Diagnostic accuracy and safety of CT-guided fine needle aspiration biopsy in cavitary pulmonary lesions

Zhuang, Yibo; Wang, Haiyan; Zhang, Jin; Feng, Yong; Zhang, Lei

doi:10.1016/j.ejrad.2012.09.011

Cited by 17 publications

(20 citation statements)

References 20 publications

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“…Three studies reported complications of both biopsy techniques. Tables 2 [7, 8, 14–39] and 3 [7, 8, 40–53] show the study characteristics, complication rates, NOS scores, and forest plots for major complications of the studies for core biopsy and FNA, respectively. Forest plots for all types of complications separately can be found in e-Tables 2–9.…”

Section: Resultsmentioning

confidence: 99%

Complication rates of CT-guided transthoracic lung biopsy: meta-analysis

et al. 2016

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ObjectivesTo meta-analyze complication rate in computed tomography (CT)-guided transthoracic lung biopsy and associated risk factors.MethodsFour databases were searched from 1/2000 to 8/2015 for studies reporting complications in CT-guided lung biopsy. Overall and major complication rates were pooled and compared between core biopsy and fine needle aspiration (FNA) using the random-effects model. Risk factors for complications in core biopsy and FNA were identified in meta-regression analysis.ResultsFor core biopsy, 32 articles (8,133 procedures) were included and for FNA, 17 (4,620 procedures). Pooled overall complication rates for core biopsy and FNA were 38.8 % (95 % CI: 34.3–43.5 %) and 24.0 % (95 % CI: 18.2–30.8 %), respectively. Major complication rates were 5.7 % (95 % CI: 4.4–7.4 %) and 4.4 % (95 % CI: 2.7–7.0 %), respectively. Overall complication rate was higher for core biopsy compared to FNA (p < 0.001). For FNA, larger needle diameter was a risk factor for overall complications, and increased traversed lung parenchyma and smaller lesion size were risk factors for major complications. For core biopsy, no significant risk factors were identified.ConclusionsIn CT-guided lung biopsy, minor complications were common and occurred more often in core biopsy than FNA. Major complication rate was low. For FNA, smaller nodule diameter, larger needle diameter and increased traversed lung parenchyma were risk factors for complications.Key Points• Minor complications are common in CT-guided lung biopsy • Major complication rate is low in CT-guided lung biopsy • CT-guided lung biopsy complications occur more often in core biopsy than FNA • Major complication rate is similar in core biopsy and FNA • Risk factors for FNA are larger needle diameter, smaller lesion size Electronic supplementary materialThe online version of this article (doi:10.1007/s00330-016-4357-8) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Complication rates of CT-guided transthoracic lung biopsy: meta-analysis

et al. 2016

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“…Less invasive methods are percutaneous CT‐guided needle biopsy and VATS . Unfortunately percutaneous CT‐guided needle biopsy has large sampling errors for both ground glass opacity and small pulmonary nodules . Various (pre‐)operative localization methods to facilitate VATS wedge‐resection have been developed and tested.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Unfortunately percutaneous CT-guided needle biopsy has large sampling errors for both ground glass opacity and small pulmonary nodules. 10,11 Various (pre-)operative localization methods to facilitate VATS wedge-resection have been developed and tested. These localization techniques can be classified into three main groups.…”

Section: Introductionmentioning

confidence: 99%

CT‐guided percutaneous hookwire localization increases the efficacy and safety of VATS for pulmonary nodules

Klinkenberg

Dinjens

Wolf

et al. 2017

Journal of Surgical Oncology

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“…CT-guided percutaneous transthoracic needle biopsy (PTNB) is widely accepted as an accurate diagnostic method to obtain tissue for histological diagnosis in lung lesions [ 9 , 10 ] 77–96 % and low rates of complications requiring treatment [ 9 , 11 – 18 ]. Compared to cytological sampling methods such as bronchoalveolar lavage or fine needle aspiration biopsy (FNAB), histological sampling leads to higher diagnostic accuracy and also allows evaluation of tumur architecture [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

CT-Guided Percutaneous Transthoracic Needle Biopsies Using 10G Large-Core Needles: Initial Experience

Lalji

Wildberger

Hausen

et al. 2015

Cardiovasc Intervent Radiol

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PurposeUsing large-core biopsy needles in CT-guided percutaneous transthoracic needle biopsies (PTNB) may be advantageous in terms of larger specimens, which facilitate more extensive histopathological, immunohistochemical, and molecular examination of tumor tissue. The aim of this study was to evaluate the success rate and safety in CT-guided PTNB using 10G large-core biopsy needles.Methods and Materials35 patients with intrathoracic lesions suspected of malignancy underwent CT-guided PTNB using dedicated large-core biopsy needles (10G Spirotome™, Medinvents, Hasselt, Belgium). Location, tumor size, number of pleural passes, number of biopsies, histologic result, and complications (pneumothorax, bleeding) were recorded.ResultsLesion location varied from pleural to hilar location. Mean tumor size was 3.5 cm (range 0.7–9.2 cm). Only one pleural passage was necessary in all patients. Mean distance from the pleura to the lesion was 2.6 cm (max 9.2 cm). Large-core biopsy (10G) was successful in 88.6 %. Pneumothorax was found in 40 %. Minor intraparenchymal bleeding was present in 14 patients. No major complications were recorded.ConclusionLarge-core biopsy with 10G did not show higher complication rates compared to literature. It is technically feasible and safe. The obtained larger specimens may especially be helpful for the increasing demands of extensive molecular analysis for stratified patient care.

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Diagnostic accuracy and safety of CT-guided fine needle aspiration biopsy in cavitary pulmonary lesions

Cited by 17 publications

References 20 publications

Complication rates of CT-guided transthoracic lung biopsy: meta-analysis

Complication rates of CT-guided transthoracic lung biopsy: meta-analysis

CT‐guided percutaneous hookwire localization increases the efficacy and safety of VATS for pulmonary nodules

CT-Guided Percutaneous Transthoracic Needle Biopsies Using 10G Large-Core Needles: Initial Experience

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