Ultrasonographically Guided Fine-Needle Aspiration Biopsy of Intrathoracic Tumors

Knudsen, Dorthe Ulrik; Nielsen, S. Møller; Hariri, J.; Christensen, J.; Kristensen, S.

doi:10.3109/02841859609177660

Cited by 15 publications

(2 citation statements)

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“…Ultrasound (US) guidance for needle placement during biopsy of thoracic lesions was first reported in 1976 and further validated in the 1980s and 1990s. [1][2][3][4][5][6][7] Whereas computed tomography (CT)-guided transthoracic needle biopsy is well established and accepted, there is a perceived bias against US guidance by many radiologists and chest physicians. For instance, a recent comprehensive article regarding the diagnosis of lung cancer recommended US guidance for thoracentesis but only meaningfully discussed CT and fluoroscopic guidance for transthoracic biopsy of chest lesions.…”

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confidence: 99%

Ultrasound Versus Computed Tomographic Guidance for Percutaneous Biopsy of Chest Lesions

Jarmakani

Duguay

Rust

et al. 2016

J of Ultrasound Medicine

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Objectives To compare ultrasound (US) versus computed tomography (CT) for primary guidance during needle biopsy of chest lesions. Methods Institutional Review Board approval was obtained for this Health Insurance Portability and Accountability Act–compliant retrospective study, and the need for informed consent was waived. All US‐ and CT‐guided chest biopsy procedures performed between January 1, 2012, and October 15, 2014, at our institution were reviewed, and all procedures targeting peripheral intrathoracic and chest wall lesions were included. Axillary lesions, lung lesions without peripheral pleural contact, and mediastinal lesions without a transcutaneous US window were excluded. Radiologic, pathologic, and clinical records were reviewed. Results Fifty‐five procedures with primary US guidance (23 lung, 6 pleural, 2 mediastinal, and 24 chest wall) and 130 CT procedures (88 lung, 10 pleural, 7 mediastinal, and 25 chest wall) were performed. Diagnostic samples were obtained in 98% (54 of 55) of US procedures and 87% (113 of 130) of CT procedures (P = .02). Pneumothorax requiring treatment occurred in 2% (1 of 55) of US procedures and 5% (7 of 130) of CT procedures (P = .25). Computed tomographic localization was used in 29% (16 of 55) of US procedures. Nevertheless, the average patient radiation dose was significantly less in US procedures (182 mGy‐cm) versus CT procedures (718 mGy‐cm; P< .01). The average procedure time was 40 minutes for US and 38 minutes for CT (P = .39). The average lesion size was 4.5 cm for US and 4.9 cm for CT (P = .14). Conclusions During biopsy of peripheral intrathoracic lesions and chest wall lesions, primary US guidance resulted in a higher likelihood of a diagnostic sample and a decreased patient radiation dose compared with CT guidance.

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confidence: 99%

Ultrasound Versus Computed Tomographic Guidance for Percutaneous Biopsy of Chest Lesions

Jarmakani

Duguay

Rust

et al. 2016

J of Ultrasound Medicine

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“…Jonpeilkezoe in a study of 124 patients observed pneumothorax in 4% of patients. 21 Similarly Ajay et al, 22 Chen et al, 23 Modini Venkata Rao et al, 24 Knudsen et al, 25 and Shailja Srivastava et al, also found rate of pneumothorax between 3-4%. In contrast in a study by Sinner et al rate of pneumothorax was 27.2% while hemoptysis was seen in 2.5%.…”

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confidence: 92%

Transthoracic ultrasound guided fine needle aspiration cytology of peripheral lung lesions: an experience of a pulmonologist

et al. 2019

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Background: Ultrasound (USG) guided fine needle aspiration cytology (FNAC) is a simple and cost-effective method for the diagnosis of various peripheral lung lesions. Being radiation free and easily available in most of centres, it has become an important diagnostic modality for early diagnosis of peripheral lung lesions. Besides procedure is simple and complications if occur, can be managed by a pulmonologist effectively. This study was aimed to evaluate the role of Transthoracic ultrasound guided FNAC in diagnosis of peripheral lung lesion.Methods: This prospective observational study was conducted at Government Chest Diseases Hospital Srinagar over a period of one year from January 2018-December 2018. 61 patients who fulfilled inclusion criteria were included in this study. After properly explaining the procedure and taking informed consent, USG guided FNAC was done in patients with peripheral lung lesions under local anaesthesia. Radiological and cytological data of enrolled patients was collected prospectively and analysed.Result: About 61 patients were included in this study comprising of 39 males and 22 females in age range of 17- 90 years. Malignancy was the most common cytological diagnosis (78.57%). while as benign diagnosis was reached in 21.43%. In 8.19% of patients, FNAC was inconclusive. Among the malignant group, adenocarcinoma (47.72%) was most common cytological diagnosis. The overall diagnostic yield of USG guided FNAC in this study was 91.8%.Conclusion: USG guided FNAC of peripheral lung lesions is a simple procedure with high accuracy and less complication rate which can be performed by a pulmonologist for diagnosis.

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Minimally Invasive Diagnostic Procedures

Seaton¹

2000

Crofton and Douglas's Respiratory Diseases

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Ultrasonographically Guided Fine-Needle Aspiration Biopsy of Intrathoracic Tumors

Cited by 15 publications

References 0 publications

Ultrasound Versus Computed Tomographic Guidance for Percutaneous Biopsy of Chest Lesions

Ultrasound Versus Computed Tomographic Guidance for Percutaneous Biopsy of Chest Lesions

Transthoracic ultrasound guided fine needle aspiration cytology of peripheral lung lesions: an experience of a pulmonologist

Minimally Invasive Diagnostic Procedures

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