BackTable / VI / Topic / Procedure
Bone Marrow Biopsy Procedure
Learn more on the BackTable VI Podcast
BackTable is a knowledge resource for physicians by physicians. Get practical advice on Bone Marrow Biopsy and how to build your practice by listening to the BackTable VI Podcast, reading exclusing BackTable Articles, and following the work of our Contributors.
Stay Up To Date
Bone Marrow Biopsy Indications
• Hematologic disorders such as leukemia, lymphoma, multiple myeloma, anemia, etc.
• Few if any
• Procedure can be performed in setting of thrombocytopenia
• Cellulitis at skin entry site or underlying soft tissue infection should prompt evaluation for different site
• Prior imaging cross sectional imaging of the pelvis
Bone Marrow Biopsy Podcasts
Listen to leading physicians discuss bone marrow biopsy on the BackTable VI Podcast. Get tips, tricks, and expert guidance from your peers and level up your practice.
Most common site for bone marrow biopsy is iliac wing.
CT Guided Bone Marrow Biopsy
• Prone patient with posterior approach
• Advance needle along length of the iliac wing.
• For right iliac wing biopsy, operator stands on patient's left and skin entry site is midline with lateral trajectory
• Seat needle just beyond cortex. Occasionally, helpful to have mallet to assist with seating the needle beyond the cortex
• Remove inner stylet. Aspirate with large volume syringe (20 - 30 mL)
• Following aspiration, advance biopsy device without inner stylet into iliac wing 2-3 cm,
• Can be helpful to gently rock biopsy device to help capture specimen. Many devices have additional tools to assist with specimen capture
Following Successful Aspirate and Bone Biopsy
• Hemostasis with compression
• Apply sterile dressing
• Option to take final pictures confirming no immediate post operative complication
Bone Marrow Biopsy Complications
• Bleeding is most common
• Injury to surround structures
• Patient's can be sore 2-3 days following procedure
• Inadequate sample
Bone Marrow Biopsy Recovery
• 15 minutes bedrest if local only
• Often times, moderate sedation will necessitate more recovery time than actual biopsy
Bone Marrow Biopsy Demos
Watch video walkthroughs of bone marrow biopsy on the BackTable VI expanded content network.
 Cohen MG, McMahon CJ, Kung JW, Wu JS. Comparison of Battery-Powered and Manual Bone Biopsy Systems for Core Needle Biopsy of Sclerotic Bone Lesions. AJR Am J Roentgenol. 2016;206(5):W83‐W86. doi:10.2214/AJR.15.15067
 Lee RK, Ng AW, Griffith JF. CT-guided bone biopsy with a battery-powered drill system: preliminary results. AJR Am J Roentgenol. 2013;201(5):1093‐1095. doi:10.2214/AJR.12.10521
 BackTable, LLC (Producer). (2017, April 14). Ep 1 - BM BX Devices: Jamshidi vs OnControl [Audio podcast]. Retrieved from https://www.backtable.com/shows/vi
Disclaimer: The Materials available on https://www.BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.