Abstract
To evaluate the utility of multiplanar reconstruction (MPR) image for CT-guided biopsy and determine factors of influencing diagnostic accuracy and the pneumothorax rate. 390 patients with 396 pulmonary nodules underwent transthoracic CT-guided aspiration biopsy (TNAB) and transthoracic CT-guided cutting needle core biopsy (TCNB) as follows: 250 solitary pulmonary nodules (SPNs) underwent conventional CT-guided biopsy (conventional method), 81 underwent CT-fluoroscopic biopsy (CT-fluoroscopic method) and 65 underwent conventional CT-guided biopsy in combination with MPR image (MPR method). Success rate, overall diagnostic accuracy, pneumothorax rate and total procedure time were compared in each method. Factors affecting diagnostic accuracy and pneumothorax rate of CT-guided biopsy were statistically evaluated. Success rates (TNAB: 100.0%, TCNB: 100.0%) and overall diagnostic accuracies (TNAB: 96.9%, TCNB: 97.0%) of MPR were significantly higher than those using the conventional method (TNAB: 87.6 and 82.4%, TCNB: 86.3 and 81.3%) (P < 0.05). Diagnostic accuracy were influenced by biopsy method, lesion size, and needle path length (P < 0.05). Pneumothorax rate was influenced by pathological diagnostic method, lesion size, number...Continue Reading
References
Jan 1, 1977·Cleveland Clinic Quarterly·J R HaagaT F Meaney
Mar 1, 1989·AJR. American Journal of Roentgenology·L M PerlmuttN R Dunnick
Feb 1, 1985·AJR. American Journal of Roentgenology·N F KhouriR R Baker
Dec 1, 1984·Journal of Computer Assisted Tomography·R H CohanN R Dunnick
Oct 1, 1982·Journal of Computer Assisted Tomography·I FinkL P Harter
Jul 1, 1995·AJR. American Journal of Roentgenology·L B Haramati
Jan 1, 1996·Journal of Computer Assisted Tomography·F García-RíoJ Villamor
Jul 1, 1996·AJR. American Journal of Roentgenology·H LiT C McLoud
Feb 11, 1998·AJR. American Journal of Roentgenology·N HayashiY Imamura
Mar 29, 2000·Journal of Vascular and Interventional Radiology : JVIR·T IrieY Itai
Apr 15, 2000·Radiologic Clinics of North America·C S WhiteP A Templeton
Jul 6, 2000·European Radiology·U Rapp-BernhardtT M Bernhardt
Jul 6, 2000·AJR. American Journal of Roentgenology·H TsukadaT Souma
Aug 29, 2000·Cardiovascular and Interventional Radiology·F LaurentP Michel
Citations
Feb 6, 2008·American Journal of Respiratory and Critical Care Medicine·David Stav
Oct 22, 2009·AJR. American Journal of Roentgenology·Massimo De FilippoMaurizio Zompatori
Feb 14, 2012·Current Oncology·X YaoH Sekhon
Dec 4, 2012·Radiology·Luca Maria SconfienzaCarmelina Murolo
Feb 12, 2011·La Radiologia medica·M De FilippoC Rossi
Jul 28, 2011·The British Journal of Radiology·M J ChoiJ K Lee
Jun 18, 2015·Thorax·M E J CallisterUNKNOWN British Thoracic Society Standards of Care Committee
Dec 30, 2015·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Matthew E J Callister, David R Baldwin
Apr 26, 2015·Cardiovascular and Interventional Radiology·Massimo De FilippoCristina Rossi
Jul 25, 2009·Journal of Medical Imaging and Radiation Oncology·M De FilippoM Zompatori
Mar 24, 2016·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Bippan S SanghaJohn R Mayo
Mar 29, 2011·The Annals of Thoracic Surgery·Masayoshi InoueMeinoshin Okumura
Feb 26, 2015·Cancer Cytopathology·Shana M ColeyAnjali Saqi
Mar 1, 2011·European Journal of Radiology·Joo Yeon CheungRena J Lee
May 31, 2014·Cardiovascular and Interventional Radiology·Shangang LiuRuimei Ren
Jan 4, 2013·Journal of Infection and Public Health·Azzam A Khankan, Mohammed Al-Muaikeel
Jan 14, 2011·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Joo Yeon CheungSoo Mee Lim
Sep 5, 2018·BMC Pulmonary Medicine·Chuan-Jiang DengJing-Hai Zhou
Dec 24, 2018·Journal of the Belgian Society of Radiology·Youkyung LeeYoung-Ha Oh
Jul 25, 2019·Cancer Imaging : the Official Publication of the International Cancer Imaging Society·Ming-De HuangYuan-Hsiung Tsai
Jun 20, 2020·Journal of Computer Assisted Tomography·Yu-Fei FuYi-Bing Shi
Apr 29, 2019·BJR Open·William McNulty, David Baldwin