1. CT/fluoroscopy-guided transthoracic needle biopsy: sensitivity and complication rate in 98 procedures.
- Author
-
Muehlstaedt M, Bruening R, Diebold J, Mueller A, Helmberger T, and Reiser M
- Subjects
- Adult, Aged, Biopsy, Needle adverse effects, Biopsy, Needle methods, Female, Fluoroscopy adverse effects, Humans, Lung Diseases pathology, Male, Mediastinal Diseases pathology, Middle Aged, Pneumothorax etiology, Sensitivity and Specificity, Fluoroscopy methods, Lung Diseases diagnosis, Mediastinal Diseases diagnosis, Thorax pathology, Tomography, X-Ray Computed methods
- Abstract
Purpose: The purpose of this study was to evaluate CT/fluoroscopy (CTF)-guided core needle biopsies (CNBs) in the thorax., Method: Ninety-eight biopsies were performed using a core biopsy needle (18G) with a reusable biopsy gun under CT/F. All results were compared to surgery plus histology or to clinical follow-up of >12 months. Sensitivity, specificity, and negative predictive value (NPV) were calculated., Results: For pulmonary biopsies, sensitivity was 94%, specificity 100%, and NPV 73%; no significant correlation between the pneumothorax rate and the intrathoracic penetration depth was found. For biopsies of the mediastinum and pleura, sensitivities were 87 and 80%, respectively; specificity was 100% in both locations. A pneumothorax occurred in 21%, a pneumothorax requiring drainage in 2.0%., Conclusion: CT/F-guided CNB is a reliable method to obtain thoracic biopsies, with a complication rate of 2.0%.
- Published
- 2002
- Full Text
- View/download PDF