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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 659 - 667 (9page)
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초록· 키워드
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Background and Purpose The rationale for performing a second brain biopsy after initial negativity is not well evaluated in the literature. This study was designed to 1) assess the efficacy of a second brain biopsy when the first biopsy was nondiagnostic, 2) identify possible factors associated with an increased diagnostic rate in the second biopsy, and 3) analyze additional morbidity induced by the second biopsy. Methods We performed a retrospective cohort study from 2009 to 2019, during which 1,919 patients underwent a brain biopsy, including 30 who were biopsied twice (1.6%). The specific histological diagnosis rate, diagnosis-associated factors, and complication rate were assessed for the 30 twice-biopsied patients. Results The second biopsy allowed a specific histological diagnosis in 86.7% of the patients who had initially undergone a nondiagnostic brain biopsy [odds ratio (OR)=7.5, 95% confidence interval (CI)=3.0?18.7, p<0.001]. The multivariate analysis showed that only prebiopsy corticosteroid administration (OR=2.6, 95% CI=1.1?6.0, p=0.01) was an important factor in predicting a nondiagnostic biopsy. None of the patients developed a symptomatic complication after the first biopsy, while two (6.0%) patients experienced a transient complication after the second biopsy (p=0.49). Conclusions Performing a second brain biopsy in patients who have an initial nondiagnostic biopsy is effective in most cases. We advocate that a second biopsy be systematically considered in the diagnosis algorithm of these patients after it has been verified that molecular testing cannot help to obtain a diagnosis. Corticosteroid administration can lead to nondiagnostic biopsies and should be avoided when possible during the prebiopsy period.
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참고문헌 (36)
참고문헌 신청
Hall WA / 1998 / The safety and efficacy of stereotactic biopsy for intracranial lesions / Cancer 82:1749~1755
Livermore LJ / 2014 / Yield and complications of frame-based and frameless stereotactic brain biopsy--the value of intra-operative histological analysis / Br J Neurosurg 28:637~644
Czyż M / 2014 / The safety and effectiveness of low field intraoperative MRI guidance in frameless stereotactic biopsies of brain tumours-design and interim analysis of a prospective randomized trial / Neurosurg Rev 37:127~137
Mathon B / 2015 / Safety profile of intracranial electrode implantation for video-EEG recordings in drug-resistant focal epilepsy / J Neurol 262:2699~2712
Maximilien Riche / 2021 / Complications after frame-based stereotactic brain biopsy: a systematic review / Neurosurgical Review 44(1):301~307
Livermore LJ / 2014 / Yield and complications of frame-based and frameless stereotactic brain biopsy--the value of intra-operative histological analysis / Br J Neurosurg 28:637~644
Czyż M / 2014 / The safety and effectiveness of low field intraoperative MRI guidance in frameless stereotactic biopsies of brain tumours-design and interim analysis of a prospective randomized trial / Neurosurg Rev 37:127~137
Mathon B / 2015 / Safety profile of intracranial electrode implantation for video-EEG recordings in drug-resistant focal epilepsy / J Neurol 262:2699~2712
Maximilien Riche / 2021 / Complications after frame-based stereotactic brain biopsy: a systematic review / Neurosurgical Review 44(1):301~307
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