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11.08.2016 | Interventional

MR-guided percutaneous biopsy of solitary pulmonary lesions using a 1.0-T open high-field MRI scanner with respiratory gating

verfasst von: Ming Liu, Jie Huang, Yujun Xu, Xiangmeng He, Lei Li, Yubo Lü, Qiang Liu, Roberto Blanco Sequeiros, Chengli Li

Erschienen in: European Radiology | Ausgabe 4/2017

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Abstract

Objectives

To prospectively evaluate the feasibility, safety and accuracy of MR-guided percutaneous biopsy of solitary pulmonary lesions using a 1.0-T open MR scanner with respiratory gating.

Methods

Sixty-five patients with 65 solitary pulmonary lesions underwent MR-guided percutaneous coaxial cutting needle biopsy using a 1.0-T open MR scanner with respiratory gating. Lesions were divided into two groups according to maximum lesion diameters: ≤2.0 cm (n = 31) and >2.0 cm (n = 34). The final diagnosis was established in surgery and subsequent histology. Diagnostic accuracy, sensitivity and specificity were compared between the groups using Fisher’s exact test.

Results

Accuracy, sensitivity and specificity of MRI-guided percutaneous pulmonary biopsy in diagnosing malignancy were 96.9 %, 96.4 % and 100 %, respectively. Accuracy, sensitivity and specificity were 96.8 %, 96.3 % and 100 % for lesions 2.0 cm or smaller and 97.1 %, 96.4 % and 100 %, respectively, for lesions larger than 2.0 cm. There was no significant difference between the two groups (P > 0.05). Biopsy-induced complications encountered were pneumothorax in 12.3 % (8/65) and haemoptysis in 4.6 % (3/65). There were no serious complications.

Conclusions

MRI-guided percutaneous biopsy using a 1.0-T open MR scanner with respiratory gating is an accurate and safe diagnostic technique in evaluation of pulmonary lesions.

Key Points

• MRI-guided percutaneous lung biopsy using a 1.0-T open MR scanner is feasibility.

• 96.9 % differentiation accuracy of malignant and benign lung lesions is possible.

• No serious complications occurred in MRI-guided lung biopsy.

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Titel: MR-guided percutaneous biopsy of solitary pulmonary lesions using a 1.0-T open high-field MRI scanner with respiratory gating
verfasst von: Ming Liu
Jie Huang
Yujun Xu
Xiangmeng He
Lei Li
Yubo Lü
Qiang Liu
Roberto Blanco Sequeiros
Chengli Li
Publikationsdatum: 11.08.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 4/2017
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-016-4518-9

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MR-guided percutaneous biopsy of solitary pulmonary lesions using a 1.0-T open high-field MRI scanner with respiratory gating