RT Journal Article
SR Electronic
T1 Targeting the anterior superior iliac spine yields significantly longer bone marrow cores
JF Journal of Clinical Pathology
JO J Clin Pathol
FD BMJ Publishing Group Ltd and Association of Clinical Pathologists
SP 172
OP 173
DO 10.1136/jclinpath-2017-204686
VO 71
IS 2
A1 Louis Reed
A1 Shirin Attarian
A1 Gopichand Pendurti
A1 Aditi P Singh
A1 Anjali Budhathoki
A1 Simon Abi-Aad
A1 Urvi A Shah
A1 Salem Kim
A1 Kimo Bachiashvili
A1 Jee Young Moon
A1 Mimi Kim
A1 Tarek Elrafei
A1 Karenza Alexis
A1 Marianna Strakhan
A1 Weijuan Li
A1 Ellen Friedman
YR 2018
UL http://jcp.bmj.com/content/71/2/172.abstract
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