SavedAdd your journal

Journals / Cukurova Medical Journal / 2021 / Cilt: 46 - Sayı: 1

Evaluation of diagnostic accuracy and possible complications of computed tomography guided percutaneous transthoracic biopsy

Bilgisayarlı tomografi eşliğinde yapılan perkütan transtorasik biyopsinin tanı doğruluğu ve olası komplikasyonlarının değerlendirilmesi

Sarhun ZİREK
Kaan ESEN
Rabia BOZDOĞAN ARPACI
Gurbet YANARATEŞ
Pages
11–21
Publication Date
2021-03-31
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Computed tomography-guided PTB is a reliable method that reduces the need of invasive surgical procedures with high accuracy and low complication rates in the histopathological diagnosis of thoracic masses.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: The purpose of this study is to determine the diagnostic accuracy, the complication rates and the factors affecting the complications of computed tomography (CT) guided percutaneous transthoracic lung biopsy (PTB).
📊
Key Findings & Data:Materials and Methods: We retrospectively evaluated 153 patients who underwent transthoracic CT-guided biopsy.
💡
Conclusion & Impact:Conclusion: Computed tomography-guided PTB is a reliable method that reduces the need of invasive surgical procedures with high accuracy and low complication rates in the histopathological diagnosis of thoracic masses.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:biopsy · computed tomography

Abstract

Purpose: The purpose of this study is to determine the diagnostic accuracy, the complication rates and the factors affecting the complications of computed tomography (CT) guided percutaneous transthoracic lung biopsy (PTB). Materials and Methods: We retrospectively evaluated 153 patients who underwent transthoracic CT-guided biopsy. Re-biopsy were performed in 10 patients so that 163 transthoracic CT-guided biopsy were included in this study. Results: Diagnostic results were achieved in 142 of 163 biopsy procedure (87.1%). During or after a biopsy procedure pneumothorax, parenchymal hemorrhage and hemoptysis were developed in 30 (18.4%), 21 (12.8%) and 2 (1.2%) patients respectively. A significant relationship was found between development of pneumothorax with the age of patient, the necrosis inclusion of the lesion, the size of the lesion and the parenchymal distance that was passed. There was a statistically significant correlation between parenchymal hemorrhage with the size of the lesion and the passed parenchymal distance. Conclusion: Computed tomography-guided PTB is a reliable method that reduces the need of invasive surgical procedures with high accuracy and low complication rates in the histopathological diagnosis of thoracic masses.

Özet

Amaç: Bu çalışmanın amacı, bilgisayarlı tomografi kılavuzluğunda yapılan perkütan transtorasik biyopsinin (PTB) komplikasyon oranlarını, tanı doğruluğunu ve komplikasyon oluşumunu etkileyen faktörlerin değerlendirilmesidir. Gereç ve Yöntem: Bilgisayarlı tomografi eşliğinde biyopsi işlemi yapılan 153 hastayı retrospektif olarak değerlendirdik. On hastaya tekrar biyopsi yapıldığı için çalışmaya 163 PTB işlemi dahil edilmiştir.. Bulgular: Çalışmada 163 PTB işleminin 142’sinde (%87,1) tanısal sonuç sağlanmıştır. Biyopsi işlemi sırasında ve sonrasında 30 (%18,4) hastada pnömotoraks, 21 (%12,8) hastada parankimal kanama, 2 (%1,2) hastada hemoptizi gerçekleşmiştir. Pnömotoraks gelişimi ile hastanın yaşı, lezyonun nekroz içermesi, lezyon boyutu ve geçilen parankim mesafesi arasında anlamlı ilişki saptanmıştır. Parankimal kanama ile lezyon boyutu ve geçilen parankim mesafesi arasında istatistiksel olarak anlamlı ilişki saptanmıştır Sonuç: Bilgisayarlı tomografi kılavuzluğunda uygulanan PTB, toraks kitlelerinin histopatolojik tanısını elde etmede etkili, yüksek doğruluk ve düşük komplikasyon oranlarına sahip, invaziv olan cerrahi işlemlere duyulan ihtiyacı azaltan güvenilir bir yöntemdir.

🔖

Cite This Article

ZİREK, S., ESEN, K., ARPACI, R. B., YANARATEŞ, G. (2021). Evaluation of diagnostic accuracy and possible complications of computed tomography guided percutaneous transthoracic biopsy. Cukurova Medical Journal, Cilt: 46 - Sayı: 1, 11–21. https://ajindex.com/articles/115011

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Janssen-Heijnen MLG, Coebergh JW. The changing epidemiology of lung cancer in Europe. Lung Cancer. 2003;41:245-58
  2. Huhti E, Sutinen S, Reinila A, Poukkula A, Saloheimo M. Lung cancer in a defined geographical area: History and histological types. Thorax. 1980;35:660-7
  3. Manhire A, Charig M, Clelland C, Gleeson F, Miller R, Moss H, et al. Guidelines for radiologically guided lung biopsy. Thorax. 2003;58:920-36
  4. Zhou Q, Dong J, He J, Liu D, Tian DH, Gao S et al. The Society for Translational Medicine: indications and methods of percutaneous transthoracic needle biopsy for diagnosis of lung cancer. J Thorac Dis. 2018;10:5538-44
  5. Loubeyre P, Copercini M, Dietrich PY. Percutaneous CT-Guided multisampling core needle biopsy of thoracic lesions. AJR Am J Roentgenol. 2005;185:1294-8
  6. Veltri A, Bargellini I, Giorgi L, Almeida PAMS, Akhan O. CIRSE guidelines on percutaneous needle biopsy (PNB). Cardiovasc Intervent Radiol. 2017;40:1501-13
  7. Laurent F, Montaudon M, Latrabe V, Bégueret H.Percutaneous biopsy in lung cancer. Eur J Radiol. 2003;45:60-8
  8. Cox JE, Chiles C, McManus CM, Aquino SL, Choplin RH. Transthoracic needle aspiration biopsy: variables that affect risk of pneumothorax. Radiology. 1999;212:165-8
  9. Zhao Y, Wang X, Wang Y, Zhu Z. Logistic regression analysis and a risk prediction model of pneumothorax after CT-guided needle biopsy. J Thorac Dis. 2017;9:4750-7
  10. Li Y, Dua Y, Yang HF, Yu JH, Xu XX. CT-guided percutaneous core needle biopsy for small ( 11. Webb WR, Higgins CB. Thoracic Imaging, Pulmonary and Cardiovasculary Radiology. 2nd ed. Philadelphia: Lippincott Williams & Wilkins. 2011
  11. Kazerooni EA, Lim FT, Mikhail A, Martinez FJ. Risk of pneumothorax in CT-guided transthoracic needle aspiration biopsy of the lung. Radiology. 1996;198:371-5
  12. Topal U, Berkman YM. Effect of needle tract bleeding on occurrence of pneumothorax after transthoracic needle biopsy. Eur J Radiol. 2005;53:495-9
  13. Yeow KM, Su IH, Pan KT, Tsay PK, Lui KW, Cheung YC et al. Risk factors of pneumothorax and bleeding: multivariate analysis of 660 CT-guided coaxial cutting needle lung biopsies. Chest. 2004;126:748-54
  14. Geraghty PR, Kee ST, McFarlane G, Razavi MK, Sze DY, Dake MD. CT-guided transthoracic needle aspiration biopsy of pulmonary nodules: needle size and pneumothorax rate. Radiology. 2003;229:475-81
  15. Topal U, Ediz B. Transthoracic needle biopsy: factors effecting risk of pneumothorax. Eur J Radiol. 2003;48:263–7
  16. Heerink WJ,