CT-Guided Cutting Needle Biopsy of Lung Lesions — Safety and Efficacy of an Out-patient Service

2000 ◽  
Vol 55 (12) ◽  
pp. 964-969 ◽  
Author(s):  
M.J. CHARIG ◽  
A.J. PHILLIPS
Keyword(s):  
Needle Biopsy ◽  
Ct Guided ◽  
Safety And Efficacy ◽  
Lung Lesions ◽  
Patient Service ◽  
Cutting Needle

scholarly journals Coaxial technique-promoted diagnostic accuracy of CT-guided percutaneous cutting needle biopsy for small and deep lung lesions

PLoS ONE ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. e0192920 ◽  
Author(s):  
Lu Zhang ◽  
Lei Shi ◽  
Zhiping Xiao ◽  
Hong Qiu ◽  
Ping Peng ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Needle Biopsy ◽  
Ct Guided ◽  
Lung Lesions ◽  
Cutting Needle

CT-guided cutting needle biopsy of lung lesions—An effective procedure for adequate material and specific diagnose

2011 ◽  
Vol 80 (3) ◽  
pp. e488-e490 ◽  
Author(s):  
Marcos Duarte Guimaraes ◽  
Marcony Queiroz de Andrade ◽  
Alexandre Calabria da Fonte ◽  
Rubens Chojniak ◽  
Jefferson Luiz Gross
Keyword(s):  
Needle Biopsy ◽  
Effective Procedure ◽  
Ct Guided ◽  
Lung Lesions ◽  
Cutting Needle

Risk Factors for Pneumothorax and Bleeding after CT-guided Percutaneous Coaxial Cutting Needle Biopsy of Lung Lesions

2001 ◽  
Vol 12 (11) ◽  
pp. 1305-1312 ◽  
Author(s):  
Kee-Min Yeow ◽  
Lai-Chu See ◽  
Kar-Wai Lui ◽  
Meng-Chih Lin ◽  
Thomas Chang-Yao Tsao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Needle Biopsy ◽  
Ct Guided ◽  
Lung Lesions ◽  
Cutting Needle

CT-guided Transthoracic Needle Biopsy with an 18-Guage Automated Cutting Needle: Diagnostic benefits and safety

2007 ◽  
Vol 56 (4) ◽  
pp. 339
Author(s):  
Hee-Sun Yang ◽  
Yun-Hyeon Kim ◽  
Hyun-Ju Sun ◽  
Woong Yoon ◽  
Jae-Kyu Kim ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided ◽  
Cutting Needle

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.

Percutaneous CT-guided cutting needle biopsy in diffuse pleural thickening

1994 ◽  
Vol 49 (10) ◽  
pp. 742-743
Author(s):  
T.J. Marshall ◽  
E. Scott ◽  
C.D.R. Flower ◽  
S. Stewart
Keyword(s):  
Needle Biopsy ◽  
Ct Guided ◽  
Pleural Thickening ◽  
Diffuse Pleural Thickening ◽  
Cutting Needle

scholarly journals CT guided lung biopsy complications: a single centre prospective study

2018 ◽  
Vol 6 (9) ◽  
pp. 2943
Author(s):  
Mohd Farooq Mir ◽  
Muzafar Ahmed Naik ◽  
Javid Ahmed Malik
Keyword(s):  
Prospective Study ◽  
Needle Biopsy ◽  
Lung Biopsy ◽  
Pulmonary Haemorrhage ◽  
Complication Rates ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided ◽  
Lung Lesions ◽  
Peripheral Lung ◽  
Percutaneous Transthoracic Needle Biopsy

Background: Computed tomography (CT) guided percutaneous transthoracic needle biopsy of lung is a routine procedure in patients with suspected malignant lung lesions which are either peripheral or not amenable to biopsy on fibreoptic bronchoscopy.Methods: This prospective study was conducted to obtain complication rates based on patient and physician experience after CT guided lung biopsy of central and peripheral lung lesions.Results: In our study 96 patients were included with 78 patients with peripheral and 18 patients having central lung lesions. The reported post procedural complication rates of CT guided lung biopsy were pulmonary haemorrhage 33.3 %, pneumothorax 21.9%, haemoptysis 15.6%, cough 6.3%, haemothorax 3.1% and fever 3.1%. Two patients required inter costal tube drainage. There was no reported mortality of CT guided lung biopsy in our centre.Conclusions: Pulmonary haemorrhage and pneumothorax are the most common complications of percutaneous transthoracic needle biopsy of the lung, the former one is common with central and the latter one with peripheral lung lesions.

scholarly journals Computed tomography-guided cutting needle biopsy of pulmonary lesions

2002 ◽  
Vol 57 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Liao Shin Yu ◽  
Daniel Deheinzelin ◽  
Riad N. Younes ◽  
Rubens Chojniak
Keyword(s):  
Computed Tomography ◽  
Needle Biopsy ◽  
Diagnostic Yield ◽  
Pulmonary Nodules ◽  
Thoracic Wall ◽  
Radiology Department ◽  
Histopathological Diagnosis ◽  
Lung Lesions ◽  
Malignant Lesions ◽  
Cutting Needle

PURPOSE: To report the experience of a radiology department in the use of computed tomography - guided cutting needle biopsy of pulmonary nodules, by evaluating diagnostic yield and incidence of complications. METHODS: This is a retrospective analysis of 52 consecutive patients who underwent lung lesion biopsy guided by computed tomography, performed between May 1997 and May 2000. Thirty-five patients were male and 17 were female, with ages ranging from 5 to 85 years (median, 62 years). The size of the lesions ranged from 1.8 to 15 cm (median, 5.4 cm). RESULTS: In a total of 52 biopsies of lung lesions, 51 biopsies (98.1%) supplied appropriate material for histopathological diagnosis, with 9 diagnosed (17.3%) as benign and 42 (80.8%) as malignant lesions. Specific diagnosis was obtained in 44 (84.6%) biopsies: 4 benign (9.1%) and 40 (90.9%) malignant lesions. The sensitivity, specificity, and accuracy of the cutting needle biopsies for determining presence of malignancy were 96.8%, 100%, and 97.2%, respectively. Complications occurred in 9 cases (17.3%), including 6 cases (11.5%) of small pneumothorax, 1 (1.9%) of hemoptysis, 1 (1.9%) of pulmonary hematoma, and 1 (1.9%) of thoracic wall hematoma. All had spontaneous resolution. There were no complications requiring subsequent intervention. CONCLUSION: The high sensitivity and specificity of the method and the low rate of complications have established cutting needle biopsy as an efficient and safe tool for the diagnosis of lung lesions. In our hospital, cutting needle biopsy is considered a reliable procedure for the evaluation of indeterminate pulmonary nodules.

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