bone biopsies. Material and Method: Fifty patients (32 women, 18 men; mean age: 57.5 ± 15.5 years; range: 20–91) who underwent CT-guided pelvic bone biopsy (sacrum, ilium, ischium, pubis, proximal femur) between 2017 and 2024 were included. Biopsies were performed by interventional radiologists with a minimum of five years of experience. Lesion size, location, type (lytic, sclerotic, or mixed), pathology results, technical success, diagnostic performance, and complications were recorded from patient files and the Picture Archiving and Communication System (PACS). Complications were classified as minor or major according to the Society of Interventional Radiology (SIR) guidelines. Results: Technical success was 100% (50/50). Pathology revealed malignancy in 25 (50%) patients, benignity in 15 (30%), and nondiagnostic results in 10 (20%), yielding a diagnostic performance of 80%. Nondiagnostic lesions were significantly smaller than malignant (p=0.002) and benign (p
KW  - Complication
KW  - Image-Guided Biopsy
KW  - Multidetector Computed Tomography
N2  - Amaç: BT kılavuzluğunda gerçekleştirilen pelvik kemik biyopsilerinin teknik başarısını, tanısal performansını ve komplikasyonlarını değerlendirmek. Gereç ve Yöntem: 2017–2024 yılları arasında BT eşliğinde pelvik kemik (sakrum, ilium, iskium, pubis, femur proksimali) biyopsisi yapılan 50 hasta (32 kadın, 18 erkek; yaş ortalaması 57,5 ± 15,5; aralık 20–91) çalışmaya dahil edildi. Biyopsiler, en az 5 yıl deneyimli girişimsel radyologlar tarafından gerçekleştirildi. Lezyon boyutu, lokasyonu, tipi (litik, sklerotik, mikst), patoloji sonuçları, teknik başarı, tanısal performans ve komplikasyonlar hasta dosyalarından ve Picture Archiving and Communication System (PACS) üzerinden kaydedildi. Komplikasyonlar, Society of Interventional Radiology (SIR) rehberine göre minör veya majör olarak sınıflandırıldı.Bulgular: Teknik başarı %100 (50/50) idi. Patoloji sonuçları 25 (%50) malign, 15 (%30) benign ve 10 (%20) nondiagnostik olarak raporlandı; tanısal performans %80 olarak hesaplandı. Nondiagnostik lezyonlar, malign (p=0,002) ve benign (p
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UR  - https://doi.org/10.52827/hititmedj.1687115
L1  - https://dergipark.org.tr/en/download/article-file/4819813
ER  -