scholarly journals Feasibility and accuracy of CT-guided percutaneous needle biopsy of cavitary pulmonary lesions

2019 ◽  
Vol 25 (6) ◽  
pp. 435-441 ◽  
Author(s):  
Nantaka Kiranantawat ◽  
◽  
Milena Petranovic ◽  
Shaunagh McDermott ◽  
Matthew Gilman ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Percutaneous Needle Biopsy ◽  
Ct Guided ◽  
Pulmonary Lesions

CT-guided core needle biopsy of small (≤20 mm) subpleural pulmonary lesions: value of the long transpulmonary needle path

2019 ◽  
Vol 74 (7) ◽  
pp. 570.e13-570.e18
Author(s):  
J.H. Yu ◽  
B. Li ◽  
X.X. Yu ◽  
Y. Du ◽  
H.F. Yang ◽  
...  
Keyword(s):  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Ct Guided ◽  
Core Needle ◽  
Pulmonary Lesions ◽  
Needle Path

FNA and CNB in the Diagnosis of Pulmonary Lesions: A Single-center Experience on 665 Patients, Comparison between Two Periods

2017 ◽  
Vol 103 (4) ◽  
pp. 360-366 ◽  
Author(s):  
Alfonso Vittorio Marchianò ◽  
Maria Cosentino ◽  
Giuseppe Di Tolla ◽  
Francesca Gabriella Greco ◽  
Mario Silva ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Diagnostic Yield ◽  
Needle Aspiration ◽  
Complication Rates ◽  
Multivariate Logistic Regression ◽  
Ct Guided ◽  
Fine Needle ◽  
Pulmonary Lesions ◽  
Single Center Experience ◽  
Lung Biopsies

Purpose To evaluate the diagnostic yield and complication rate of 2 different biopsy techniques (fine-needle aspiration, FNA, and core-needle biopsy, CNB) in the diagnosis of pulmonary lesions in 2 distinct periods, 2010-2012 and 2013-2015. Methods We retrospectively analyzed the results of 691 CT-guided lung biopsies in 665 patients who were divided into 2 groups: cohort 1 (January 2010 to December 2012) was composed of 271 consecutive patients with 284 procedures either by FNA or CNB; cohort 2 (January 2013 to December 2015) was composed of 394 patients with 407 CNBs. Univariate and multivariate logistic regression modeling was used for selected outcomes including diagnostic yield, bleeding and pneumothorax. Results Cohort 1 comprised 165 men and 106 women (mean age 68.5 years) with 180 FNAs and 104 CNBs; cohort 2 comprised 229 men and 165 women (mean age 66.4 years) with 407 CNBs. The diagnostic yield increased in cohort 2 with respect to cohort 1. There was a slight increase in CT procedure complications (pneumothorax and bleeding) from cohort 1 to cohort 2. The overall risk of complications was greater for lesions <20 mm and for lesions at >20 mm distance from the pleura. Conclusions CT-guided CNB had a higher diagnostic yield than discretional use of either FNA or CNB; there was a slight but acceptable increase in complication rates.

scholarly journals Value of CT-guided percutaneous needle biopsy of bone in the diagnosis of lymphomas based on PET/CT results

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhiwei Wang ◽  
Haifeng Shi ◽  
Xiaobo Zhang ◽  
Jie Pan ◽  
Zhengyu Jin
Keyword(s):  
Needle Biopsy ◽  
Percutaneous Needle Biopsy ◽  
Ct Guided ◽  
Pet Ct

scholarly journals Computed tomography–guided percutaneous biopsy for vertebral neoplasms: a department's experience and hybrid biopsy technique to improve yield

2016 ◽  
Vol 41 (2) ◽  
pp. E17 ◽  
Author(s):  
Vasant Garg ◽  
Christos Kosmas ◽  
Enambir S. Josan ◽  
Sasan Partovi ◽  
Nicholas Bhojwani ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Core Biopsy ◽  
Diagnostic Yield ◽  
Vertebral Osteomyelitis ◽  
Radiology Department ◽  
Percutaneous Needle Biopsy ◽  
Ct Guided ◽  
Biopsy Technique ◽  
Significant Difference ◽  
Higher Sensitivity

OBJECTIVE Recent articles have identified the poor diagnostic yield of percutaneous needle biopsy for vertebral osteomyelitis. The current study aimed to confirm the higher accuracy of CT-guided spinal biopsy for vertebral neoplasms and to identify which biopsy technique provides the highest yield. METHODS Over a 9-year period, the radiology department at University Hospitals Case Medical Center performed 222 CT-guided biopsies of vertebral lesions, of which clinicians indicated a concern for vertebral neoplasms in 122 patients. A retrospective chart review was performed to confirm the higher sensitivity of the percutaneous intervention for vertebral neoplasms. RESULTS A core sample was obtained for all 122 biopsies of concern (100.0%). Only 6 cases (4.9%) were reported as nondiagnostic per histological sampling, and 12 cases (9.8%) were negative for disease. The question of vertebral neoplastic involvement warrants follow-up, and the current study was able to determine the subsequent diagnosis of each lesion. Of the 122 total, 94 (77.0%) core samples provided true-positive results, and the sensitivity of core biopsy measured 87.9%. The technical approach did not demonstrate any significant difference in diagnostic yield. However, when the vertebral cortex was initially pierced with a coaxial bone biopsy system and subsequently a 14-gauge spring-loaded cutting biopsy needle was coaxially advanced into lytic lesions, 14 true positives were obtained with a corresponding sensitivity of 100.0%. CONCLUSIONS This study confirms the higher sensitivity of image-guided percutaneous needle biopsy for vertebral neoplasms. In addition, it demonstrates how the use of a novel cutting needle biopsy approach, performed coaxially through a core biopsy track, provides the highest yield.

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