Diagnostic Accuracy of MRI-guided Percutaneous Transthoracic Needle Biopsy of Solitary Pulmonary Nodules

2014 ◽  
Vol 38 (2) ◽  
pp. 416-421 ◽  
Author(s):  
Shangang Liu ◽  
Chengli Li ◽  
Xuejuan Yu ◽  
Ming Liu ◽  
Tingyong Fan ◽  
...  
PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0131373 ◽  
Author(s):  
Wen Yang ◽  
Wenkui Sun ◽  
Qian Li ◽  
Yanwen Yao ◽  
Tangfeng Lv ◽  
...  

2019 ◽  
Vol 8 (6) ◽  
pp. 821 ◽  
Author(s):  
June Hong Ahn ◽  
Jong Geol Jang

In the diagnosis of lung lesions, computed tomography (CT)-guided percutaneous transthoracic needle biopsy (PTNB) has a high diagnostic yield and a low complication rate. The procedure is usually performed by interventional radiologists, but the diagnostic yield and safety of CT-guided PTNB when performed by pulmonologists have not been evaluated. A retrospective study of 239 patients who underwent CT-guided PTNB at Yeungnam University Hospital between March 2017 and April 2018 was conducted. A pulmonologist performed the procedure using a co-axial technique with a 20-gauge needle. Then diagnostic yield and safety were assessed. The overall sensitivity, specificity, positive predictive value, and negative predictive value for the diagnosis of malignancy were 96.1% (171/178), 100% (46/46), 100% (171/171), and 86.8% (46/53), respectively. The diagnostic accuracy was 96.9% (217/224) and the overall complication rate was 33.1% (82/248). Pneumothorax, hemoptysis, and hemothorax occurred in 27.0% (67/248), 5.2% (13/248), and 0.8% (2/248) of the patients, respectively. Univariate analyses revealed that pneumothorax requiring chest tube insertion was a significant risk factor (odds ratio, 25.0; p < 0.001) for diagnostic failure. CT-guided PTNB is a safe procedure with a high diagnostic accuracy, even when performed by an inexperienced pulmonologist. The results were similar to those achieved by interventional radiologists as reported in previously published studies.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Nantaka Kiranantawat ◽  
Shaunagh McDermott ◽  
Florian J. Fintelmann ◽  
Sydney B. Montesi ◽  
Melissa C. Price ◽  
...  

1998 ◽  
Vol 22 (1) ◽  
pp. 7-10 ◽  
Author(s):  
David F Yankelevitz ◽  
Claudia I Henschke ◽  
June Koizumi ◽  
Daniel M Libby ◽  
Steven Topham ◽  
...  

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