Ultrasound-guided pleural cutting needle biopsy: accuracy and factors influencing diagnostic yield

Zhang, Yuxin; Tang, Jiaxin; Zhou, Xinghua; Zhou, Dansha; Wang, Jinlin; Tang, Qing

doi:10.21037/jtd.2018.05.94

Cited by 29 publications

(23 citation statements)

References 34 publications

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“…A longer needle pathway length was independently associated with the diagnostic yield of US-guided PCPNB. This aligns with the study of Zhang et al [17], which reported that the size of the biopsy specimen is significantly associated with the diagnostic accuracy of US-guided PCPNB. This factor may also be considered when selecting a diagnostic approach for small pleural lesions.…”

Section: Accepted Manuscriptsupporting

confidence: 91%

“…Past studies have shown a sensitivity of US-guided PCPNB for malignancy of 44.2% to 80% [13][14][15][16][17]. In comparison, the sensitivity for malignancy in our study was 91.4%.…”

Section: Accepted Manuscriptcontrasting

confidence: 64%

“…These wide ranges may also relate to differences in pleural thickness across studies. In a study by Zhang et al [17], the sensitivity of US-guided PCPNB in diagnosing malignancy was low at 58.1%.…”

Section: Accepted Manuscriptmentioning

confidence: 95%

“…The reported diagnostic accuracy of US-guided PCPNB is variable, ranging from 66.7% to 97.1% [9,[13][14][15][16][17]. The accuracy may in part reflect variable lesion size across the earlier studies,…”

Section: Accepted Manuscript Introductionmentioning

confidence: 99%

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Ultrasound-Guided Percutaneous Needle Biopsy for Small Pleural Lesions: Diagnostic Yield and Impact of CT and Ultrasound Characteristics

Park

Lim

et al. 2021

American Journal of Roentgenology

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The publication of this Accepted Manuscript is provided to give early visibility to the contents of the article, which will undergo additional copyediting, typesetting, and review before it is published in its final form. During the production process, errors may be discovered that could affect the content of the Accepted Manuscript. All legal disclaimers that apply to the journal pertain. The reader is cautioned to consult the definitive version of record before relying on the contents of this document.

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Section: Accepted Manuscriptsupporting

confidence: 91%

“…Past studies have shown a sensitivity of US-guided PCPNB for malignancy of 44.2% to 80% [13][14][15][16][17]. In comparison, the sensitivity for malignancy in our study was 91.4%.…”

Section: Accepted Manuscriptcontrasting

confidence: 64%

Section: Accepted Manuscriptmentioning

confidence: 95%

Section: Accepted Manuscript Introductionmentioning

confidence: 99%

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Ultrasound-Guided Percutaneous Needle Biopsy for Small Pleural Lesions: Diagnostic Yield and Impact of CT and Ultrasound Characteristics

Park

Lim

et al. 2021

American Journal of Roentgenology

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“…As previously noted, TUS may also be used to guide more advanced pleural interventions, such as pleural biopsies or medical thoracoscopy. It has been demonstrated that this provides similar safety benefits by reducing the incidence of haemorrhage, pneumothorax and visceral injury, while also facilitating a high diagnostic yield of >90% [16][17][18][19][20][21].…”

mentioning

confidence: 99%

Thoracic ultrasound competence for ultrasound-guided pleural procedures

et al. 2019

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@ERSpublications Focused thoracic ultrasound is essential in the guidance of pleural interventions to reduce unwanted complications. It forms a crucial component of physician training. Current training standards and assessment methods vary.ABSTRACT Focused thoracic ultrasound has become essential in the guidance and direction of pleural interventions to reduce unwanted complications and as a result now forms a crucial component of physician training. Current training standards along with assessment methods vary widely, and are often not robust enough to ensure adequate competence. This review assesses the current state of training and assessment of thoracic ultrasound competence in various settings, allowing comparison with alternative competency based programmes. Future directions for training and assessment of thoracic ultrasound competence are discussed. Epidemiology and relevancePleural disease is common, with an estimated annual incidence of 3000 people per million population. This translates to approximately 200 000 new cases of pleural disease yearly in the UK and this incidence continues to rise, therefore representing a significant burden on healthcare systems. There are more than 40 000 new cases of malignant pleural effusion in the UK annually, contributing to an annual incidence of approximately 300 000 cases across the USA and UK combined. Incidence rates for all cancers combined in the UK have increased by 7% over the past 10 years and are projected to rise by a further 2% between 2014 and 2035 to 742 cases per 100 000, which is likely to result in an ongoing increase in the incidence of malignant pleural effusion. In addition, there are approximately 2500 deaths per year in the UK from mesothelioma. The incidence has steadily risen over the past 50 years and is expected to peak in 2020 [1-5].The combined UK and US population also has an estimated annual incidence of 80 000 cases of pleural infection. This frequency has doubled over the past decade and continues to rise [6,7]. Role of ultrasound for pleural proceduresAs the prevalence of pleural disease has continued to rise, so has the need for increasingly specialised interventions. This includes local anaesthetic thoracoscopy with or without pneumothorax induction, pleural biopsy and indwelling catheter insertion along with more traditional procedures such as pleural aspiration and chest drain insertion. The role of ultrasound guidance for these procedures has also increased. A Intermediate-level TUS operatorMinimum of 2 years' experience as a basic-level TUS operator Ability to detect A-lines and B-lines in lung ultrasound Ability to identify and assess pleural thickening Ability to assess diaphragm function on ultrasound Ability to perform real-time pleural aspiration and chest drain insertion when required Ability to use ultrasound help guide site for indwelling pleural catheter insertion (scanning patients in lateral decubitus position) Annual review and appraisal of practice including standardised outcome measures Advanced-level TUS operator...

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Pleural Interventions: Closed Pleural Biopsy

Shaw

Irusen

Koegelenberg

2022

Encyclopedia of Respiratory Medicine

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Ultrasound-guided pleural cutting needle biopsy: accuracy and factors influencing diagnostic yield

Abstract: Pleural thickness and the size of the biopsy needle were significantly correlated with the diagnostic yield.

Cited by 29 publications

References 34 publications

Ultrasound-Guided Percutaneous Needle Biopsy for Small Pleural Lesions: Diagnostic Yield and Impact of CT and Ultrasound Characteristics

Ultrasound-Guided Percutaneous Needle Biopsy for Small Pleural Lesions: Diagnostic Yield and Impact of CT and Ultrasound Characteristics

Thoracic ultrasound competence for ultrasound-guided pleural procedures

Pleural Interventions: Closed Pleural Biopsy

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