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Percutaneous Biopsy of Retrobulbar Masses: Anatomical Considerations and MRI Guidance

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Abstract

Purpose

Obtaining adequate tissue from retrobulbar masses remains a challenge. To this end, a new method of retrobulbar mass biopsy using MRI guidance is presented.

Materials and Methods

Two patients (7- and 71-year-old male) with indeterminate retrobulbar masses underwent bioptic and cytological samplings using MR-compatible 18G and 20–22G needles, and multi-planar MR fluoroscopy. An inferior approach was taken to avoid injury to the optic nerve and ophthalmic arteries.

Results

The two biopsies were completed without complication. The core biopsy resulted in a final diagnosis, whereas the cytological sampling was non-diagnostic.

Conclusion

Percutaneous MR-guided retrobulbar mass biopsy proved to be feasible and safe in the two cases described in this report.

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Authors and Affiliations

Authors

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Correspondence to Faramarz Edalat.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Written informed consent was obtained from all individual participants included in this study.

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Edalat, F., Cazzato, R.L., Garnon, J. et al. Percutaneous Biopsy of Retrobulbar Masses: Anatomical Considerations and MRI Guidance. Cardiovasc Intervent Radiol 40, 591–595 (2017). https://doi.org/10.1007/s00270-016-1523-y

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  • DOI: https://doi.org/10.1007/s00270-016-1523-y

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