Figure 14 Use of a Temno cutting needle (Bauer Medical International, Santo Domingo, Dominican Republic) for biopsy of a large L4 vertebral lesion in a 79-year-old man with hepatocellular carcinoma. CT fluoroscopic image taken with the patient lying prone shows the tip of the cutting needle within the soft tissue component of the destructive osteolytic lesion that has extended into the right psoas muscle. Note that the bevelled-point stylet has been advanced in preparation for firing of the cutting cannula.

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