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La radiologia medica

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01.04.2016 | CHEST RADIOLOGY

Flat detector C-arm CT-guided transthoracic needle biopsy of small (≤2.0 cm) pulmonary nodules: diagnostic accuracy and complication in 100 patients

verfasst von: Dechao Jiao, Huifeng Yuan, Quanhui Zhang, Xinwei Han

Erschienen in: La radiologia medica | Ausgabe 4/2016

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Abstract

Purpose

This study aimed at assessing the usefulness of flat detector cone-beam CT virtual navigation-guided transthoracic needle biopsy of small (≤2.0 cm) pulmonary nodules in terms of diagnostic accuracy and complications to evaluate the diagnostic performance and complications of small pulmonary nodules under cone-beam CT (CBCT) guidance.

Materials and methods

A total of 100 patients with 100 solid lung nodules were retrospectively enrolled to undergo transthoracic needle biopsy (TNB) procedures. The mean diameter of lesions was 1.25 cm ± 0.39 (range 0.50–2.00 cm). The needle path was carefully planned and calculated on the CBCT virtual navigation guidance system, which acquired 3D CT-like cross-sectional images. Diagnostic performance, complication rate, and patient radiation exposure were investigated.

Results

The technical success rate of TNB under iGuide CBCT virtual navigation system was 99 % (99/100). The sensitivity, specificity, and accuracy of TNB of small nodules under iGuide CBCT virtual navigation guidance were 98.7 % (77/78), 90.5 % (19/21), and 97.0 % (96/99), respectively. The number of pleural passages with coaxial needle, biopsies, and CBCT acquisitions were 1.09 ± 0.32, 1.20 ± 0.47, and 3.06 ± 1.35, respectively. Complications occurred in 22 (22 %) cases. The mean total procedure time was 12.84 min ± 3.74, resulting in a mean exposure dose of 7.6 mSv ±3.1.

Conclusions

Flat detector Cone-beam CT-guided TNB is a highly accurate and safe diagnostic method for small (≤2.0 cm) lung nodule.

Ohno Y, Hatabu H, Takenaka D et al (2003) CT-guided transthoracic needle aspiration biopsy of small (< or =20 mm) solitary pulmonary nodules. Am J Roentgenol 180:1665–1669CrossRef

de Jiao C, Li TF, Han XW et al (2014) Clinical applications of the C-arm cone-beam CT-based 3D needle guidance system in performing percutaneous transthoracic needle biopsy of pulmonary lesions. Diagn Interv Radiol 20:470–474CrossRefPubMedCentral

Geraghty PR, Kee ST, McFarlane G et al (2003) CT-guided transthoracic needle aspiration biopsy of pulmonarynodules: needle size and pneumothorax rate. Radiology 229:475–481CrossRefPubMed

Hiraki T, Mimura H, Gobara H et al (2009) CT fluoroscopy-guided biopsy of 1,000 pulmonary lesions performed with 20-gauge coaxial cutting needles: diagnostic yield and risk factors for diagnostic failure. Chest 136:1612–1617CrossRefPubMed

Kim GR, Hur J, Lee SM et al (2011) CT fluoroscopy-guided lung biopsy versus conventional CT-guided lung biopsy: a prospective controlled study to assess radiation doses and diagnostic performance. Eur Radiol 21:232–239CrossRefPubMed

Braak SJ, van Strijen MJ, van Leersum M et al (2003) Real-time 3D fluoroscopy guidance during needle interventions: technique, accuracy, and feasibility. Am J Roentgenol 194:445–451CrossRef

Bissoli E, Bison L, Gioilis E et al (2003) Multislice CT fluoroscopy: technical principles, clinical applications and dosimetry. Radiol Med 106:201–212PubMed

Kirchner J, Kickuth R, Laufer U et al (2003) CT fluoroscopy-assisted puncture of thoracic and abdominal masses: a randomized trial. Clin Radiol 57:188–192CrossRef

Yamagami T, Kato T, Iida S et al (2004) Percutaneous needle biopsy for small lung nodules beneath the rib under CT scan fluoroscopic guidance with gantry tilt. Chest 126:744–747CrossRefPubMed

10.

Jin KN, Park CM, Goo JM et al (2010) Initial experience of percutaneous transthoracic needle biopsy of lung nodules using C-arm cone-beam CT systems. Eur Radiol 20:2108–2115CrossRefPubMed

11.

Sang ML, Chang MP, Kyung HL et al (2013) C-arm cone-Beam CT-guided Percutaneous Transthoracic needle Biopsy of lung nodules: clinical experience in 1108 patients. Radiology 271:291–300

12.

Kalender WA, Kyriakou Y (2007) Flat-detector computed tomography (FD-CT). Eur Radiol 17:2767–2779CrossRefPubMed

13.

Wallace MJ, Kuo MD, Glaiberman C et al (2009) Three-dimensional C-arm cone-beam CT: applications in the interventional suite. J Vasc Interv Radiol 20:S523–S537CrossRefPubMed

14.

O’Neill AC, McCarthy C, Ridge CA et al (2012) Rapid needle-out patient-rollover time after percutaneous CT-guided transthoracic biopsy of lung nodules: effect on pneumothorax rate. Radiology 262:314–319CrossRefPubMed

15.

Hwang HS, Chung MJ, Lee JW et al (2010) C-arm cone-beam CT-guided percutaneous transthoracic lung biopsy: usefulness in evaluation of small pulmonary nodules. Am J Roentgenol 195:400–407CrossRef

16.

Henschke CI, McCauley DI, Yankelevitz DF et al (1999) Early lung cancer action project: overall design and findings from baseline screening. Lancet 354:99–105CrossRefPubMed

17.

Ji YC, Chang MP, Nyoung KL et al (2013) Percutaneous transthoracic needle biopsy of small (≤1 cm)lung nodules under C-arm cone-beam CT virtual navigation guidance. Eur Radiol 23:712–719CrossRef

18.

Carrafiello G, Fontana F, Mangini M et al (2012) Initial experience with percutaneous biopsies of bone lesions using XperGuide cone-beam CT (CBCT): technical note. Radiol Med 117:1386–1397CrossRefPubMed

19.

Gupta R, Cheung AC, Bartling SH et al (2008) Flat-panel volume CT: fundamental principles, technology, and applications. Radiographics 28:2009–2022CrossRefPubMed

20.

El-Sheik M, Heverhagen JT, Alfke H et al (2001) Multiplanar reconstructions and three-dimensional imaging (computed rotational osteography) of complex fractures by using a C-arm system: initial results. Radiology 221:843–849CrossRefPubMed

21.

Priola AM, Priola SM, Cataldi A et al (2010) Diagnostic accuracy and complication rate of CT-guided fine needle aspiration biopsy of lung lesions: a study based on the experience of the cytopathologist. Acta Radiol 51:527–533CrossRefPubMed

22.

Wallace MJ, Krishnamurthy S, Broemeling LD et al (2002) CT-guided percutaneous fine-needle aspiration biopsy of small (< or 10-cm) pulmonary lesions. Radiology 225:823–828CrossRefPubMed

23.

Chiara F, Alessandra M, Federico F et al (2014) C-arm cone-beam computed tomography needle path overlay for percutaneous biopsy of pulmonary nodules. Radiol Med 119:820–827CrossRef

24.

Carlson SK, Felmlee JP, Bender CE et al (2005) CT fluoroscopy-guided biopsy of the lung or upper abdomen with a breath-hold monitoring and feedback system: a prospective randomized controlled clinical trial. Radiology 237:701–708CrossRefPubMed

25.

Schaefer PJ, Schaefer FK, Heller M et al (2007) CT fluoroscopy guided biopsy of small pulmonary and upper abdominal lesions: Efficacy with a modified breathing technique. J Vasc Interv Radiol 18:1241–1248CrossRefPubMed

26.

Poulou LS, Tsagouli P, Ziakas PD et al (2013) Computed tomography-guided needle aspiration and biopsy of pulmonary lesions: a single-center experience in 1000 patients. Acta Radiol 54:640–645CrossRefPubMed

27.

Braak SJ, van Strijen MJ, van Es HW et al (2011) Effective dose during needle interventions: cone-beam CT guidance compared with conventional CT guidance. J Vasc Interv Radiol 22:455–461CrossRefPubMed

28.

Mettler FA Jr, Huda W, Yoshizumi TT et al (2008) Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology 2008(248):254–263CrossRef

Titel: Flat detector C-arm CT-guided transthoracic needle biopsy of small (≤2.0 cm) pulmonary nodules: diagnostic accuracy and complication in 100 patients
verfasst von: Dechao Jiao
Huifeng Yuan
Quanhui Zhang
Xinwei Han
Publikationsdatum: 01.04.2016
Verlag: Springer Milan
Erschienen in: La radiologia medica / Ausgabe 4/2016
Print ISSN: 0033-8362
Elektronische ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-015-0604-3

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Flat detector C-arm CT-guided transthoracic needle biopsy of small (≤2.0 cm) pulmonary nodules: diagnostic accuracy and complication in 100 patients

Abstract

Purpose

Materials and methods

Results

Conclusions

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Abstract

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