Comparison between 1-needle technique versus 2-needle technique for bone marrow aspiration and biopsy procedures

Alyaa Al-Ibraheemi, Tiffany Pham, Lei Chen, Erica Syklawer, Andres Quesada, Amer Wahed, Elena Nedelcu, Andy N D Nguyen

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Context. - Bone marrow examination is essential for diagnosis and staging of hematologic disorders. Traditionally, the bone marrow biopsy and aspirate are obtained with 2 needles at 2 separate sites. This approach is associated with significant discomfort, procedural time, and occasionally, morbidity. Although previous observations had suggested that a single-needle technique at one site is a simpler and less-painful procedure, there had been concern that the 1-needle technique may yield a suboptimal biopsy for diagnosis. Objective. - To conduct a systematic comparison of multiple parameters of bone marrow biopsy specimens obtained by the traditional 2-needle technique versus the 1-needle technique for bone marrow collection. Design. - We retrospectively evaluated 20 biopsy specimens obtained by each of the 2 mentioned techniques by comparing the morphologic quality of the biopsy, biopsy length, and biopsy cellularity. Results. - We found that the 1-needle technique yielded an adequate biopsy for diagnosis. The measured parameters of the samples obtained by the 1-needle versus 2-needle techniques were similar. Conclusion. - This study suggests that the 1-needle technique may be preferred for bone marrow aspirate and biopsy.

Original languageEnglish (US)
Pages (from-to)974-978
Number of pages5
JournalArchives of Pathology and Laboratory Medicine
Volume137
Issue number7
DOIs
StatePublished - Jul 2013
Externally publishedYes

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Needle Biopsy
Needles
Bone Marrow
Biopsy
Bone Marrow Examination
Morbidity

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

Cite this

Comparison between 1-needle technique versus 2-needle technique for bone marrow aspiration and biopsy procedures. / Al-Ibraheemi, Alyaa; Pham, Tiffany; Chen, Lei; Syklawer, Erica; Quesada, Andres; Wahed, Amer; Nedelcu, Elena; Nguyen, Andy N D.

In: Archives of Pathology and Laboratory Medicine, Vol. 137, No. 7, 07.2013, p. 974-978.

Research output: Contribution to journalArticle

Al-Ibraheemi, A, Pham, T, Chen, L, Syklawer, E, Quesada, A, Wahed, A, Nedelcu, E & Nguyen, AND 2013, 'Comparison between 1-needle technique versus 2-needle technique for bone marrow aspiration and biopsy procedures', Archives of Pathology and Laboratory Medicine, vol. 137, no. 7, pp. 974-978. https://doi.org/10.5858/arpa.2012-0046-OA
Al-Ibraheemi, Alyaa ; Pham, Tiffany ; Chen, Lei ; Syklawer, Erica ; Quesada, Andres ; Wahed, Amer ; Nedelcu, Elena ; Nguyen, Andy N D. / Comparison between 1-needle technique versus 2-needle technique for bone marrow aspiration and biopsy procedures. In: Archives of Pathology and Laboratory Medicine. 2013 ; Vol. 137, No. 7. pp. 974-978.
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