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1/2023
vol. 88 Chest radiology
abstract:
Original paper
Safety, feasibility, and effectiveness of a CT-guided transthoracic lung and pleural biopsy – a single-centre experience with own low-dose protocol
Maciej Guzinski
1
,
Michał Puła
1
,
Agata Zdanowicz
1
,
Arkadiusz Kacała
1
,
Krzysztof Dudek
2
,
Artur Lipiński
3
,
Marek Sąsiadek
1
1.
Department of General Radiology, Interventional Radiology, and Neuroradiology, Wroclaw Medical University, Wrocław, Poland
2.
Department of Emergency Medicine, Wroclaw Medical University, Wrocław, Poland
3.
Department of Clinical Pathology, Wroclaw Medical University, Wrocław, Poland
© Pol J Radiol 2023; 88: e546-e551
Online publish date: 2023/11/30
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Purpose:
To assess the efficacy and safety of a low-dose, computed tomography (CT)-guided transthoracic biopsy of lung and pleural lesions. Material and methods: A total of 135 low-dose, CT-guided transthoracic lung and pleural lesions biopsies were performed. A cutting needle was utilized in 124 cases, and fine needle aspiration biopsy was performed in 14 cases. In all cases, 14- to 22-gauge biopsy needles were used. Results: Diagnostic material was obtained in 111 (82.2%) patients. In 97 (71.8%) cases neoplastic lesions were found, predominantly adenocarcinoma and non-small cell carcinoma. In 14 (12.6%) cases non atypical cells were reported. Biopsy failed to obtain material suitable for histopathological examination in 24 (17.7%) cases. Complications occurred in 31 patients, including pneumothorax in 28 patients and haematoma in 3 cases. Conclusions: Based on the obtained results, it can be stated that low-dose, CT-guided transthoracic biopsy of lung and pleural tissues is an accurate and safe procedure. Also, it is linked to a low risk of complications such as a small pneumothorax. keywords:
CT-guided biopsy, low-dose, lung biopsy, pneumothorax, haematoma, pleural biopsy |
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