European Journal of Radiology

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European Journal of Radiology The role of ultrasound-guided fine needle aspiration biopsy in musculoskeletal diseases Marco Sperandeo, Francesca Maria Trovato, Nadia Melillo, Lucia Dimitri, Giuseppe Musumeci, Giuseppe Guglielmi European Journal of Radiology Volume 90, Pages 234-244 (May 2017) DOI: 10.1016/j.ejrad.2017.02.042 Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 1 Nodular lesion localized between the muscles of the arm (arrow), at the radial neurovascular bundle: a) MRI imaging; b) US imaging: mass was subcutaneous although limited and homogeneous, ovoid and well encapsulated. Finally diagnosis with surgery biopsy: benign schwannoma. European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 2 Metastatic subcutaneous lesion: a) Biopsy of the hypoechoic rounded lesion by convex probe; b) the same lesion by linear probe. C) PET TC of lesion (with arrow). Diagnosis with US guided biopsy: Metastatic chest wall lesion from clear cell renal carcinoma. European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 3 Cytological and histological material after FNAB with Menghini type semi-automatic biopsy device (BIOMOL, HS). European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 4 Chest wall involvement in light chain multiple myeloma: US guided biopsy of hypoechoic lesion, the needle is visible along the biopsy trajectory (arrow). European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 5 Oval mass surrounding the left iliac crest, involving the iliac muscle and the gluteus minimus (arrow): a) Biopsy was guided by US imaging: metastasis of squamous carcinoma undifferenziated of tongue; b) CT imaging. European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 6 Bone metastasis from lung adenocarcinoma tumour involving iliac crest CT imaging: b) Biopsy was guided by US imaging, the needle is visible along the biopsy trajectory (arrow). The use of color Doppler is crucial during a biopsy, to evaluate the vascularity of the mass and the superficial tissues. European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 7 Metastatic rib fractures at US imaging: inhomogeneous lesion: a) convex probe; b) linear probe. US guided biopsy: metastasis of squamous carcinoma of the lung. European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 8 Metastatic rib fractures from breast ductal carcinoma (arrow): a) CT imaging; b)US imaging: fragmentation of hyperechoic rib edge. Diagnosis with biopsy was guided by US imaging. European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions

Fig. 9 Metastatic subcutaneous lesion of adenocarcinoma of lung cancer: A) CT imaging of lesion (white arrow) b) US image: disomogeneous hypoechoic round image; the needle is visible along the biopsy trajectory (blue arrow). European Journal of Radiology 2017 90, 234-244DOI: (10.1016/j.ejrad.2017.02.042) Copyright © 2017 Elsevier B.V. Terms and Conditions