Targeting the anterior superior iliac spine yields significantly longer bone marrow cores

Louis Reed; Shirin Attarian; Gopichand Pendurti; Aditi P. Singh; Anjali Budhathoki; Simon Abi-Aad; Urvi A. Shah; Salem Kim; Kimo Bachiashvili; Jee Young Moon; Mimi Kim; Tarek Elrafei; Karenza Alexis; Marianna Strakhan; Weijuan Li; Ellen Friedman

doi:10.1136/jclinpath-2017-204686

Targeting the anterior superior iliac spine yields significantly longer bone marrow cores

Louis Reed, Shirin Attarian, Gopichand Pendurti, Aditi P. Singh, Anjali Budhathoki, Simon Abi-Aad, Urvi A. Shah, Salem Kim, Kimo Bachiashvili, Jee Young Moon, Mimi Kim, Tarek Elrafei, Karenza Alexis, Marianna Strakhan, Weijuan Li, Ellen Friedman

Epidemiology & Population Health

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Pathologists and haematologists generally agree that the length of the biopsy core is a good surrogate for the diagnostic quality of the bone marrow. Previous studies suggested that the angulation of the biopsy needle from the posterior superior iliac spine (PSIS) could influence the length of the biopsy cores, targeting the anterior superior iliac spine (ASIS) from the PSIS would yield longer specimens than the traditional angulation technique (TAT), where the biopsy needle is directed straight in, perpendicular to the plane of the back. Twenty five adult haematology patients were prospectively recruited by haematologists-in-Training (HITs), who were trained to target the ASIS using a lateral angulationtechnique (LAT). The mean length of biopsy cores was 16 mm and that was significantly longer (p=0.003) than a comparable group of bone marrow biopsies previously obtained by HITs using the TAT approach. These results support the LAT as a new standard of haematology practice. Trial registration number NCT 02524613

Original language	English (US)
Pages (from-to)	172-173
Number of pages	2
Journal	Journal of Clinical Pathology
Volume	71
Issue number	2
DOIs	https://doi.org/10.1136/jclinpath-2017-204686
State	Published - Feb 1 2018

Keywords

bone marrow
bone marrow trephines
hematopathology

ASJC Scopus subject areas

Pathology and Forensic Medicine

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10.1136/jclinpath-2017-204686

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Reed, L., Attarian, S., Pendurti, G., Singh, A. P., Budhathoki, A., Abi-Aad, S., Shah, U. A., Kim, S., Bachiashvili, K., Moon, J. Y., Kim, M., Elrafei, T., Alexis, K., Strakhan, M., Li, W., & Friedman, E. (2018). Targeting the anterior superior iliac spine yields significantly longer bone marrow cores. Journal of Clinical Pathology, 71(2), 172-173. https://doi.org/10.1136/jclinpath-2017-204686

Reed, L, Attarian, S, Pendurti, G, Singh, AP, Budhathoki, A, Abi-Aad, S, Shah, UA, Kim, S, Bachiashvili, K, Moon, JY , Kim, M, Elrafei, T, Alexis, K, Strakhan, M, Li, W & Friedman, E 2018, 'Targeting the anterior superior iliac spine yields significantly longer bone marrow cores', Journal of Clinical Pathology, vol. 71, no. 2, pp. 172-173. https://doi.org/10.1136/jclinpath-2017-204686

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abstract = "Pathologists and haematologists generally agree that the length of the biopsy core is a good surrogate for the diagnostic quality of the bone marrow. Previous studies suggested that the angulation of the biopsy needle from the posterior superior iliac spine (PSIS) could influence the length of the biopsy cores, targeting the anterior superior iliac spine (ASIS) from the PSIS would yield longer specimens than the traditional angulation technique (TAT), where the biopsy needle is directed straight in, perpendicular to the plane of the back. Twenty five adult haematology patients were prospectively recruited by haematologists-in-Training (HITs), who were trained to target the ASIS using a lateral angulationtechnique (LAT). The mean length of biopsy cores was 16 mm and that was significantly longer (p=0.003) than a comparable group of bone marrow biopsies previously obtained by HITs using the TAT approach. These results support the LAT as a new standard of haematology practice. Trial registration number NCT 02524613",

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AU - Abi-Aad, Simon

AU - Shah, Urvi A.

AU - Kim, Salem

AU - Bachiashvili, Kimo

AU - Moon, Jee Young

AU - Kim, Mimi

AU - Elrafei, Tarek

AU - Alexis, Karenza

AU - Strakhan, Marianna

AU - Li, Weijuan

AU - Friedman, Ellen

N1 - Publisher Copyright: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

PY - 2018/2/1

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N2 - Pathologists and haematologists generally agree that the length of the biopsy core is a good surrogate for the diagnostic quality of the bone marrow. Previous studies suggested that the angulation of the biopsy needle from the posterior superior iliac spine (PSIS) could influence the length of the biopsy cores, targeting the anterior superior iliac spine (ASIS) from the PSIS would yield longer specimens than the traditional angulation technique (TAT), where the biopsy needle is directed straight in, perpendicular to the plane of the back. Twenty five adult haematology patients were prospectively recruited by haematologists-in-Training (HITs), who were trained to target the ASIS using a lateral angulationtechnique (LAT). The mean length of biopsy cores was 16 mm and that was significantly longer (p=0.003) than a comparable group of bone marrow biopsies previously obtained by HITs using the TAT approach. These results support the LAT as a new standard of haematology practice. Trial registration number NCT 02524613

AB - Pathologists and haematologists generally agree that the length of the biopsy core is a good surrogate for the diagnostic quality of the bone marrow. Previous studies suggested that the angulation of the biopsy needle from the posterior superior iliac spine (PSIS) could influence the length of the biopsy cores, targeting the anterior superior iliac spine (ASIS) from the PSIS would yield longer specimens than the traditional angulation technique (TAT), where the biopsy needle is directed straight in, perpendicular to the plane of the back. Twenty five adult haematology patients were prospectively recruited by haematologists-in-Training (HITs), who were trained to target the ASIS using a lateral angulationtechnique (LAT). The mean length of biopsy cores was 16 mm and that was significantly longer (p=0.003) than a comparable group of bone marrow biopsies previously obtained by HITs using the TAT approach. These results support the LAT as a new standard of haematology practice. Trial registration number NCT 02524613

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Targeting the anterior superior iliac spine yields significantly longer bone marrow cores

Abstract

Keywords

ASJC Scopus subject areas

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