Pneumothorax Induced by Computed Tomography Guided Transthoracic Needle Biopsy: A Review for the Clinician

Zeng, Lichuan; Liao, Huaqiang; Ren, Fengchun; Zhang, Yudong; Wang, Qu; Xie, Mingguo

doi:10.2147/ijgm.s302434

Cited by 12 publications

(21 citation statements)

References 47 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They found that patients in positions with the lesion below the trachea had a low incidence of pneumothorax but not of pulmonary haemorrhage or haemoptysis. 25,26 This result was consistent with another study that reported a low incidence of pneumothorax when patients were placed in the puncture-side down position rather than a supine or prone position 27 ; however, Leger et al did not observe a decrease in the pneumothorax rate in patients with the puncture-side down. 28 In addition, the puncture-side down position can be uncomfortable, inappropriate, or difficult to maintain for an extended time period for a postoperative patient.…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Biopsy-tract haemocoagulase injection reduces major complications after CT-guided percutaneous transthoracic lung biopsy

Zhou

Luo²,

Gu³

et al. 2022

Clinical Radiology

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 86%

“…Many strategies have been reported to reduce or prevent the development of these complications. 25,26 A type of postoperative intervention used to prevent complications involves manipulating the position of patients during and after the biopsy. Appel et al reported a retrospective study with patients who received CT-guided lung biopsy.…”

Section: Discussionmentioning

confidence: 99%

Biopsy-tract haemocoagulase injection reduces major complications after CT-guided percutaneous transthoracic lung biopsy

Zhou

Luo²,

Gu³

et al. 2022

Clinical Radiology

View full text Add to dashboard Cite

“…Huang et al 29 analyzed 610 consecutive pre‐procedure CT‐guided localization (POCTGL) procedures, and concluded that nodules near the interlobar fissure were one of the risk factors leading to a high incidence of pneumothorax. In these studies, complications of tumors biopsy adjacent to the interlobar fissures were higher than those of other sites 19,29,30 …”

Section: Discussionmentioning

confidence: 81%

“…In these studies, complications of tumors biopsy adjacent to the interlobar fissures were higher than those of other sites. 19,29,30 To completely ablate the tumors, MWA requires an ablation range of 5 to 10 mm at the edge of the tumor. Additional complications may arise if the target lesion is close to the interlobar fissure because it may be subjected to puncture and thermal damages.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of microwave ablation for lung cancer adjacent to the interlobar fissure

Wang

et al. 2022

Thoracic Cancer

View full text Add to dashboard Cite

Background This retrospective study aimed to assess the safety and efficacy of microwave ablation for lung tumors adjacent to the interlobar fissures. Methods From May 2020 to April 2021, 59 patients with 66 lung tumors (mean diameter, 16.9 ± 7.7 mm; range, 6–30 mm) adjacent to the interlobar fissures who underwent microwave ablation at our institution were identified and included in this study. Based on the relationship between the tumor and the interlobar fissure, tumors can be categorized into close to the fissure, causing the fissure, and involving the fissure. The complete ablation rate, local progression‐free survival, complications, and associated factors were analyzed. Results All 66 histologically proven tumors were treated using computed tomography‐guided microwave ablation. The complete ablation rate was 95.5%. Local progression‐free survival at 3, 6, 9, and 12 months were 89.4%, 83.3%, 74.2%, and 63.6%, respectively. The complications included pneumothorax (34.8%), pleural effusion (24.2%), cavity (18.2%), and pulmonary infection (7.6%). There were statistical differences in the incidence of pneumothorax, cavity, and delayed complications between the groups with and without antenna punctures through the fissure. Conclusions Microwave ablation is a safe and effective treatment for lung tumor adjacent to the interlobar fissure. Antenna puncturing though the interlobar fissure may be a potential risk factor for pneumothorax, cavity, and delayed complications.

show abstract

“…In order to obtain tissue specimens, CT-guided percutaneous lung biopsy is a relatively efficient method [18]. In particular, CT scan-guided biopsy as a minimally invasive diagnostic method is widely used in clinical practice [19]. Coaxial needle biopsy can avoid repeated punctures and reduce complications.…”

Section: Discussionmentioning

confidence: 99%

Computed Tomography Image: Guided Needle Biopsy in the Diagnosis of Lung Malignant Tumors under Artificial Intelligence Algorithm

De-ping

Wang

et al. 2022

Scientific Programming

View full text Add to dashboard Cite

The computed tomography (CT) image-guided needle biopsy was applied in the diagnosis of lung malignant tumors based on artificial intelligence (AI) algorithm under convolutional neural network (CNN) to explore the effect of artificial intelligence algorithms segmentation in needle biopsy surgery and to guide the diagnosis of lung malignant tumors. The subjects of the study were 100 patients with lung malignant tumors admitted to the hospital. The cases were diagnosed as lung cancers by CT, and they were divided into two groups with 50 people in each group. Among them, 50 people in the control group did not use algorithms for guidance and 50 people in the experimental group used algorithms for guidance. The 50 patients who received needle biopsy without guidance of any algorithm were included in the control group. The results showed that the average coincidence rate of automatic segmentation and manual segmentation by the artificial intelligence algorithm was 97.46%, and the average false positive rate (FPR) and false negative rate (FNR) were 0.07% and 0.08%, respectively. The segmentation time of the algorithm group was 12.5 s, which was significantly shorter than the 36.11 s of the control group, and the segmentation speed was significantly faster. The positive rate of pathology in the control group was 78%, and the pathological positive rate of the algorithm group was 80%. The difference in the pathological positive rate between the two groups was 2%, and the detection effect of the pathological positive rate in the algorithm group was close to that in the control group, which was of positive significance in pathological detection. The satisfaction rate of patients in the algorithm group with the detection effect was 88%, and that of the patients in the control group was 94%. The difference in the detection satisfaction rate between the two groups was 6%. The number of patients with pneumothorax in the algorithm group was 22, the number of patients with bleeding was 21, and the number of patients with infection was 2. The number of patients with pneumothorax in the control group was 17, the number of patients with bleeding was 19, and the number of patients with infection was 3. The patients had a higher probability of pneumothorax and bleeding and a lower probability of infection; there was no significant difference in the incidence of complications between the two groups of patients. In summary, the intelligent algorithm was effective and feasible in segmenting lesions, and the accuracy of segmentation could meet the clinical needs, which can be used as a reference for surgery. CT images based on artificial intelligence algorithms were a good way to guide the needle biopsy in the diagnosis of lung malignant tumors, improving the accuracy and sensitivity of the diagnosis of lung malignant tumors.

show abstract

Pneumothorax Induced by Computed Tomography Guided Transthoracic Needle Biopsy: A Review for the Clinician

Cited by 12 publications

References 47 publications

Biopsy-tract haemocoagulase injection reduces major complications after CT-guided percutaneous transthoracic lung biopsy

Biopsy-tract haemocoagulase injection reduces major complications after CT-guided percutaneous transthoracic lung biopsy

Safety and efficacy of microwave ablation for lung cancer adjacent to the interlobar fissure

Computed Tomography Image: Guided Needle Biopsy in the Diagnosis of Lung Malignant Tumors under Artificial Intelligence Algorithm

Contact Info

Product

Resources

About