Percutaneous skeletal biopsy 1981: a procedure for radiologists--results, review, and recommendations.

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Abstract
Percutaneous skeletal biopsy has many advantages and few disadvantages. It can be done rapidly, accurately, economically and nearly painlessly with only local anesthesia. The safety and low morbidity of closed biopsy compare very favorably with open surgical biopsy. The main disadvantage is that the biopsy might yield a sample insufficient for diagnosis. This can be minimized by careful choice of the lesion for biopsy, selection of biopsy technique, precision of needle tip placement and assurance of specimen adequacy. Following 50 yr of experience, it is apparent that percutaneous skeletal biopsy should be considered a radiological procedure. Radiologists possess the professional expertise, technical equipment, and manual skills necessary to perform percutaneous skeletal biopsies of primary and secondary tumors and infections routinely. This should be a team effort that includes the radiologist, the patient, referring physician and consulting pathologist.