Aspiration Biopsies of Chest Lesions

Lalli, Anthony F.; McCormack, Lawrence J.; Zelch, Margaret G.; Reich, Norbert E.; Belovich, Doris

doi:10.1148/127.1.35

Cited by 144 publications

(35 citation statements)

References 19 publications

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“…Extensive research has been conducted on approaches, instruments and imaging modalities used for closed vertebral biopsy [2][3][6][7][8][9][10][11][12][13][14][15] . Posterolateral approach is the most widely used approach for lumbar spine biopsy [15] .…”

Section: Discussionmentioning

confidence: 99%

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Role of image intensified fluoroscopy guided closed vertebral biopsy in perplexed lesions of spine: A retrospective study

Shetty¹,

Bhat²

2017

Int. J. Orthop. Sci.

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Background: The percutaneous image-guided procedure is faster and more cost-effective and has an overall lower risk of complications. Despite considering image intensified fluoroscopy guided biopsy of spine as one of the valuable diagnostic procedure, favorable diagnostic yield of this method in Indian population has not been convincingly proved. Hence this study was undertaken to determine the diagnostic yield of this procedure comparing with the available literature. Materials and Methods: A record based retrospective study was conducted at hospitals affiliated to Kasturba Medical college, Manipal. 134 patients who underwent image intensified fluoroscopy guided closed vertebral biopsy were included in the present study. Data was collected by using a semi structured questionnaire and was analyzed by statistical package for social sciences 11.5. The results were expressed as percentages. Results:The diagnostic yield taking all reports into consideration is 98.5%. Fifth lumbar vertebra was most commonly biopsied level in 32(23.8%).Complications occurred only in 3 (2.2%) out of 134 patients Conclusion: Image intensified fluoroscopy guided closed vertebral biopsy can be considered as first modality of invasive investigation for all perplexed lesions of lumbar spine. Simplicity and cost effectiveness of the procedure makes it a reasonable option.

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Section: Discussionmentioning

confidence: 99%

“…Siffert and Arkin [2] initially published their study of closed vertebral biopsy using radiographic assistance and later it was Lalli [3] . Who simplified the procedure by using image intensified fluoroscopy.…”

Section: Introductionmentioning

confidence: 99%

Role of image intensified fluoroscopy guided closed vertebral biopsy in perplexed lesions of spine: A retrospective study

Shetty¹,

Bhat²

2017

Int. J. Orthop. Sci.

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“…In addition, no imaging modality was used to ensure placement of the aspiration needle into the lesion, and normal aerated lung may have been lacerated, resulting in the reported complications. l 6 In another study of fluoroscopically guided FNA in which radiography was performed immediately and 3 hours after the procedure, 7 of 48 animals had radiographic evidence of pneumothorax but no clinical signs. One dog with diffuse pulmonary disease had clinically evident pneumothorax and ultimately died from complications of the procedure.'…”

Section: Discussionmentioning

confidence: 99%

Ultrasound‐Guided Fine‐Needle Aspiration of Focal Parenchymal Lesions of the Lung in Dogs and Cats

Wood

O’Brien

Young

1998

Veterinary Internal Medicne

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Ultrasound-guided fine-needle aspiration (FNA) of the lung was performed on 16 dogs and 3 cats with consolidated pulmonary lesions or masses identified on thoracic radiographs. The cytologic results from the FNA were confirmed by histopathology, response to treatment, or microscopic identification of Blastomyces organisms. Neoplasia was identified correctly by FNA cytology in 10 of 11 animals, and no false positive results occurred, yielding a positive predictive value of 100%. Of 8 animals with infectious disease, 5 of 6 had blastomycosis and 1 had a bacterial infection, based on cytologic evaluation. Eight animals required sedation for the procedure, and none had clinical complications. We conclude that ultrasound-guided FNA of pulmonary mass lesions is an inexpensive, safe, and accurate method for diagnosing blastomycosis or neoplasia, especially carcinomas, in dogs and cats.

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“…When perfectly adjusted, the cross hairs of the light localizer may also be used directly to mark the puncture site without a lead marker if desired. (3) Narrow-diameter needles tend to bend [5,6] and are more deflected by tissue in a direction away from the bevel [7]. This is especially true when the tissue is firm.…”

Section: Discussionmentioning

confidence: 99%

Use of light localizer in fluoroscopically guided percutaneous procedures

Db¹

1987

American Journal of Roentgenology

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The use ofthe radiographic-fluoroscopic-tubelight localizer in conjunction with fluoroscopically guided percutaneous procedures can reduce the amount of fluoroscopy time necessary. When the needle hub shadow is projected directly over the point of entrance of the needle into the skin, the fluoroscopic central ray, the needle, and the structure to be punctured (previously centered fluoroscopically) are all coaxial, and the needle can be advanced with the light localizer substituting for much of the fluoroscopy.This technique is applicable for all equipment in which the fluoroscopic X-ray tube, equipped with a light localizer, is used.

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Aspiration Biopsies of Chest Lesions

Cited by 144 publications

References 19 publications

Role of image intensified fluoroscopy guided closed vertebral biopsy in perplexed lesions of spine: A retrospective study

Role of image intensified fluoroscopy guided closed vertebral biopsy in perplexed lesions of spine: A retrospective study

Ultrasound‐Guided Fine‐Needle Aspiration of Focal Parenchymal Lesions of the Lung in Dogs and Cats

Use of light localizer in fluoroscopically guided percutaneous procedures

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