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CT-guided percutaneous transthorasic lung biopsy: one center experience

Year 2018, Volume: 10 Issue: 1, 57 - 63, 05.04.2018
https://doi.org/10.21601/ortadogutipdergisi.286537

Abstract

Abstract:

Aim: The aim of this retrospective study was to evaluate the diagnostic adequacy rate, post-procedure complications and radiological parameters of pulmonary lesions that underwent computed tomography (CT) guided percutaneous transthoracic lung biopsy (PTLB) in our clinic.

Material and Methods: 228 patients (45 females, 183 males) who underwent CT guided PTLB in our clinic between January 2014 and November 2016 were included in the study. In our study, the radiological parameters of the lesions, post-procedural complications and pathology results were examined. Fine needle aspiration biopsy (FNAB) with a 22 G needle was performed in all lesions with onsite pathologist. In addition, core biopsy was performed in 54 lesions, using an 18 G needle by single needle method.

Results: Of the 228 patients included in our study, 195 were diagnosed and the diagnostic adequacy rate was 85.5%. Pneumothorax was detected in 63 patients (%27,6), pulmonary haemorrhage was detected in 64 patients (%28) in the images taken immediately after the procedure.

Conclusion: CT guided PTLB is a superior and reliable method compared to other procedures that are more invasive in the pathologic diagnosis of pulmonary lesions since PTLB has highly diagnostic adequacy rate, easy to administer and complications with acceptable levels.

References

  • 1- Manhire A, Charig M, Clelland C, Gleeson F, Miller R, Moss H, Pointon K, Richardson C, Sawicka E. Guidelines for radiologically guided lung biopsy. Thorax 2003;58:920–936.
  • 2- Düzgün F, Tarhan S. Perkütan Transtorasik Akciğer ve Kemik Biyopsileri. Trd Sem 2015; 3: 182-191.
  • 3- Lee W J, Chong S, Seo J S, Shım H J. Transthoracic fine-needle aspiration biopsy of the lungs using a C-arm cone-beam CT system: diagnostic accuracy and postprocedural complications. The British Journal of Radiology, 85 (2012), e217–e222.
  • 4-Winokur R S, Bradley B, Sullivan B W, Madoff D C. Percutaneous Lung Biopsy: Technique, Efficacy, and Complications. Semin Intervent Radiol 2013;30:121–127.
  • 5- Takeshita J,Masago Küme,Kato R,Hata A, Kaji R, Fujita S, Katakamİ N. 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.
  • 6- Tsukada H., Sato T., Iwashima A., SomaT..Diagnostic Accuracy of CT - Guided Automated Needle Biopsy of Lung Nodules. AJR 2000; 175: 239 – 243.
  • 7-. Priola A. M. , Priola S. M. , Cataldi A. , Franco M. D., Paze F. , Marci V. , Berruti A. Diagnostic accuracy and complication rate of CT - guided fi ne needle aspiration biopsy of lung lesions: A study based on the experience of the cytopathologist. Acta Radiologica June 2010; 51: 527 - 533.
  • 8- Boskovic T, Stanic J ,Pena-Karan S, Zarogoulidis P, Drevelegas K, Katsikogiannis N, Machairiotis N, Mpakas A, Tsakiridi K, Kesisis G, Tsiouda T, Kougioumtzi L, Arikas S, Zarogoulidis K. 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.
  • 9-Cox J S, Chiles C, McManus C M, Aquino S L, Choplin R H. Transthoracic Needle Aspiration Biopsy: Variables That Affect Risk of Pneumothorax. Radiology 1999; 212: 165-168.
  • 10-Lang E K, Ghavami R, Schreiner V C, Archibald S, Ramirez J. Autologous Blood Clot Sealto Prevent Pneumothorax at CT-guided Lung Biopsy. Radiology 2000; 216:93–96.

Bilgisayarlı tomografi eşliğinde perkütan transtorasik akciğer biyopsisi: tek merkez deneyimi

Year 2018, Volume: 10 Issue: 1, 57 - 63, 05.04.2018
https://doi.org/10.21601/ortadogutipdergisi.286537

Abstract

Özet:

Amaç: Çalışmamızda
retrospektif olarak kliniğimizde bilgisayarlı tomografi (BT) eşliğinde perkütan
transtorasik akciğer biyopsisi (PTAB) yapılmış akciğer lezyonlarında, tanısal
örnek elde edilme oranlarını, işlem sonrası komplikasyonları ve radyolojik
parametrelerin bunlarla ilişkisinin değerlendirilmesi amaçlanmıştır.

Yöntem ve
Gereçler:
Ocak
2014 ve Kasım 2016 tarihleri arasında kliniğimizde BT eşliğinde PTAB yapılmış
228 hasta (45 kadın, 183 erkek)çalışmaya
dahil edilmiştir. Çalışmamızda lezyonların radyolojik parametreleri, işlem
sonrası varsa komplikasyonlar ve patoloji sonuçları incelenmiştir. Tüm
lezyonlara 22 G iğne ile ince iğne aspirasyon biyopsisi (İİAB) yapılmış olup
patolog eşliğinde gerçekleşmiştir. 54 lezyona ek olarak tek iğne yöntemiyle 18
G iğne kullanılarak kor biyopsi yapılmıştır.

Bulgular: Çalışmamız
dahilindeki 228 hastanın 195'inde tanı elde
edilebilmiş olup, tanısal olma oranı %85,5 olarak belirlenmiştir. İşlemden
hemen sonra alınan kontrol BT görüntülerinde 63 hastada pnömotoraks
(%27,6),  64 hastada pulmoner hemoraji
(%28) saptanmıştır.









Tartışma:
BT
eşliğinde PTAB tanısal olma oranı oldukça yüksek, uygulanması kolay ve
komplikasyonları kabul edilebilir düzeylerde olduğundan günümüzde pulmoner
lezyonlarının patolojik tanısında daha invaziv
olan diğer işlemlere göre üstün ve güvenilir bir yöntemdir.



References

  • 1- Manhire A, Charig M, Clelland C, Gleeson F, Miller R, Moss H, Pointon K, Richardson C, Sawicka E. Guidelines for radiologically guided lung biopsy. Thorax 2003;58:920–936.
  • 2- Düzgün F, Tarhan S. Perkütan Transtorasik Akciğer ve Kemik Biyopsileri. Trd Sem 2015; 3: 182-191.
  • 3- Lee W J, Chong S, Seo J S, Shım H J. Transthoracic fine-needle aspiration biopsy of the lungs using a C-arm cone-beam CT system: diagnostic accuracy and postprocedural complications. The British Journal of Radiology, 85 (2012), e217–e222.
  • 4-Winokur R S, Bradley B, Sullivan B W, Madoff D C. Percutaneous Lung Biopsy: Technique, Efficacy, and Complications. Semin Intervent Radiol 2013;30:121–127.
  • 5- Takeshita J,Masago Küme,Kato R,Hata A, Kaji R, Fujita S, Katakamİ N. 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.
  • 6- Tsukada H., Sato T., Iwashima A., SomaT..Diagnostic Accuracy of CT - Guided Automated Needle Biopsy of Lung Nodules. AJR 2000; 175: 239 – 243.
  • 7-. Priola A. M. , Priola S. M. , Cataldi A. , Franco M. D., Paze F. , Marci V. , Berruti A. Diagnostic accuracy and complication rate of CT - guided fi ne needle aspiration biopsy of lung lesions: A study based on the experience of the cytopathologist. Acta Radiologica June 2010; 51: 527 - 533.
  • 8- Boskovic T, Stanic J ,Pena-Karan S, Zarogoulidis P, Drevelegas K, Katsikogiannis N, Machairiotis N, Mpakas A, Tsakiridi K, Kesisis G, Tsiouda T, Kougioumtzi L, Arikas S, Zarogoulidis K. 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.
  • 9-Cox J S, Chiles C, McManus C M, Aquino S L, Choplin R H. Transthoracic Needle Aspiration Biopsy: Variables That Affect Risk of Pneumothorax. Radiology 1999; 212: 165-168.
  • 10-Lang E K, Ghavami R, Schreiner V C, Archibald S, Ramirez J. Autologous Blood Clot Sealto Prevent Pneumothorax at CT-guided Lung Biopsy. Radiology 2000; 216:93–96.
There are 10 citations in total.

Details

Subjects Health Care Administration
Journal Section Original article
Authors

Pınar Tuncel

Onur Ergun This is me

Nurcan Çetin This is me

Tuğba Taşkın Türkmenoğlu This is me

Hasan Ali Durmaz

Baki Hekimoğlu

Publication Date April 5, 2018
Published in Issue Year 2018 Volume: 10 Issue: 1

Cite

Vancouver Tuncel P, Ergun O, Çetin N, Taşkın Türkmenoğlu T, Durmaz HA, Hekimoğlu B. Bilgisayarlı tomografi eşliğinde perkütan transtorasik akciğer biyopsisi: tek merkez deneyimi. omj. 2018;10(1):57-63.

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