Safety, feasibility, and effectiveness of a CT-guided transthoracic lung and pleural biopsy - a single-centre experience with own low-dose protocol.

Polish journal of radiology Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI:10.5114/pjr.2023.133309

Maciej Guzinski, Michał Puła, Agata Zdanowicz, Arkadiusz Kacała, Krzysztof Dudek, Artur Lipiński, Marek Sąsiadek

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引用次数: 0

Abstract

Purpose: To assess the efficacy and safety of a low-dose, computed tomography (CT)-guided transthoracic biopsy of lung and pleural lesions.

Material and methods: A total of 135 low-dose, CT-guided transthoracic lung and pleural lesions biopsies were performed. A cutting needle was utilized in 124 cases, and fine needle aspiration biopsy was performed in 14 cases. In all cases, 14- to 22-gauge biopsy needles were used.

Results: Diagnostic material was obtained in 111 (82.2%) patients. In 97 (71.8%) cases neoplastic lesions were found, predominantly adenocarcinoma and non-small cell carcinoma. In 14 (12.6%) cases non atypical cells were reported. Biopsy failed to obtain material suitable for histopathological examination in 24 (17.7%) cases. Complications occurred in 31 patients, including pneumothorax in 28 patients and haematoma in 3 cases.

Conclusions: Based on the obtained results, it can be stated that low-dose, CT-guided transthoracic biopsy of lung and pleural tissues is an accurate and safe procedure. Also, it is linked to a low risk of complications such as a small pneumothorax.

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CT引导下经胸腔肺和胸膜活检的安全性、可行性和有效性--采用低剂量方案的单中心经验。

目的：评估低剂量计算机断层扫描（CT）引导下经胸肺部和胸膜病变活检的有效性和安全性：共进行了 135 例低剂量、CT 引导下的经胸肺部和胸膜病变活检。其中 124 例使用了切割针，14 例进行了细针穿刺活检。所有病例均使用 14 至 22 号活检针：结果：111 例（82.2%）患者获得了诊断材料。在 97 例（71.8%）患者中发现了肿瘤病变，主要是腺癌和非小细胞癌。在 14 例（12.6%）病例中发现了非典型细胞。有 24 例（17.7%）活检未能获得适合组织病理学检查的材料。31例患者出现并发症，其中28例患者出现气胸，3例出现血肿：根据所获得的结果，可以说低剂量、CT 引导下的经胸肺和胸膜组织活检是一种准确、安全的手术。此外，它还具有较低的并发症风险，如小气胸。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Polish journal of radiology

CiteScore

2.10

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0.00%

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