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Bone biopsy using image guidanceBBone biopsy using image guidanceBone biopsy using image guidanceEnglishOtherChild (0-12 years);Teen (13-18 years)NABonesTestsCaregivers Adult (19+)NA2016-02-09T05:00:00ZCandice Sockett, RN(EC), MN:APN;Michelle Cote, BScN, RN;Joao Amaral, MD8.0000000000000063.00000000000001105.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn what a bone biopsy is and how it is done using image guidance.</p><h2>What is a bone biopsy?</h2> <p>A bone biopsy is a procedure to take small pieces from one of your child's bones with a special needle. The small pieces of bone are then looked at in the laboratory under a microscope.</p> <p>A bone biopsy is done using image guidance by an interventional radiologist.</p><h2>Key points</h2> <ul> <li>A bone biopsy is a procedure using imaging and a needle to remove small pieces of bone so that tests can be done on them.</li> <li>During the procedure, your child will be given a general anaesthetic.</li> <li>Your child will likely be able to go home from the hospital about four to six hours after the procedure.</li> </ul><h2>On the day of the bone biopsy</h2><p>Arrive at the hospital two hours before the planned time of your child’s procedure. Once you are checked in, your child will be dressed in a hospital gown, weighed and assessed by a nurse. You will also be able to speak to the interventional radiologist who will be doing the bone biopsy and the anaesthetist who will be giving your child medication to make them comfortable for the procedure.</p><p>During the bone biopsy, you will be asked to wait in the surgical waiting room.</p><h2>Your child will have medicine for pain</h2><p>Children are given medicine for treatments that may be frightening, uncomfortable or painful. This includes <a href="/Article?contentid=3001&language=English">local anaesthesia</a>, <a href="/Article?contentid=1260&language=English">sedation</a> or <a href="/Article?contentid=1261&language=English">general anaesthesia</a>. For a bone biopsy, most children are given a general anaesthetic.</p><h2>How a bone biopsy is done</h2><p>The interventional radiologist uses X-rays, ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI) to find the part of the bone that needs to be looked at more closely. Using image guidance, the radiologist inserts a special needle to get small pieces of the bone. These pieces are the width of a thick needle (1 to 3 mm) and usually about 2 to 3 cm (about 1 inch) long.</p><p>Usually two or three samples are taken. The samples are then sent to a lab, where they are looked at closely and tests are done.</p><p>A bone biopsy usually takes one to two hours.</p> <figure><span class="asset-image-title">Bone </span><span class="asset-image-title">biopsy</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_bone_biopsy_EN.jpg" alt="" /><figcaption class="asset-image-caption">During</figcaption><figcaption class="asset-image-caption"> a bone biopsy, the doctor takes out small pieces of bone using a special needle. The bone samples are examined in the laboratory under a microscope.</figcaption> </figure><h2>After the bone biopsy</h2> <p>Once the bone biopsy is complete, your child will be moved to the recovery area. The interventional radiologist will come and talk to you about the details of the procedure. As soon as your child starts to wake up, a nurse will come and get you.</p> <h2>Going home</h2> <p>How much time your child stays in the hospital depends on the type of bone biopsy and how your child feels after the procedure. Some children have a bone biopsy and go home the same day. If your child’s doctor has arranged this, your child will be ready to go home about four to six hours after the bone biopsy. Occasionally some children will stay overnight after a bone biopsy for observation.</p><h2>Visiting the interventional radiologist before the procedure</h2><p>Your child will have a clinic visit with the interventional radiologist before the procedure. During the visit you should expect:</p><ul><li>A health assessment to make sure your child is healthy and that it is safe to have <a href="/Article?contentid=1261&language=English">general anaesthesia</a> and to go ahead with the procedure.</li><li>An overview of the procedure, and a review of the consent form with an interventional radiologist.</li><li>Blood work, if needed.</li></ul><h2>Giving consent before the procedure</h2><p>Before the procedure, the interventional radiologist will go over how and why the procedure is done, as well as the potential benefits and risks. They will also discuss what will be done to reduce these risks, and will help you weigh any benefits against the risks. It is important that you understand all of these potential risks and benefits of the bone biopsy and that all of your questions are answered. If you agree to the procedure, you can give consent for treatment by signing the consent form. A parent or legal guardian must sign the consent form for young children. The procedure will not be done unless you give your consent.</p><h2>How to prepare your child for the procedure</h2><p>Before any treatment, it is important to talk to your child about what will happen. When talking to your child, use words they can understand. Let your child know that medicines will be given to make them feel comfortable during the procedure.</p><p>Children feel less anxious and scared when they know what to expect. Children also feel less worried when they see their parents are calm and supportive.</p><h2>If your child becomes ill within two days before the procedure</h2><p>It is important that your child is healthy on the day of the procedure. If your child starts to feel unwell or has a fever within two days before the biopsy, let you doctor know. Your child’s procedure may need to be rebooked.</p><h2>Food, drink, and medicines before the procedure</h2><ul><li> <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/Eating-guidelines/index.html">Your child’s stomach must be empty</a> before sedation or general anaesthetic.</li><li>If your child has special needs during fasting, talk to your doctor to make a plan.</li><li>Your child can take their regular morning medicine with a sip of water two hours before the procedure.</li><li>Medicines such as <a href="/Article?contentid=77&language=English">acetylsalicylic acid (ASA)</a>, <a href="/Article?contentid=198&language=English">naproxen</a> or <a href="/Article?contentid=153&language=English">ibuprofen</a>, <a href="/Article?contentid=265&language=English">warfarin</a>, or <a href="/Article?contentid=129&language=English">enoxaparin</a> may increase the risk of bleeding. Do not give these to your child before the procedure unless they have been cleared first by their doctor and the interventional radiologist.</li></ul><h2>At SickKids</h2> <p>At SickKids, the interventional radiologists work in the <a href="http://www.sickkids.ca/diagnosticimaging/what-we-do/image-guided-therapy/index.html">Department of Diagnostic Imaging – Division of Image Guided Therapy (IGT)</a>. You can call the IGT clinic at (416) 813-6054 and speak to the clinic nurse during working hours (8:00 to 15:00) or leave a message with the IGT clinic nurse.</p> <p>For more information on fasting see <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/Eating-guidelines/index.html">Eating and drinking before surgery</a>.</p> <p>For more information on preparing your child for their procedure see <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/index.html">Coming for surgery</a>.</p>
Biopsie de l’os guidée par l’imageBBiopsie de l’os guidée par l’imageBone biopsy using image guidanceFrenchOtherChild (0-12 years);Teen (13-18 years)NABonesTestsCaregivers Adult (19+)NA2016-02-09T05:00:00ZCandice Sockett, RN(EC), MN:APN;Michelle Cote, BScN, RN;Joao Amaral, MD8.0000000000000063.00000000000001105.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Découvrez ce qu’est une biopsie de l’os et comment elle se déroule à l'aide du guidage par l’image.</p><h2>Qu’est-ce qu’une biopsie de l’os?</h2> <p>Il s'agit d'une intervention au cours de laquelle on prélève au moyen d’une aiguille spéciale de petits échantillons de l’un des os de votre enfant. Les petits échantillons sont ensuite examinés en laboratoire au microscope.</p> <p>Un radiologiste d’intervention fait la biopsie de l’os en utilisant le guidage par l'image.</p><h2>À retenir</h2> <ul> <li>Une biopsie de l’os est une intervention guidée par l’image. Au cours de celle-ci, on prélève de petits échantillons de l’os au moyen d’une aiguille afin de pouvoir les analyser.</li> <li>On administre une anesthésie générale à votre enfant durant la biopsie.</li> <li>Votre enfant pourra probablement retourner à la maison dans les quatre à six heures suivant la biopsie.</li> </ul><h2>Le jour de la biopsie</h2><p>Rendez-vous à l’hôpital deux heures avant l’heure prévue de l’intervention. Après son admission, le personnel infirmier revêt votre enfant d’une blouse d’hôpital, le pèse et évalue son état de santé. Vous pourriez parler au radiologiste d’intervention et à l’anesthésiste. Celui-ci administre les médicaments qui mettront votre enfant à l’aise.</p><p>Durant la biopsie, on vous demande d’attendre dans la salle d’attente de la chirurgie.</p><h2>Votre enfant prendra des médicaments antidouleur</h2><p>On administre des médicaments aux enfants pour des soins qui peuvent être effrayants, inconfortables ou douloureux Il peut s’agir d’un <a href="/Article?contentid=3001&language=French">anesthésique local</a>, d'une <a href="/Article?contentid=1260&language=French">sédation</a> ou d'une <a href="/Article?contentid=1261&language=French">anesthésie générale</a>. Pour une biopsie de l’os, la plupart des enfants reçoivent une anesthésie générale.</p><h2>Déroulement de la biopsie</h2><p>Le radiologiste utilise l’échographie, les rayons X, la tomodensitométrie ou la résonance magnétique pour situer la région de l'os à examiner de plus près. Guidé par l’image, Il insère une aiguille spéciale dans cette région et il prélève de petits échantillons de l’os. Ces échantillons ont la largeur d’une aiguille épaisse (1 à 3 mm) et mesurent en général environ 2 à 3 cm (à peu près 1 pouce) de longueur. En général, il prélève deux ou trois échantillons. </p><p>Ces derniers sont envoyés à un laboratoire où ils sont examinés avec soin et analysés. </p><p>La biopsie dure normalement entre une et deux heures.</p> <figure> <span class="asset-image-title">Biopsie de </span><span class="asset-image-title">l’os</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_bone_biopsy_FR.jpg" alt="" /><figcaption class="asset-image-caption">Durant</figcaption><figcaption class="asset-image-caption"> une biopsie de l'os, le médecin fait de petits prélèvements de l'os avec une aiguille spéciale. Les échantillons sont examinés en laboratoire au microscope.</figcaption> </figure><h2>Après l'intervention</h2> <p>Après la biopsie, votre enfant sera conduit dans la salle de réveil. Le radiologiste viendra vous faire part du déroulement de l’intervention. Dès que votre enfant se réveillera, le personnel infirmier viendra vous chercher.</p> <h2>Retour à la maison</h2> <p>La durée du séjour à l'hôpital de votre enfant dépend du genre de biopsie osseuse qu’il a subie et de la manière dont il se sent après l'intervention. Certains enfants retournent à la maison le jour même. Si son médecin l’a prévu, votre enfant pourra partir dans les quatre à six heures suivant la biopsie. À l’occasion, des enfants doivent passer la nuit à l’hôpital en observation.</p><h2>Consultation avec le radiologiste avant la biopsie</h2><p>Votre enfant consultera le radiologiste d’intervention pour une pré-évaluation. Lors du rendez-vous à la clinique, il faut s’attendre :</p><ul><li>à une évaluation de l’état de santé de votre enfant. On veut établir qu’on peut lui administrer sans danger une <a href="/Article?contentid=1261&language=French">anesthésie générale</a> et qu’on peut procéder à la biopsie;</li><li>à une explication du déroulement de la biopsie et à une revue du formulaire de consentement par un radiologiste d’intervention;</li><li>au besoin, à des analyses de sang.</li></ul><h2>Accorder son consentement</h2><p>Avant de procéder, le radiologiste explique le déroulement et la raison-d'être de l'intervention et il expose ses bienfaits et les risques qui y sont associés. Il énonce les mesures prévues pour réduire ces risques et il vous aide à mettre en balance les bienfaits et les risques. Il importe de comprendre tous les risques et les bienfaits possibles de la biopsie. Assurez-vous d’obtenir des réponses à toutes vos questions. En signant le formulaire de consentement, vous acceptez l’intervention. C'est le parent ou le tuteur légal qui doit signer le formulaire à la place d'un jeune enfant. Sans votre consentement, on ne procédera pas.<br></p><h2>Pour préparer votre enfant</h2><p>Avant qu'on lui donne des soins, il importe de parler à votre enfant de ce qui va se passer. Utilisez des mots qu'il peut comprendre. Dites-lui qu’il recevra des médicaments qui le mettront à l’aise pendant l’intervention.</p><p>Les enfants sont moins anxieux et ont moins peur quand ils savent ce qui les attend. Les enfants sont aussi moins inquiets quand leurs parents sont calmes et démontrent leur soutien.</p><h2>Si votre enfant tombe malade dans les deux jours précédant la biopsie</h2><p>Il est important que votre enfant soit en bonne santé le jour de la biopsie. S’il se sent mal ou a une fièvre dans les deux jours qui la précèdent, prévenez votre médecin. Il se peut que l'intervention doive être reportée.</p><h2>Boire, manger et prendre des médicaments</h2><ul><li> <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/Eating-guidelines/index.html">L’estomac de votre enfant​ </a> (en anglais) doit être vide avant une sédation ou une anesthésie générale.</li><li>Si votre enfant a des besoins particuliers pendant le jeûne, adressez-vous à votre médecin.</li><li>Votre enfant peut prendre ses médicaments habituels du matin avec une gorgée d’eau jusqu’à deux heures avant l’intervention.</li><li>Les médicaments tels que l'<a href="/Article?contentid=77&language=French">acide acétylsalicylique (AAS)</a>, le <a href="/Article?contentid=198&language=French">naproxen</a>, l'<a href="/Article?contentid=153&language=French">ibuprofène</a>, le <a href="/Article?contentid=265&language=French">warfarine</a>, ou l'<a href="/Article?contentid=129&language=French">énoxaparine</a> augmentent le risque de saignement. Ne pas administrer ces médicaments à votre enfant avant l’intervention sans l’autorisation de son médecin et du radiologiste d’intervention.</li></ul><h2>À l'hôpital SickKids</h2> <p>À l'hôpital SickKids, les radiologistes d’intervention sont affectés au <a href="http://www.sickkids.ca/diagnosticimaging/what-we-do/image-guided-therapy/index.html">Service d’imagerie diagnostique à la Clinique de la thérapie guidée par image </a> (en anglais). Pour joindre la clinique, faire le 416-813-6504. Vous pouvez parler au personnel durant les heures de travail, entre 8 h et 15 h, ou encore lui demander de transmettre un message.</p> <p>Pour en savoir plus sur le jeûne, lire la section portant sur <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/Eating-guidelines/index.html">boire et manger avant une chirurgie </a> (en anglais).</p> <p>Pour savoir comment bien préparer votre enfant, lire la section portant sur <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/index.html">se préparer à une chirurgie​</a> (en anglais).</p>

 

 

Bone biopsy using image guidance2443.00000000000Bone biopsy using image guidanceBone biopsy using image guidanceBEnglishOtherChild (0-12 years);Teen (13-18 years)NABonesTestsCaregivers Adult (19+)NA2016-02-09T05:00:00ZCandice Sockett, RN(EC), MN:APN;Michelle Cote, BScN, RN;Joao Amaral, MD8.0000000000000063.00000000000001105.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn what a bone biopsy is and how it is done using image guidance.</p><h2>What is a bone biopsy?</h2> <p>A bone biopsy is a procedure to take small pieces from one of your child's bones with a special needle. The small pieces of bone are then looked at in the laboratory under a microscope.</p> <p>A bone biopsy is done using image guidance by an interventional radiologist.</p><h2>Reasons for a bone biopsy</h2> <p>A bone biopsy can help doctors find out what might be wrong with your child’s bones. It can help in the diagnosis of an infection. It can also help doctors learn about how your child’s disease is changing.</p><h2>Key points</h2> <ul> <li>A bone biopsy is a procedure using imaging and a needle to remove small pieces of bone so that tests can be done on them.</li> <li>During the procedure, your child will be given a general anaesthetic.</li> <li>Your child will likely be able to go home from the hospital about four to six hours after the procedure.</li> </ul><h2>Caring for your child at home</h2> <p>Some children may feel pain or discomfort after the bone biopsy for the first day or two. If this happens, give your child <a href="/Article?contentid=62&language=English">acetaminophen</a> as directed by your child's doctor.</p> <p>For more details on how to care for your child after a bone biopsy, see <a href="/Article?contentid=1229&language=English">Bone biopsy: Caring for your child at home after the procedure</a>.</p><h2>Results</h2> <p>Your referring doctor will receive the results of your child’s bone biopsy. You will need to make an appointment with them to discuss the results.</p><h2>On the day of the bone biopsy</h2><p>Arrive at the hospital two hours before the planned time of your child’s procedure. Once you are checked in, your child will be dressed in a hospital gown, weighed and assessed by a nurse. You will also be able to speak to the interventional radiologist who will be doing the bone biopsy and the anaesthetist who will be giving your child medication to make them comfortable for the procedure.</p><p>During the bone biopsy, you will be asked to wait in the surgical waiting room.</p><h2>Your child will have medicine for pain</h2><p>Children are given medicine for treatments that may be frightening, uncomfortable or painful. This includes <a href="/Article?contentid=3001&language=English">local anaesthesia</a>, <a href="/Article?contentid=1260&language=English">sedation</a> or <a href="/Article?contentid=1261&language=English">general anaesthesia</a>. For a bone biopsy, most children are given a general anaesthetic.</p><h2>How a bone biopsy is done</h2><p>The interventional radiologist uses X-rays, ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI) to find the part of the bone that needs to be looked at more closely. Using image guidance, the radiologist inserts a special needle to get small pieces of the bone. These pieces are the width of a thick needle (1 to 3 mm) and usually about 2 to 3 cm (about 1 inch) long.</p><p>Usually two or three samples are taken. The samples are then sent to a lab, where they are looked at closely and tests are done.</p><p>A bone biopsy usually takes one to two hours.</p> <figure><span class="asset-image-title">Bone </span><span class="asset-image-title">biopsy</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_bone_biopsy_EN.jpg" alt="" /><figcaption class="asset-image-caption">During</figcaption><figcaption class="asset-image-caption"> a bone biopsy, the doctor takes out small pieces of bone using a special needle. The bone samples are examined in the laboratory under a microscope.</figcaption> </figure><h2>After the bone biopsy</h2> <p>Once the bone biopsy is complete, your child will be moved to the recovery area. The interventional radiologist will come and talk to you about the details of the procedure. As soon as your child starts to wake up, a nurse will come and get you.</p> <h2>Going home</h2> <p>How much time your child stays in the hospital depends on the type of bone biopsy and how your child feels after the procedure. Some children have a bone biopsy and go home the same day. If your child’s doctor has arranged this, your child will be ready to go home about four to six hours after the bone biopsy. Occasionally some children will stay overnight after a bone biopsy for observation.</p><h2>Visiting the interventional radiologist before the procedure</h2><p>Your child will have a clinic visit with the interventional radiologist before the procedure. During the visit you should expect:</p><ul><li>A health assessment to make sure your child is healthy and that it is safe to have <a href="/Article?contentid=1261&language=English">general anaesthesia</a> and to go ahead with the procedure.</li><li>An overview of the procedure, and a review of the consent form with an interventional radiologist.</li><li>Blood work, if needed.</li></ul><h2>Giving consent before the procedure</h2><p>Before the procedure, the interventional radiologist will go over how and why the procedure is done, as well as the potential benefits and risks. They will also discuss what will be done to reduce these risks, and will help you weigh any benefits against the risks. It is important that you understand all of these potential risks and benefits of the bone biopsy and that all of your questions are answered. If you agree to the procedure, you can give consent for treatment by signing the consent form. A parent or legal guardian must sign the consent form for young children. The procedure will not be done unless you give your consent.</p><h2>How to prepare your child for the procedure</h2><p>Before any treatment, it is important to talk to your child about what will happen. When talking to your child, use words they can understand. Let your child know that medicines will be given to make them feel comfortable during the procedure.</p><p>Children feel less anxious and scared when they know what to expect. Children also feel less worried when they see their parents are calm and supportive.</p><h2>If your child becomes ill within two days before the procedure</h2><p>It is important that your child is healthy on the day of the procedure. If your child starts to feel unwell or has a fever within two days before the biopsy, let you doctor know. Your child’s procedure may need to be rebooked.</p><h2>Food, drink, and medicines before the procedure</h2><ul><li> <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/Eating-guidelines/index.html">Your child’s stomach must be empty</a> before sedation or general anaesthetic.</li><li>If your child has special needs during fasting, talk to your doctor to make a plan.</li><li>Your child can take their regular morning medicine with a sip of water two hours before the procedure.</li><li>Medicines such as <a href="/Article?contentid=77&language=English">acetylsalicylic acid (ASA)</a>, <a href="/Article?contentid=198&language=English">naproxen</a> or <a href="/Article?contentid=153&language=English">ibuprofen</a>, <a href="/Article?contentid=265&language=English">warfarin</a>, or <a href="/Article?contentid=129&language=English">enoxaparin</a> may increase the risk of bleeding. Do not give these to your child before the procedure unless they have been cleared first by their doctor and the interventional radiologist.</li></ul><h2>Risks of a bone biopsy</h2> <p>Bone biopsies are usually a low-risk procedure. The risk may increase depending on your child’s condition, age and health, and the location of the lesion.</p> <p>The potential risks of a bone biopsy include:</p> <ul> <li>bleeding</li> <li>infection</li> <li>fracture of a bone</li> <li>damage to an adjacent nerve, muscle or blood vessel</li> <li>needle injury to a nearby organ</li> </ul><h2>At SickKids</h2> <p>At SickKids, the interventional radiologists work in the <a href="http://www.sickkids.ca/diagnosticimaging/what-we-do/image-guided-therapy/index.html">Department of Diagnostic Imaging – Division of Image Guided Therapy (IGT)</a>. You can call the IGT clinic at (416) 813-6054 and speak to the clinic nurse during working hours (8:00 to 15:00) or leave a message with the IGT clinic nurse.</p> <p>For more information on fasting see <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/Eating-guidelines/index.html">Eating and drinking before surgery</a>.</p> <p>For more information on preparing your child for their procedure see <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/index.html">Coming for surgery</a>.</p>https://assets.aboutkidshealth.ca/akhassets/IMD_bone_biopsy_EN.jpgBone biopsy using image guidance

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