This textbook covers key areas and reviews important principles and steps in the preparation for and the performance of spine biopsy.  Image-guided percutaneous biopsy techniques and their application throughout the spinal axis are presented and discussed in detail. The advantages and disadvantages of various spine biopsy instruments are reviewed. Commonly encountered biopsy scenarios are considered in order to help readers effectively manage these situations when they occur in their practices. Clear guidance is offered on patient selection and preparation, which are critical to safe and effective outcomes, and much emphasis is placed on procedural safety, with a focus on complication avoidance and the appropriate reporting of complications.Image-Guided Percutaneous Spine Biopsy will be a welcome one-stop shop providing up-to-date information for all physicians with an interest in the subject, including radiologists, surgeons, and pathologists.

A. Orlando Ortiz, MD, MBA, FACRreceived his BA degree at Columbia College, his MD degree at Harvard Medical School and his MBA degree at West Virginia University. He is a Professor of Radiology and Chairman of the Department of Radiology at Winthrop-University Hospital in Mineola, NY, a clinical campus for Stony Brook University School of Medicine. He is an interventional spine radiologist and received his interventional neuroradiology fellowship training at Columbia University. He is a past-president of the American Society of Spine Radiology and an active member of the North American Spine Society. Dr. Ortiz is widely published in the field of image-guided spine interventions and has presented extensively on these topics at national and international scientific meetings. He has been performing thousands of spine interventions, including spine biopsy, over the past 3 decades and shares his expertise with others at scientific workshops and training courses.

Patient selection/preparation.- Coagulation, Anti-coagulation and spine biopsy.- Sacral biopsy technique.- Lumbar spine biopsy techniques.- Thoracic spine biopsy techniques.- Cervical spine biopsy techniques.- Spine infection.- Spine infection mimics.- Post-op spine biopsy.- Paraspinal soft tissue biopsy.- Pathologic considerations in spine biopsy.- Open biopsy.