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.
References
Czerniak B, Woyke S, Daniel B, Krzysztolik Z, Koss LG. Diagnosis of orbital tumors by aspiration biopsy guided by computerized tomography. Cancer. 1984;54(11):2385–9.
Dubois PJ, Kennerdell JS, Rosenbaum AE, Dekker A, Johnson BR, Swink CA. Computed tomographic localization for fine needle aspiration biopsy of orbital tumors. Radiology. 1979;131(1):149–52.
Gupta S, Sood B, Gulati M, et al. Orbital mass lesions: US-guided fine-needle aspiration biopsy–experience in 37 patients. Radiology. 1999;213(2):568–72.
Kennerdell JS, Dubois PJ, Dekker A, Johnson BL. CT-guided fine needle aspiration biopsy of orbital optic nerve tumors. Ophthalmology. 1980;87(6):491–6.
Pfortner R, Mohr C, Daamen J, Metz A. Orbital tumors: operative and therapeutic strategies. Facial Plast Surg. 2014;30(5):570–7.
Ro SR, Asbach P, Siebert E, Bertelmann E, Hamm B, Erb-Eigner K. Characterization of orbital masses by multiparametric MRI. Eur J Radiol. 2016;85(2):324–36.
Saeed M, Hetts SW, English J, Wilson M. MR fluoroscopy in vascular and cardiac interventions (review). Int J Cardiovasc Imaging. 2012;28(1):117–37.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
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.
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-016-1523-y