Diagnostic Accuracy of CT-Guided Automated Needle Biopsy of Lung Nodules

Tsukada, Hiroshi; Satou, Toshiteru; Iwashima, Akira; Souma, Takahiro

doi:10.2214/ajr.175.1.1750239

Cited by 252 publications

(185 citation statements)

References 17 publications

Supporting

Mentioning

153

Contrasting

Unclassified

Order By: Relevance

“…Most of the studies in the literature on CT guided FNaC have applied it to evaluate lung lesions (15)(16)(17)(18)(19). In our study as well, CT guided FNaC was performed only for lung lesions.…”

Section: Discussionmentioning

confidence: 99%

A critical appraisal of the spectrum of image guided fine needle aspiration cytology: a three year experience from a tertiary care centre in delhi

Pujani

Jetley²,

Jairajpuri³

et al. 2016

TJPATH

View full text Add to dashboard Cite

Objective: Image guided fine needle aspiration cytology (FNaC) is a safe, simple, rapid, cost effective and accurate modality in evaluation of deep seated lumps (abdominal, pelvic and intrathoracic masses) which are unapproachable by blind FNaC. In this study, a critical analysis of the utility of image guided FNaC in deep seated and otherwise inacessible mass lesions was carried out. Material and Method:Fifty-four ultrasound (USG) or computed tomography (CT) guided FNaCs from lumps at any location in the body, that is, thoracic, abdominal, pelvic etc over a period of 3 years (January 2012-December 2014) were included in the study. The most common site aspirated, the indications for a guided aspiration and the accuracy of aspiration cytology in comparison to the histological diagnosis were evaluated, wherever possible.Results: Fifty-four image guided FNaCs were performed (46 USG guided and 8 CT guided). Inconclusive, inflammatory, benign tumors, suspicious and malignant lesion rates were 5.6%, 29.6%, 11.1%, 5.6%, and 48.1%, respectively. The most common site was the liver (25.5%), followed by the thyroid (18.5%), lung (14.8%), gallbladder (11.1%), and lymph nodes (7.4%). Cytohistological correlation could be performed in 32 cases with a diagnostic accuracy of 100%. Conclusion:FNaC coupled with a diagnostic imaging technique such as USG or CT can improve the diagnostic yield and a definite diagnosis can be reached in most of the cases.

show abstract

Section: Discussionmentioning

confidence: 99%

A critical appraisal of the spectrum of image guided fine needle aspiration cytology: a three year experience from a tertiary care centre in delhi

Pujani

Jetley²,

Jairajpuri³

et al. 2016

TJPATH

View full text Add to dashboard Cite

show abstract

“…The rates of diagnostic accuracy have been documented between 72 and 100% for pulmonary metastatic lesions. However, the diagnostic accuracy decrease for smaller lesions between 10 and 20 mm; several studies have reported the diagnostic accuracy range of 52 and 96.5% [4,5].The purpose of our study was to review our experience with CT-guided biopsy of suspected LM with a view to providing a critical assessment of the efficacy and safety of the procedure.For reprint orders, please contact: reprints@futuremedicine.com …”

mentioning

confidence: 99%

mentioning

confidence: 99%

Current Role of Computed Tomography-Guided Transthoracic Needle Biopsy of Metastatic Lung Lesions

et al. 2015

View full text Add to dashboard Cite

Aim: As part of the Catania symposium on lung metastasectomy we reviewed our practice of computed tomography (CT)-guided percutaneous transthoracic needle biopsy of pulmonary metastatic lesions with particular emphasis on diagnostic accuracy and nature of complications lesions. materials & methods: 25 patients with metastatic lesions of the lung have been evaluated between May 2010 and February 2014. Inclusion criteria consisted of patients with histologically confirmed, metastatic disease of the lung, those receiving a CT-guided needle biopsy, were at least 18 years of age; and with adequate hepatic, renal and hematological function. We recorded also the size of the sampled lesions, their distance from the pleura, the complications encountered (pneumothorax and thoracostomy tube placement), the cytological diagnosis and the outcome in all the cases. Results: CT-guided percutaneous transthoracic needle biopsy were performed on 23 of 25 patients with suspected lung metastases. 17 males and six females with a mean age of 71.4 years. The mean size of lesions was 4.2 cm (range: 1 to 17 cm). For CT-guided needle biopsy, an 18 gauge semi-automatic needle biopsy device was used. Of 23 biopsies, 20 (87%) yielded a correct diagnosis with specific histological typing for metastasis. Pneumothorax was the most common complication occurring in four cases (5.7%). Conclusion: CT-guided percutaneous transthoracic needle biopsy is a firm, useful and safe technique for the diagnosis of suspected pulmonary metastases as it avoids open biopsy in most cases. Keywords• CT-guided biopsy • lung metastasis • transthoracic needle biopsy It is known that the lungs are a common site for metastases from other primary cancers, such as breast, colon and sarcomas. Although in the patients with high-risk of lung metastasis the increasing utility of computed tomography (CT) low-dose screening has grown dramatically the sensitivity of identifying small lung nodules [1], CT-guided needle biopsy (CTgNB) of lung metastases (LM) with automatic or semi-automatic biopsy gun have proven to bring in diagnostic label with few complications and is widely accepted as accurate and safe procedure for characterizing pulmonary nodules. [2] Percutaneous transthoracic needle biopsy guided by CT is considered as a relatively well and safe method for diagnosing LM [3]. The rates of diagnostic accuracy have been documented between 72 and 100% for pulmonary metastatic lesions. However, the diagnostic accuracy decrease for smaller lesions between 10 and 20 mm; several studies have reported the diagnostic accuracy range of 52 and 96.5% [4,5].The purpose of our study was to review our experience with CT-guided biopsy of suspected LM with a view to providing a critical assessment of the efficacy and safety of the procedure.For reprint orders, please contact: reprints@futuremedicine.com

show abstract

“…El rendimiento global de la BP en este estudio fue de 91,5%, con una sensibilidad de 90,6% para el diagnóstico de lesiones malignas, resultados similares a los publicados en series internacionales [3][4][5][6] . La patología maligna fue la más común, siendo los tumores broncogénicos primarios y las lesiones metastásicas los diagnósticos más frecuentes, datos que concuerdan con casuísticas previas.…”

Section: Discussionunclassified

“…Algunas ventajas del método son su carácter no invasivo, baja tasa de complicaciones y menor costo 1,2 . El rendimiento reportado de la técnica fluctúa entre 83% y 99% en el caso de LP [3][4][5][6] . Yeow KM et al 6 , en una serie de 631 LP estudiadas con BP core guiada por TC, demostraron rendimientos de 99% para lesiones malignas y 86% para lesiones benignas, con un mejor rendimiento a mayor tamaño lesional (< 1,5 cm 84% y 1,5-5 cm 96%).…”

unclassified

Utilidad de la biopsia percutánea core guiada por tomografía computada (TC) en lesiones pulmonares: experiencia de 7 años

et al. 2013

View full text Add to dashboard Cite

show abstract

Diagnostic Accuracy of CT-Guided Automated Needle Biopsy of Lung Nodules

Abstract: Lesion size was a determining factor in diagnostic accuracy. Diagnostic accuracy decreased in proportion to the decrease in the lesion diameter.

Cited by 252 publications

References 17 publications

A critical appraisal of the spectrum of image guided fine needle aspiration cytology: a three year experience from a tertiary care centre in delhi

A critical appraisal of the spectrum of image guided fine needle aspiration cytology: a three year experience from a tertiary care centre in delhi

Current Role of Computed Tomography-Guided Transthoracic Needle Biopsy of Metastatic Lung Lesions

Utilidad de la biopsia percutánea core guiada por tomografía computada (TC) en lesiones pulmonares: experiencia de 7 años

Contact Info

Product

Resources

About