Flat detector C-arm CT-guided transthoracic needle biopsy of small (≤2.0 cm) pulmonary nodules: diagnostic accuracy and complication in 100 patients

2015 ◽  
Vol 121 (4) ◽  
pp. 268-278 ◽  
Author(s):  
Dechao Jiao ◽  
Huifeng Yuan ◽  
Quanhui Zhang ◽  
Xinwei Han
Keyword(s):  
Diagnostic Accuracy ◽  
Needle Biopsy ◽  
Pulmonary Nodules ◽  
Flat Detector ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided

scholarly journals Diagnostic Accuracy of CT-Guided Transthoracic Needle Biopsy for Solitary Pulmonary Nodules

PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0131373 ◽  
Author(s):  
Wen Yang ◽  
Wenkui Sun ◽  
Qian Li ◽  
Yanwen Yao ◽  
Tangfeng Lv ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Needle Biopsy ◽  
Pulmonary Nodules ◽  
Solitary Pulmonary Nodules ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided

Pitfalls in CT-guided transthoracic needle biopsy of pulmonary nodules.

Radiographics ◽  
1996 ◽  
Vol 16 (5) ◽  
pp. 1073-1084 ◽  
Author(s):  
D F Yankelevitz ◽  
S D Davis ◽  
D A Chiarella ◽  
C I Henschke
Keyword(s):  
Needle Biopsy ◽  
Pulmonary Nodules ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided

scholarly journals Initial Experience in CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Lesions Performed by a Pulmonologist

2019 ◽  
Vol 8 (6) ◽  
pp. 821 ◽  
Author(s):  
June Hong Ahn ◽  
Jong Geol Jang
Keyword(s):  
Diagnostic Accuracy ◽  
Complication Rate ◽  
Predictive Value ◽  
Needle Biopsy ◽  
Diagnostic Yield ◽  
Safe Procedure ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided ◽  
Lung Lesions ◽  
Percutaneous Transthoracic Needle Biopsy

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.

Ct-guided transthoracic needle biopsy following indeterminate fiberoptic bronchoscopy in solitary pulmonary nodules

1998 ◽  
Vol 22 (1) ◽  
pp. 7-10 ◽  
Author(s):  
David F Yankelevitz ◽  
Claudia I Henschke ◽  
June Koizumi ◽  
Daniel M Libby ◽  
Steven Topham ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Fiberoptic Bronchoscopy ◽  
Pulmonary Nodules ◽  
Solitary Pulmonary Nodules ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided

CT-guided transthoracic needle biopsy of small solitary pulmonary nodules

1997 ◽  
Vol 21 (2) ◽  
pp. 107-110 ◽  
Author(s):  
David F. Yankelevitz ◽  
Claudia I. Henschke ◽  
June H. Koizumi ◽  
Nasser K. Altorki ◽  
Daniel Libby
Keyword(s):  
Needle Biopsy ◽  
Pulmonary Nodules ◽  
Solitary Pulmonary Nodules ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided

Full core technology versus notch sampling technology: evaluation of the diagnostic accuracy and the risk of a pneumothorax after transthoracic needle biopsy of suspicious lung lesions

2020 ◽  
pp. 028418512098157
Author(s):  
Christophe Schroeder ◽  
Laura I Loebelenz ◽  
Johannes T Heverhagen ◽  
Gerd Noeldge ◽  
Michael P Brönnimann ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Needle Biopsy ◽  
Diagnostic Yield ◽  
Minimal Invasive ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided ◽  
Technical Success Rate ◽  
Core Technology ◽  
Significant Difference ◽  
Full Core

Background Percutaneous needle biopsy of the lung (PCBL) under image guidance has become a safe and effective minimal invasive method to obtain a specimen related histological diagnosis of pulmonary lesions. Purpose To evaluate the diagnostic yield and safety of two different coaxial biopsy technologies: full core and notch sampling technology. The former allowing the removal of full punch cylinders and the latter using a cutting-edge mechanism. Material and Methods A retrospective analysis of 48 consecutive PCBL procedures has been carried out for this prognostic study, involving patients with a documented pulmonary nodule or mass lesion on previous computed tomography (CT) scans. The study population included 38 men and 10 women (mean age = 67 years). Of these 48 patients who underwent a procedure with a co-axial cutting system, 24 have been performed with notch sampling technology and 24 with full core technology. Results Out of the 48 biopsy procedures, 46 yielded specimens were adequate for histopathological evaluation, consistent with a technical success rate of 96%. The most common induced image-guided biopsy complication was a pneumothorax, occurring in 14 patients (35%). Seven patients with a pneumothorax were attributed to the full core technology and seven to the notch sampling technology (odds ratio = 1, 95% confidence interval = 0.28–3.51, P = 1). Conclusion In the setting of full core versus notch sampling percutaneous CT-guided coaxial needle biopsy of the lung, no significant difference in the diagnostic accuracy and the incidence of pneumothoraces could be shown, while both technologies have an excellent diagnostic performance.

CT-Guided Transthoracic Needle Biopsy of Pulmonary Nodules Smaller than 20mm: Results with an Automated 20-Gauge Coaxial Cutting Needle

2000 ◽  
Vol 55 (4) ◽  
pp. 281-287 ◽  
Author(s):  
F. LAURENT ◽  
V. LATRABE ◽  
B. VERGIER ◽  
M. MONTAUDON ◽  
J.-M. VERNEJOUX ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Pulmonary Nodules ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided ◽  
Cutting Needle

scholarly journals Clinical application of CT and CT-guided percutaneous transthoracic needle biopsy in patients with indeterminate pulmonary nodules

2014 ◽  
Vol 40 (4) ◽  
pp. 380-388
Author(s):  
Luciana Vargas Cardoso ◽  
Arthur Soares Souza Júnior
Keyword(s):  
Clinical Application ◽  
Needle Biopsy ◽  
Smoking Status ◽  
Pulmonary Nodules ◽  
Peripheral Region ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided ◽  
Ct Findings ◽  
Malignant Lesions ◽  
Percutaneous Transthoracic Needle Biopsy

OBJECTIVE: To investigate the clinical application of CT and CT-guided percutaneous transthoracic needle biopsy (CT-PTNB) in patients with indeterminate pulmonary nodules (IPNs). METHODS: We retrospectively studied 113 patients with PNs undergoing CT and CT-PTNB. Variables such as gender, age at diagnosis, smoking status, CT findings, and CT-PTNB techniques were analyzed. Data analysis was performed with the Student's t-test for independent samples the chi-square test, and normal approximation test for comparison of two proportions. RESULTS: Of the 113 patients studied, 68 (60.2%) were male and 78 (69%) were smokers. The diameter of malignant lesions ranged from 2.6 cm to 10.0 cm. Most of the IPNs (85%) were located in the peripheral region. The biopsied IPNs were found to be malignant in 88 patients (77.8%) and benign in 25 (22.2%). Adenocarcinoma was the most common malignant tumor, affecting older patients. The IPN diameter was significantly greater in patients with malignant PNs than in those with benign IPNs (p < 0.001). Having regular contour correlated significantly with an IPN being benign (p = 0.022), whereas spiculated IPNs and bosselated IPNs were more often malignant (in 50.7% and 28.7%, respectively). Homogeneous attenuation and necrosis were more common in patients with malignant lesions (51.9% and 26.9%, respectively) CONCLUSIONS: In our sample, CT and CT-PTNB were useful in distinguishing between malignant and benign IPNs. Advanced age and smoking were significantly associated with malignancy. Certain CT findings related to IPNs (larger diameter, spiculated borders, homogeneous attenuation, and necrosis) were associated with malignancy.

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