Research Article
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Year 2022, Volume: 35 Issue: 2, 219 - 224, 30.05.2022
https://doi.org/10.5472/marumj.1120552

Abstract

References

  • [1] Richardson CM, Pointon KS, Manhire AR, Macfarlane JT. Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies. Br J Radiol 2002;75: 731-5. doi:10.1259/ bjr.75.897.750731
  • [2] Brioulet J, David A, Sagan C, Cellerin L, Frampas E, Morla O. Percutaneous CT-guided lung biopsy for the diagnosis of persistent pulmonary consolidation. Diagn Interv Imaging 2020;101:727-32, doi:10.1016/j.diii.2020.07.007
  • [3] Yeow KM, See LC, Lui KW, et al. Risk factors for pneumothorax and bleeding after CT-guided percutaneous coaxial cutting needle biopsy of lung lesions. J Vasc Intervent Radiol 2001; 12: 1305-12. doi: 10.1016/s1051-0443(07)61556-5
  • [4] Çakır Ö, Çam İ, Koç U, Çiftçi E. Evaluation of major complications associated with percutaneous CT-guided biopsy of lung nodules below 3 cm. Turk J Med Sci 2020;50: 369-74. doi:10.3906/sag-1908-73
  • [5] Manhire A, Chairman CM, Clelland C, et al. Guidelines for radiologically guided lung biopsy. Thorax 2003;58:920-36. doi: 10.1136/thorax.58.11.920
  • [6] Layfield LJ, Coogan A, Johnston WW, et al Transthoracic fine needle aspiration biopsy: sensitivity in relation to guidance technique and lesion size and location. Acta Cytol 1996; 40: 687-90. doi: 10.1159/000333940.
  • [7] Larscheid RC, Thorpe PE, Scott WJ. Percutaneous transthoracic needle aspiration biopsy: a comprehensive review of its currentrole in the diagnosis and treatment of lung tumors. Chest 1998; 114:704-09. doi: 10.1378/chest.114.3.704.
  • [8] Yaffe D, Koslow M, Haskiya H, Shitrit D. A novel technique for CT-guided transthoracic biopsy of lung lesions: improved biopsy accuracy and safety. Eur Radiol 2015;25:3354-60. doi: 10.1007/s00330.015.3750-z.
  • [9] Çubuk R, Tasalı N, Midi A, ve ark. Akciğer lezyonlarında bilgisayarlı tomografi eşliğinde transtorasik aspirasyon biopsi sonuçları; işlem, komplikasyonlar ve tanı değeri. Maltepe Tıp Dergisi 2009;1 32-7.
  • [10] Shaffer K. Role of radiology for imaging and biopsy of solitary pulmonary nodules. Chest 1999; 116:519-22. doi: 10.1378/ chest.116.suppl_3.519s.
  • [11] Klein JS, Zarka MA. Transthoracic needle biopsy. Radiol Clin North Am 2000;38:235-66. doi: 10.1016/s0033- 8389(05)70161-5.
  • [12] Düzgün F, Tarhan S. Perkütan transtorasik akciğer ve kemik biopsileri. Trd Sem 2015;3:182-91. doi:10.5152/trs.2015.172
  • [13] Takeshita J, Masago K, Kato R, et al. CT-guided fine-needle aspiration and core needle biopsies of pulmonary lesions: A single-center experience with 750 biopsies in Japan. AJR 2015;204:29-34. doi: 10.2214/AJR.14.13151.
  • [14] Boskovic T, Stanic J, Pena-Karan S, et al. Pneumothorax after transthoracic needle biopsy of lung lesions under CT guidance. J Thorac Dis 2014;6(S1):S99-S107.doi:10.3978/j. issn.2072-1439.2013.12.08.
  • [15] Drumm O, Eimear A. Joyce E A, Blacam C, et al. CTguided lung biopsy: effect of biopsy-side down position on pneumothorax and chest tube placement. Radiology 2019; 292:190-6. doi:10.1148/radiol.201.918.2321
  • [16] Zeng L C, Liao H Q, Wu WB, et al. Effect of puncture sites on pneumothorax after lung CT-guided biopsy. Medicine 2020; 99:e19656. doi: 10.1097/MD.000.000.0000019656
  • [17] Yeow K M, Su I-H, Pan K T, et al. Risk factors of pneumothorax and bleeding multivariate analysis of 660 CT-guided coaxial cutting needle lung biopsies. Chest 2004;126:748-54. doi: 10.1378/chest.126.3.748
  • [18] Arıba BK, Dingil G, Ahin G, et al. CT-guided transthoracic biopsy: Factors in pneumothorax risk and diagnostic yield. Nobel Medicus 2019; 7: 1: 37-41. doi: 10.1016/s0009- 9260(03)00221-6.
  • [19] Aktas AR, Gozlek E, Yazkan R, et al. Transthoracic biopsy of lung masses: Non technical factors affecting complication occurrence. Thorac Can 2015 ;6:151-8. doi: 10.1111/1759- 7714.12156.
  • [20] Chami HA, Faraj W, Yehia ZA, et al. Predictors of pneumothorax after CT-guided transthoracic needle lung biopsy: the role of quantitative CT. Clin Radiol 2015;70:1382- 7. doi: 10.1016/j.crad.2015.08.003

CT-guided lung biopsy: diagnostic accuracy and complication rates of biopsy techniques

Year 2022, Volume: 35 Issue: 2, 219 - 224, 30.05.2022
https://doi.org/10.5472/marumj.1120552

Abstract

Objective: We aimed to evaluate the diagnostic accuracy and complication rates of computed tomography (CT)-guided core needle
biopsy and fine needle aspiration biopsy (FNAB).
Materials and

Methods: Patients who underwent CT-guided lung mass biopsy were included. The patients were evaluated in terms of
age, gender, lesion diameter, lesion localization, depth of the mass, type of biopsy procedure (core needle biopsies and FNAB).

Results: The accuracy rate of FNAB in diagnostic material was found to be 100% in terms of benign, malignant and all lesions. The
specificity and sensitivity of FNAB was found to be 100%. The diagnostic accuracy rate of core needle biopsy was found to be 70%
in benign lesions, 100% in malignant lesions. The specificity of core needle biopsy was 90% and sensitivity 100%. There was no
statistically significant difference between the two biopsy techniques in terms of complications.

Conclusion: In conclusion, we found that the diagnostic rates of FNAB and core needle biopsy were close in malignant lesions, the
diagnostic rate of core needle biopsy was higher in benign lesions, and there was no difference in terms of complications in both
biopsy techniques.

References

  • [1] Richardson CM, Pointon KS, Manhire AR, Macfarlane JT. Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies. Br J Radiol 2002;75: 731-5. doi:10.1259/ bjr.75.897.750731
  • [2] Brioulet J, David A, Sagan C, Cellerin L, Frampas E, Morla O. Percutaneous CT-guided lung biopsy for the diagnosis of persistent pulmonary consolidation. Diagn Interv Imaging 2020;101:727-32, doi:10.1016/j.diii.2020.07.007
  • [3] Yeow KM, See LC, Lui KW, et al. Risk factors for pneumothorax and bleeding after CT-guided percutaneous coaxial cutting needle biopsy of lung lesions. J Vasc Intervent Radiol 2001; 12: 1305-12. doi: 10.1016/s1051-0443(07)61556-5
  • [4] Çakır Ö, Çam İ, Koç U, Çiftçi E. Evaluation of major complications associated with percutaneous CT-guided biopsy of lung nodules below 3 cm. Turk J Med Sci 2020;50: 369-74. doi:10.3906/sag-1908-73
  • [5] Manhire A, Chairman CM, Clelland C, et al. Guidelines for radiologically guided lung biopsy. Thorax 2003;58:920-36. doi: 10.1136/thorax.58.11.920
  • [6] Layfield LJ, Coogan A, Johnston WW, et al Transthoracic fine needle aspiration biopsy: sensitivity in relation to guidance technique and lesion size and location. Acta Cytol 1996; 40: 687-90. doi: 10.1159/000333940.
  • [7] Larscheid RC, Thorpe PE, Scott WJ. Percutaneous transthoracic needle aspiration biopsy: a comprehensive review of its currentrole in the diagnosis and treatment of lung tumors. Chest 1998; 114:704-09. doi: 10.1378/chest.114.3.704.
  • [8] Yaffe D, Koslow M, Haskiya H, Shitrit D. A novel technique for CT-guided transthoracic biopsy of lung lesions: improved biopsy accuracy and safety. Eur Radiol 2015;25:3354-60. doi: 10.1007/s00330.015.3750-z.
  • [9] Çubuk R, Tasalı N, Midi A, ve ark. Akciğer lezyonlarında bilgisayarlı tomografi eşliğinde transtorasik aspirasyon biopsi sonuçları; işlem, komplikasyonlar ve tanı değeri. Maltepe Tıp Dergisi 2009;1 32-7.
  • [10] Shaffer K. Role of radiology for imaging and biopsy of solitary pulmonary nodules. Chest 1999; 116:519-22. doi: 10.1378/ chest.116.suppl_3.519s.
  • [11] Klein JS, Zarka MA. Transthoracic needle biopsy. Radiol Clin North Am 2000;38:235-66. doi: 10.1016/s0033- 8389(05)70161-5.
  • [12] Düzgün F, Tarhan S. Perkütan transtorasik akciğer ve kemik biopsileri. Trd Sem 2015;3:182-91. doi:10.5152/trs.2015.172
  • [13] Takeshita J, Masago K, Kato R, et al. CT-guided fine-needle aspiration and core needle biopsies of pulmonary lesions: A single-center experience with 750 biopsies in Japan. AJR 2015;204:29-34. doi: 10.2214/AJR.14.13151.
  • [14] Boskovic T, Stanic J, Pena-Karan S, et al. Pneumothorax after transthoracic needle biopsy of lung lesions under CT guidance. J Thorac Dis 2014;6(S1):S99-S107.doi:10.3978/j. issn.2072-1439.2013.12.08.
  • [15] Drumm O, Eimear A. Joyce E A, Blacam C, et al. CTguided lung biopsy: effect of biopsy-side down position on pneumothorax and chest tube placement. Radiology 2019; 292:190-6. doi:10.1148/radiol.201.918.2321
  • [16] Zeng L C, Liao H Q, Wu WB, et al. Effect of puncture sites on pneumothorax after lung CT-guided biopsy. Medicine 2020; 99:e19656. doi: 10.1097/MD.000.000.0000019656
  • [17] Yeow K M, Su I-H, Pan K T, et al. Risk factors of pneumothorax and bleeding multivariate analysis of 660 CT-guided coaxial cutting needle lung biopsies. Chest 2004;126:748-54. doi: 10.1378/chest.126.3.748
  • [18] Arıba BK, Dingil G, Ahin G, et al. CT-guided transthoracic biopsy: Factors in pneumothorax risk and diagnostic yield. Nobel Medicus 2019; 7: 1: 37-41. doi: 10.1016/s0009- 9260(03)00221-6.
  • [19] Aktas AR, Gozlek E, Yazkan R, et al. Transthoracic biopsy of lung masses: Non technical factors affecting complication occurrence. Thorac Can 2015 ;6:151-8. doi: 10.1111/1759- 7714.12156.
  • [20] Chami HA, Faraj W, Yehia ZA, et al. Predictors of pneumothorax after CT-guided transthoracic needle lung biopsy: the role of quantitative CT. Clin Radiol 2015;70:1382- 7. doi: 10.1016/j.crad.2015.08.003
There are 20 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Muhammed Akif Denız This is me 0000-0002-9586-2425

Caglayan Cakır This is me 0000-0001-8030-6795

Fatih Kılınc This is me 0000-0002-7224-7737

Osman Kurt This is me 0000-0003-4164-3611

Zelal Tas Denız This is me 0000-0001-5986-5293

Publication Date May 30, 2022
Published in Issue Year 2022 Volume: 35 Issue: 2

Cite

APA Denız, M. A., Cakır, C., Kılınc, F., Kurt, O., et al. (2022). CT-guided lung biopsy: diagnostic accuracy and complication rates of biopsy techniques. Marmara Medical Journal, 35(2), 219-224. https://doi.org/10.5472/marumj.1120552
AMA Denız MA, Cakır C, Kılınc F, Kurt O, Tas Denız Z. CT-guided lung biopsy: diagnostic accuracy and complication rates of biopsy techniques. Marmara Med J. May 2022;35(2):219-224. doi:10.5472/marumj.1120552
Chicago Denız, Muhammed Akif, Caglayan Cakır, Fatih Kılınc, Osman Kurt, and Zelal Tas Denız. “CT-Guided Lung Biopsy: Diagnostic Accuracy and Complication Rates of Biopsy Techniques”. Marmara Medical Journal 35, no. 2 (May 2022): 219-24. https://doi.org/10.5472/marumj.1120552.
EndNote Denız MA, Cakır C, Kılınc F, Kurt O, Tas Denız Z (May 1, 2022) CT-guided lung biopsy: diagnostic accuracy and complication rates of biopsy techniques. Marmara Medical Journal 35 2 219–224.
IEEE M. A. Denız, C. Cakır, F. Kılınc, O. Kurt, and Z. Tas Denız, “CT-guided lung biopsy: diagnostic accuracy and complication rates of biopsy techniques”, Marmara Med J, vol. 35, no. 2, pp. 219–224, 2022, doi: 10.5472/marumj.1120552.
ISNAD Denız, Muhammed Akif et al. “CT-Guided Lung Biopsy: Diagnostic Accuracy and Complication Rates of Biopsy Techniques”. Marmara Medical Journal 35/2 (May 2022), 219-224. https://doi.org/10.5472/marumj.1120552.
JAMA Denız MA, Cakır C, Kılınc F, Kurt O, Tas Denız Z. CT-guided lung biopsy: diagnostic accuracy and complication rates of biopsy techniques. Marmara Med J. 2022;35:219–224.
MLA Denız, Muhammed Akif et al. “CT-Guided Lung Biopsy: Diagnostic Accuracy and Complication Rates of Biopsy Techniques”. Marmara Medical Journal, vol. 35, no. 2, 2022, pp. 219-24, doi:10.5472/marumj.1120552.
Vancouver Denız MA, Cakır C, Kılınc F, Kurt O, Tas Denız Z. CT-guided lung biopsy: diagnostic accuracy and complication rates of biopsy techniques. Marmara Med J. 2022;35(2):219-24.