Pleural and Peripheral Lung Lesions: Comparison of US- and CT-guided Biopsy

Sconfienza, Luca Maria; Mauri, Giovanni; Grossi, Francesco; Truini, Mauro; Serafini, Giovanni; Sardanelli, Francesco; C, Murolo

doi:10.1148/radiol.12112077

Cited by 130 publications

(132 citation statements)

References 22 publications

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“…Overall the diagnostic yield of image guided TTNA biopsy in our study was around 60% which is somewhat lesser than that in reported literature (70-90%). [22] This could be due to the small sample size and/or very stringent conditions of counting a biopsy a success. Moreover, the diagnostic yield is also influenced by the size of the nodule with lobes >2cm giving better definitive diagnosis.…”

Section: Success Rate Of Different Imaging Modalitiesmentioning

confidence: 99%

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Adequacy of Transthoracic Needle Biopsy Samples in the Diagnosis of a Peripheral Lung Lesion – Comparing Success Rates of Various Imaging Modalities

Alshimemeri¹

2017

IJMI

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Abstract:The aim of the study was to test whether a difference in the imaging modality (CT, Fluoroscopy, or Ultrasound) would result in a higher biopsy success rate for the diagnosis of lung cancer. A total of 144 transthoracic needle biopsies performed under guidance of different imaging modalities were retrospectively reviewed at King Abdulaziz Medical city in Riyadh between 2008 and 2012. A biopsy was counted a success whenever a definitive diagnosis could be achieved. CT guided biopsies revealed 51 successes out of 86 total samples, fluoroscopy guided biopsies revealed 8 successes out of 20 total samples, while for ultrasound guided biopsies, 30 successes out of 38 biopsies gave a definitive diagnosis. Comparing CT guided biopsies vs. Fluoroscopy guided biopsies, we got a p-value of 0.1884 which is clinically insignificant, 95% Confidence Interval [-0.07628, 0.46233]. On comparison of CT guided biopsies vs. ultrasound guided biopsies the p-value was 0.05558 which is also clinically insignificant, 95% Confidence Interval [-0.38150, -0.011399]. When ultrasound guided biopsies were compared to the fluoroscopy guided biopsies a p-value of 0.007461 < 0.025 was achieved which is clinically highly significant, 95% Confidence Interval [-0.38150, -0.011399]. It was determined with 95% confidence that there is a clinically significant difference (p-value of 0.007461) between success rates of Fluoroscopy guided biopsies and ultrasound guided biopsies, but not between the other pairs of modalities. Further investigations with larger sample size are warranted to compare the efficacy of fluoroscopy and ultrasound based imaging modalities for transthoracic needle biopsy.

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Section: Success Rate Of Different Imaging Modalitiesmentioning

confidence: 99%

“…[20,21] Ultrasound guided TTNA biopsies are generally well tolerated probably because lung lesions guided by ultrasounds are peripheral in nature with less chances of pneumothorax. [22] …”

Section: Introductionmentioning

confidence: 99%

Adequacy of Transthoracic Needle Biopsy Samples in the Diagnosis of a Peripheral Lung Lesion – Comparing Success Rates of Various Imaging Modalities

Alshimemeri¹

2017

IJMI

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“…The patient is placed in a lateral decubitus or, rarely, prone position and a low-frequency (2-5 MHz) curvilinear probe employed to direct the core-cutting biopsy needle, having first identified any underlying at-risk structures including intercostal vessels [38] and viscera. The technique permits, in expert hands, the sampling of not only pleural abnormalities but also chest wall and peripheral lung parenchymal lesions for diagnostic purposes [103,104]. Whilst no formal guidelines exist, the authors would suggest performing between eight and 10 core pleural biopsies to ensure adequate sampling.…”

Section: Medical Thoracoscopy and Closed Pleural Biopsymentioning

confidence: 99%

Advanced medical interventions in pleural disease

et al. 2016

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The burden of a number of pleural diseases continues to increase internationally. Although many pleural procedures have historically been the domain of interventional radiologists or thoracic surgeons, in recent years, there has been a marked expansion in the techniques available to the pulmonologist. This has been due in part to both technological advancements and a greater recognition that pleural disease is an important subspecialty of respiratory medicine. This article summarises the important literature relating to a number of advanced pleural interventions, including medical thoracoscopy, the insertion and use of indwelling pleural catheters, pleural manometry, point-of-care thoracic ultrasound, and image-guided closed pleural biopsy. We also aim to inform the reader regarding the latest updates to more established procedures such as chemical pleurodesis, thoracentesis and the management of chest drains, drawing on contemporary data from recent randomised trials. Finally, we shall look to explore the challenges faced by those practicing pleural medicine, especially relating to training, as well as possible future directions for the use and expansion of advanced medical interventions in pleural disease. @ERSpublications Technological advances and greater availability of techniques give a broad range of interventions for pleural disease http://ow.ly/ZNya2

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“…Ultrasound does not entail exposure to ionising radiation, and the equipment is substantially cheaper. In a retrospective review of 273 biopsies of pleural lesions and peripheral lung lesions abutting the pleura, technical success was high with both ultrasound and CT guidance (97.1% and 96.5% respectively) [31]. Procedures using ultrasound were substantially faster and resulted in fewer negative biopsy results.…”

Section: Image-guided Cutting Needle Biopsiesmentioning

confidence: 99%

Pleural biopsies in undiagnosed pleural effusions; Abrams vs image-guided vs thoracoscopic biopsies

Bibby

Maskell

2016

Current Opinion in Pulmonary Medicine

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms However this service is not universally available and may be unsuitable for some patients.Image-guided cutting-needle biopsies under computed tomography or ultrasound guidance have high diagnostic rates and are useful in a wide patient population. The main role of Abrams biopsies is in the diagnosis of tuberculous pleuritis in resource-poor settings.

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Pleural and Peripheral Lung Lesions: Comparison of US- and CT-guided Biopsy

Abstract: With pleural or peripheral lung lesions, US guidance is comparable to CT guidance in terms of sample accuracy, while allowing for a significant reduction in procedure time and postprocedural pneumothorax and being free from ionizing radiation.

Cited by 130 publications

References 22 publications

Adequacy of Transthoracic Needle Biopsy Samples in the Diagnosis of a Peripheral Lung Lesion – Comparing Success Rates of Various Imaging Modalities

Adequacy of Transthoracic Needle Biopsy Samples in the Diagnosis of a Peripheral Lung Lesion – Comparing Success Rates of Various Imaging Modalities

Advanced medical interventions in pleural disease

Pleural biopsies in undiagnosed pleural effusions; Abrams vs image-guided vs thoracoscopic biopsies

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