Fluoroscopy-guided percutaneous lung biopsy: a valuable alternative to computed tomography

Kurban, Lutfi; Gomersall, Lesley; Weir, Jamie; Wade, Poonam

doi:10.1080/02841850802225893

Cited by 20 publications

(28 citation statements)

References 35 publications

(13 reference statements)

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“…The diagnostic accuracy of TFNAB has been reported to range from 74% to 98% [1][2][3][4][5][6]. In a recent CBCT study by Jin et al [7], the diagnostic accuracy was 98.4%.…”

Section: Discussionmentioning

confidence: 96%

“…Transthoracic fine-needle aspiration biopsy of lung mass has been performed under conventional fluoroscopy, conventional CT or CT fluoroscopy guidance [1][2][3][4][5][6]. The diagnostic accuracy of TFNAB has been reported to range from 74% to 98% [1][2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…The complications of TFNAB in lungs include pneumothorax, haemoptysis, air embolism and needle tract metastasis [1,3,5,11,12]. In TFNAB using a C-arm CBCT system by Jin et al [7], the overall complication rate was reported as 38%, which comprised pneumothorax (25.4%), haemoptysis (14.1%) and chest pain (1.4%).…”

Section: Introductionmentioning

confidence: 99%

“…Conventional fluoroscopic guidance allows for real-time processing with smaller radiation doses to patients and operators, but has limitations when applied to small or invisible lesions in radiography [1]. Conventional CT guidance provides superior contrast and spatial resolution, but does not allow for real-time capability [1].…”

Section: Introductionmentioning

confidence: 99%

“…Transthoracic fine-needle aspiration biopsy (TFNAB) of the lungs has been performed under conventional fluoroscopy, conventional CT and CT fluoroscopy [1][2][3][4][5][6]. Conventional fluoroscopic guidance allows for real-time processing with smaller radiation doses to patients and operators, but has limitations when applied to small or invisible lesions in radiography [1].…”

Section: Introductionmentioning

confidence: 99%

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Transthoracic fine-needle aspiration biopsy of the lungs using a C-arm cone-beam CT system: diagnostic accuracy and post-procedural complications

Lee

Chong²,

Seo³

et al. 2012

BJR

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Objective: The purpose of our study was to evaluate the diagnostic accuracy of transthoracic fine-needle aspiration biopsy (TFNAB) using a C-arm cone-beam CT (CBCT) system and to assess risk factors for immediate post-procedural complications in patients with lung lesions. Methods: From October 2007 to April 2009, 94 TFNAB procedures using a C-arm system were studied in 91 patients with pulmonary lesions a chest CT scans. We retrospectively reviewed the patients' radiological and histopathological findings. We evaluated the lesion size, lesion abutted to pleura and presence or absence of emphysema along the needle path, lesion depth, visibility of target lesion and patient's position. Pneumothorax and pulmonary haemorrhage were assessed after TFNAB. Overall diagnostic accuracy, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were analysed. Results: In 94 TFNAB procedures, 58 lesions were malignant and 36 were benign. The sensitivity, specificity, PPV, NPV and overall diagnostic accuracy rate of TFNAB were 93.1%, 100%, 100%, 90% and 97.9%, respectively. Pneumothorax was developed in 24 procedures. None of the parameters showed significant impact on the frequency of the pneumothorax. Overall haemorrhage occurred in 43 procedures. The incidence of overall haemorrhage was higher in patients with smaller lesions, longer pleural distance and pleural abutted lesions (p,0.05). Differences in visibility at projection radiographs were statistically significant between patients with or without perilesional haemorrhage (p,0.05). Conclusion: Transthoracic fine-needle aspiration biopsy using a C-arm CBCT system is feasible for imaging guidance of lung lesion and early detection of the proceduralrelated complications.

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“…The diagnostic accuracy of TFNAB has been reported to range from 74% to 98% [1][2][3][4][5][6]. In a recent CBCT study by Jin et al [7], the diagnostic accuracy was 98.4%.…”

Section: Discussionmentioning

confidence: 96%