Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies

Abstract Frame-based Stereotactic Brain Biopsy (FSBB) is a minimally invasive procedure with a view to increasing the diagnostic yield. The aim of this study was to investigate the accuracy and safety of FSBB with the help of the intraoperative 3D O-ARM system. A preoperative MRI allowed for targeti...

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Main Authors: Inès Bouscatel, Benoit Marlier, Claude-Fabien Litré, Valéry Batchinsky-Parrou, Maxime Rivollier, Stanislas Loniewski, Jean-Charles Kleiber
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86069-w
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author Inès Bouscatel
Benoit Marlier
Claude-Fabien Litré
Valéry Batchinsky-Parrou
Maxime Rivollier
Stanislas Loniewski
Jean-Charles Kleiber
author_facet Inès Bouscatel
Benoit Marlier
Claude-Fabien Litré
Valéry Batchinsky-Parrou
Maxime Rivollier
Stanislas Loniewski
Jean-Charles Kleiber
author_sort Inès Bouscatel
collection DOAJ
description Abstract Frame-based Stereotactic Brain Biopsy (FSBB) is a minimally invasive procedure with a view to increasing the diagnostic yield. The aim of this study was to investigate the accuracy and safety of FSBB with the help of the intraoperative 3D O-ARM system. A preoperative MRI allowed for targeting the tissue to be sampled. A Leksell stereotactic frame was bolted to patient’s skull in the operating room, and we proceeded to the intraoperative 3D O-ARM acquisition. A software platform was used to calculate stereotactic coordinates through combining both exams. A second 3D O-ARM acquisition was performed to control the final needle target point. A total of 79 patients were included in our study population, 68 biopsies (86.1%) yielded the diagnosis. Biopsy-related complications occurred in 11 patients (13.9%), of whom 8 were successfully diagnosed. Per and post-procedure complications occurred in 3 (3.8%) and 8 cases (10.1%) respectively. Mean operating time was 102 min. FSBB using the intraoperative 3D O-ARM system is a promising alternative. The rate of non-contributory biopsies is moderate given that this new procedure is conducted in the operating room from beginning to end. Complications were not directly linked to the procedure and does not compromise the diagnosis.
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spelling doaj-art-4735cf31c1ac46be864bbf99b33aee0f2025-01-26T12:32:53ZengNature PortfolioScientific Reports2045-23222025-01-0115111510.1038/s41598-025-86069-wEvaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsiesInès Bouscatel0Benoit Marlier1Claude-Fabien Litré2Valéry Batchinsky-Parrou3Maxime Rivollier4Stanislas Loniewski5Jean-Charles Kleiber6Department of Neurosurgery, Reims University HospitalDepartment of Neurosurgery, Reims University HospitalDepartment of Neurosurgery, Reims University HospitalDepartment of Neurosurgery, Reims University HospitalDepartment of Neurosurgery, Reims University HospitalDepartment of Neurosurgery, Reims University HospitalDepartment of Neurosurgery, Reims University HospitalAbstract Frame-based Stereotactic Brain Biopsy (FSBB) is a minimally invasive procedure with a view to increasing the diagnostic yield. The aim of this study was to investigate the accuracy and safety of FSBB with the help of the intraoperative 3D O-ARM system. A preoperative MRI allowed for targeting the tissue to be sampled. A Leksell stereotactic frame was bolted to patient’s skull in the operating room, and we proceeded to the intraoperative 3D O-ARM acquisition. A software platform was used to calculate stereotactic coordinates through combining both exams. A second 3D O-ARM acquisition was performed to control the final needle target point. A total of 79 patients were included in our study population, 68 biopsies (86.1%) yielded the diagnosis. Biopsy-related complications occurred in 11 patients (13.9%), of whom 8 were successfully diagnosed. Per and post-procedure complications occurred in 3 (3.8%) and 8 cases (10.1%) respectively. Mean operating time was 102 min. FSBB using the intraoperative 3D O-ARM system is a promising alternative. The rate of non-contributory biopsies is moderate given that this new procedure is conducted in the operating room from beginning to end. Complications were not directly linked to the procedure and does not compromise the diagnosis.https://doi.org/10.1038/s41598-025-86069-wBrain neoplasmsBrain biopsyStereotactic techniquesIntraoperative Imaging
spellingShingle Inès Bouscatel
Benoit Marlier
Claude-Fabien Litré
Valéry Batchinsky-Parrou
Maxime Rivollier
Stanislas Loniewski
Jean-Charles Kleiber
Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies
Scientific Reports
Brain neoplasms
Brain biopsy
Stereotactic techniques
Intraoperative Imaging
title Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies
title_full Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies
title_fullStr Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies
title_full_unstemmed Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies
title_short Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies
title_sort evaluation of feasibility accuracy and safety after 79 o arm based stereotactic brain biopsies
topic Brain neoplasms
Brain biopsy
Stereotactic techniques
Intraoperative Imaging
url https://doi.org/10.1038/s41598-025-86069-w
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