Diagnostic outcome and safety of CT-guided core needle biopsy for mediastinal masses: a systematic review and meta-analysis

Lee, Han Na; Yun, Seong Jong; Kim, Jung Im; Ryu, Chang‐Woo

doi:10.1007/s00330-019-06377-4

Cited by 25 publications

(27 citation statements)

References 49 publications

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“…In three patients, major pneumothorax occurred requiring therapy by a chest tube. With respect to technical success, diagnostic yield and complication rate associated with CT fluoroscopy-guided percutaneous core needle biopsies of mediastinal masses, our study agrees with other similar studies [ 3 , 5 , 6 , 11 , 12 , 14 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. For instance, de Margerie-Mellon et al reported a technical success rate of 100% and a diagnostic yield of 87% in 285 consecutive patients which is one of the largest studies on this subject.…”

Section: Discussionsupporting

confidence: 91%

Percutaneous CT Fluoroscopy-Guided Core Needle Biopsy of Mediastinal Masses: Technical Outcome and Complications of 155 Procedures during a 10-Year Period

et al. 2021

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Purpose: To evaluate technical outcome, diagnostic yield and safety of computed tomographic fluoroscopy-guided percutaneous core needle biopsies in patients with mediastinal masses. Methods: Overall, 155 CT fluoroscopy-guided mediastinal core needle biopsies, performed from March 2010 to June 2020 were included. Size of lesion, size of needle, access path, number of success, number of biopsies per session, diagnostic yield, patient’s position, effective dose, rate of complications, tumor localization, size of tumor and histopathological diagnosis were considered. Post-interventional CT was performed, and patients observed for any complications. Complications were classified per the Society of Interventional Radiology (SIR). Results: 148 patients (age, 54.7 ± 18.2) underwent 155 CT-fluoroscopy-guided percutaneous biopsies with tumors in the anterior (114; 73.5%), middle (17; 11%) and posterior (24; 15.5%) mediastinum, of which 152 (98%) were technically successful. For placement of the biopsy needle, in 82 (52.9%) procedures a parasternal trajectory was chosen, in 36 (23.3%) a paravertebral access, in 20 (12.9%) through the lateral intercostal space and in 17 (11%) the thoracic anterior midline, respectively. A total of 136 (89.5%) of the biopsies were considered adequate for a specific histopathologic analysis. Total DLP (dose-length product) was 575.7 ± 488.8 mGy*cm. Mean lesion size was 6.0 ± 3.3 cm. Neoplastic pathology was diagnosed in 115 (75.7%) biopsies and 35 (23%) biopsy samples showed no evidence of malignancy. Minor complications were observed in 18 (11.6%) procedures and major pneumothorax requiring drainage insertion in 3 interventions (1.9%). Conclusion: CT fluoroscopy-guided percutaneous core needle biopsy of mediastinal masses is an effective and safe procedure for the initial assessment of patients with mediastinal tumors.

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Section: Discussionsupporting

confidence: 91%

Percutaneous CT Fluoroscopy-Guided Core Needle Biopsy of Mediastinal Masses: Technical Outcome and Complications of 155 Procedures during a 10-Year Period

et al. 2021

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“…Success Rates and QI Thresholds for Image-Guided Percutaneous Needle Biopsies(65)(66)(67)(68)(69)(70)(71)(72)(73)(74)(75)(76)(77)(78)(79)(80)(81)(82)(83)(84) …”

mentioning

confidence: 99%

Society of Interventional Radiology Quality Improvement Standards on Percutaneous Needle Biopsy in Adult and Pediatric Patients

Sheth

Baerlocher

Connolly

et al. 2020

Journal of Vascular and Interventional Radiology

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“…An Komplikationen sind vorwiegend Blutungen, Pneumothorax, Hämoptysen und Hämatothorax zu nennen. Diese treten selten auf (13 %) und sind sehr selten schwerwiegend (2 %) [37]. Hierbei ist zu beachten, dass 20-G-Nadeln den besten Kompromiss zwischen diagnostischer Genauigkeit und Komplikationsrate aufweisen.…”

Section: Computertomografiegestützte Interventionenunclassified

“…Es sollten mindestens 3 Gewebsproben entnommen werden. Mit den o. g. Voraussetzungen lässt sich eine diagnostische Genauigkeit von 94 % erzielen [37].…”

Section: Computertomografiegestützte Interventionenunclassified

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Bildgebung bei Mediastinaltumoren

Ley

Ley‐Zaporozhan

2020

Zentralbl Chir

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ZusammenfassungDie Einteilung des Mediastinums erfolgt anhand computertomografischer Aufnahmen in ein ventrales prävaskuläres, mittleres viszerales und dorsales paravertebrales Kompartiment. In den einzelnen Kompartimenten kommen verschiedene Tumorentitäten besonders häufig vor, die entsprechend kurz vorgestellt werden. Im Folgenden werden die typischen bildmorphologischen Zeichen in Röntgen, Sonografie, CT und MRT vorgestellt. Mithilfe der morphologischen Kriterien lassen sich oftmals einzelne Läsionstypen bzw. deren Malignitätsgrad nicht ausreichend abgrenzen. Daher spielen vor allem die funktionellen Informationen im PET und der MRT eine wichtige Rolle zur nicht invasiven Klassifikation. Zur Sicherung einer histologischen Diagnose steht mit den CT-gesteuerten Biopsiemöglichkeiten eine ambulant durchzuführende Option mit hoher diagnostischer Genauigkeit und geringen Komplikationen zur Verfügung.

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Diagnostic outcome and safety of CT-guided core needle biopsy for mediastinal masses: a systematic review and meta-analysis

Cited by 25 publications

References 49 publications

Percutaneous CT Fluoroscopy-Guided Core Needle Biopsy of Mediastinal Masses: Technical Outcome and Complications of 155 Procedures during a 10-Year Period

Percutaneous CT Fluoroscopy-Guided Core Needle Biopsy of Mediastinal Masses: Technical Outcome and Complications of 155 Procedures during a 10-Year Period

Society of Interventional Radiology Quality Improvement Standards on Percutaneous Needle Biopsy in Adult and Pediatric Patients

Bildgebung bei Mediastinaltumoren

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