CT-Guided Cutting Needle Biopsy of Lung Lesions — Safety and Efficacy of an Out-patient Service

Charig, M.J.; Phillips, Andrew

doi:10.1053/crad.2000.0964

Cited by 87 publications

(69 citation statements)

References 32 publications

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“…Potential complications of CT-guided needle biopsy include pneumothorax, hemoptysis, infection, implant transfer, and air embolism (12)(13)(14)(15)(16)(17)(18)(19)(20). Pneumothorax is a common and potentially life-threatening complication of puncturing the thorax.…”

Section: Introductionmentioning

confidence: 99%

Logistic regression analysis and a risk prediction model of pneumothorax after CT-guided needle biopsy

Zhao¹,

Wang²,

Wang³

et al. 2017

J. Thorac. Dis.

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Background: Pneumothorax is the most common complication of computed tomography (CT)-guided needle biopsy. The purpose of this study was to investigate independent risk factors of pneumothorax, other than emphysema, after CT-guided needle biopsy and to establish a risk prediction model. Methods: A total of 864 cases of CT-guided needle biopsy with an 18-gauge cutting needle were enrolled in this study. The relevant risk factors associated with pneumothorax included age, sex, emphysema, shortaxis size of the lesion, depth of the lesion, body position, and the number of pleural punctures. Several independent risk factors of pneumothorax were found, and a predictive model for pneumothorax was established using univariate and multivariate logistic regression analyses. Results: Pneumothorax occurred in 31.4% (271/864) of cases. Univariate analysis showed that significant risk factors of pneumothorax included age, emphysema, small lesion size, no contact between the lesion and the pleura, prone or lateral body position, and multiple punctures. Independent risk factors of pneumothorax in the multivariate logistic regression analysis included emphysema (P=0.000), no contact between the lesion and the pleura (P=0.000), prone or lateral body position (P=0.002), and the number of pleural punctures (P=0.000). The sensitivity, specificity, and accuracy of the predictive model for pneumothorax were 56.8%, 79.6%, and 72.5%, respectively. Conclusions: Pneumothorax is a common complication of CT-guided lung biopsy. Independent risk factors of pneumothorax include emphysema, no contact between the lesion and the pleura, and prone or lateral body position. The predictive model developed in this study was highly accurate in predicting the incidence of pneumothorax.

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Section: Introductionmentioning

confidence: 99%

Logistic regression analysis and a risk prediction model of pneumothorax after CT-guided needle biopsy

Zhao¹,

Wang²,

Wang³

et al. 2017

J. Thorac. Dis.

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“…[10][11][12][13] and the rate of chest tube placement varies from 2% to 18%. 2,[14][15][16] Such interventions may lead to hospital admission for observation and follow-up chest radiography.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of an opposite position aspiration on resolution of pneumothorax following CT-guided lung biopsy

et al. 2015

BJR

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respectively. In the other 24 patients (29.3%, 24/82), simple aspiration technique was ineffective. An opposite position (from prone to supine or vice versa) was applied, and a new biopsy puncture site was chosen for reaspiration. This procedure was successful in 22 patients but not in 2 patients who had to have a chest tube insertion. The complete and partial regression rates were 25.0% (6/24) and 66.7% (16/24), respectively. Applying the new method, the total effective rate of aspiration improved significantly from 70.7% (58/82) to 97.6% (80/82). Conclusion:The opposite position aspiration can be safe, effective and minimally invasive treatment for CT-guided lung biopsy-induced pneumothorax thus reducing the use of chest tube significantly. Advances in knowledge: (1) Opposite position aspiration can elevate the success rate of aspiration significantly (from 70.7% to 97.6% in our study); (2) this procedure is a safe, effective and minimally invasive treatment for pneumothorax caused by biopsy; and (3) opposite position aspiration is a useful technique to reduce the use of chest tube, which has clinical significance.

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“…In two large series, the sensitivity and specificity of an automated 20-gauge CT-guided CNB was w90% and w100%, respectively, without difference between lesions w20 mm and v20 mm [82,83]. The pneumothorax rate has been reported at 4-25% [82][83][84], but only a minority (3-5%) required chest tube drainage [82][83][84]. Pathological diagnosis may lead to three broad categories of findings: inflammatory, atypical bronchoalveolar proliferation (atypical adenomatous hyperplasia (AAH) or bronchoalveolar carcinoma (BAC)) and invasive carcinoma.…”

Section: Management Of Early Detected Lung Cancermentioning

confidence: 94%

“…A transthoracic core-needle biopsy (CNB) provides a tissue core for histological examination, which increases the chances of a specific diagnosis. In two large series, the sensitivity and specificity of an automated 20-gauge CT-guided CNB was w90% and w100%, respectively, without difference between lesions w20 mm and v20 mm [82,83]. The pneumothorax rate has been reported at 4-25% [82][83][84], but only a minority (3-5%) required chest tube drainage [82][83][84].…”

Section: Management Of Early Detected Lung Cancermentioning

confidence: 99%

Lung cancer screening by low-dose spiral computed tomography

Klaveren

Habbema²,

Pedersen³

et al. 2001

European Respiratory Journal

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The poor prognosis of lung cancer has barely changed in the last decades, but the prognosis is better when the disease is detected earlier. Lung cancer screening by chest radiography did not lead to a decrease in lung cancer mortality, presumably because the chest radiograph is a poor screening tool with low sensitivity.With the advent of the low-dose spiral computed tomography (CT) scan it has become feasible to detect early invasive stage I lung cancer in 80-90% of cases. This technique could possibly decrease lung cancer mortality, but the extent of this effect is as yet unknown, and whether lung cancer screening will be cost-effective is yet to be determined. These questions can only be resolved in a randomized controlled trial with lung cancer mortality as an unbiased end-point.In this review, the initiatives to evaluate low dose spiral CT screening for lung cancer in Japan, USA and Europe are presented. In the USA and Japan, evaluation is in onearmed studies, whereas in many European countries randomized trials are now being planned and several one-armed studies have been initiated. A formal collaboration among these countries has now been set up.It is strongly recommended that lung cancer screening be evaluated in randomized trials in order to allow evidence-based health policy decisions to be made on this subject.

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CT-Guided Cutting Needle Biopsy of Lung Lesions — Safety and Efficacy of an Out-patient Service

Cited by 87 publications

References 32 publications

Logistic regression analysis and a risk prediction model of pneumothorax after CT-guided needle biopsy

Logistic regression analysis and a risk prediction model of pneumothorax after CT-guided needle biopsy

Efficacy of an opposite position aspiration on resolution of pneumothorax following CT-guided lung biopsy

Lung cancer screening by low-dose spiral computed tomography

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