Image-guided automated needle biopsy of 106 thoracic lesions: a retrospective review of diagnostic accuracy and complication rates

被引:31
作者
Connor, S [1 ]
Dyer, J [1 ]
Guest, P [1 ]
机构
[1] Queen Elizabeth Hosp, Dept Clin Radiol, Birmingham B15 2TH, W Midlands, England
关键词
lung biopsy; biopsy complications; lung neoplasms; diagnosis;
D O I
10.1007/s003300050082
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
We reviewed the diagnostic accuracy and complication rates of transthoracic needle biopsy (TNB) with an automated 18-gauge core biopsy needle and gun, using either fluoroscopic or CT guidance. One hundred six lesions were biopsied in 103 patients between 1992 and 1998. Hard-copy images, imaging reports, pathology reports and clinical notes were reviewed. In 3 patients it was not possible to establish the lesion as either malignant or benign from the available follow-up, so these were removed from the analysis of diagnostic accuracy. Adequate samples for histological diagnosis were obtained in 104 of 106 (98%) biopsies. There were 75 of 85 (88%) true-positive core biopsies for malignant lesions and a specific cell type was identified in 70 of 85 (82%), cases. A specific histological diagnosis was obtained in 12 of 18 (66%) biopsies. There was a 19% rate of pneumothorax with only 2.4% requiring drainage. Minor haemoptysis occurred in 3.8% of procedures. The TNB technique with an automated core biopsy needle provides a high level of diagnostic accuracy, effectively distinguishes cell type in malignancy and provides a definite diagnosis in benign disease more frequently than fine needle aspiration (FNA). There is no increased complication rate compared with FNA.
引用
收藏
页码:490 / 494
页数:5
相关论文
共 29 条
[1]   CT-guided transthoracic needle biopsy: A comparison between automated biopsy gun and fine needle aspiration [J].
Arakawa, H ;
Nakajima, Y ;
Kurihara, Y ;
Niimi, H ;
Ishikawa, T .
CLINICAL RADIOLOGY, 1996, 51 (07) :503-506
[2]   VALUE OF HAVING A CYTOPATHOLOGIST PRESENT DURING PERCUTANEOUS FINE-NEEDLE ASPIRATION BIOPSY OF LUNG - REPORT OF 55 CANCER-PATIENTS AND METAANALYSIS OF THE LITERATURE [J].
AUSTIN, JHM ;
COHEN, MB .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1993, 160 (01) :175-177
[3]  
BOCKING A, 1995, ACTA CYTOL, V39, P463
[4]   Routine addition of an automated biopsy device to fine-needle aspiration of the lung: A prospective assessment [J].
Boiselle, PM ;
Shepard, JAO ;
Mark, EJ ;
Szyfelbein, WM ;
Fan, CM ;
Slanetz, PJ ;
TrotmanDickenson, B ;
Halpern, EF ;
McLoud, TC .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 169 (03) :661-666
[5]   IMAGE-GUIDED AUTOMATED CORE BIOPSIES OF THE BREAST, CHEST, ABDOMEN, AND PELVIS [J].
BURBANK, F ;
KAYE, K ;
BELVILLE, J ;
EKUAN, J ;
BLUMENFELD, M .
RADIOLOGY, 1994, 191 (01) :165-171
[6]  
FRASER RS, 1991, ARCH PATHOL LAB MED, V115, P751
[7]   POWERED CUTTING NEEDLE-BIOPSY OF THE PLEURA AND CHEST WALL [J].
GLEESON, F ;
LOMAS, DJ ;
FLOWER, CDR ;
STEWART, S .
CLINICAL RADIOLOGY, 1990, 41 (03) :199-200
[8]   THORACIC BIOPSY - CT GUIDANCE OF THIN-NEEDLE ASPIRATION [J].
GOBIEN, RP ;
STANLEY, JH ;
VUJIC, I ;
GOBIEN, BS .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1984, 142 (04) :827-830
[9]   CT-GUIDED CUTTING-NEEDLE BIOPSIES OF SELECTED CHEST LESIONS [J].
GORALNIK, CH ;
OCONNELL, DM ;
ELYOUSEF, SJ ;
HAAGA, JR .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 151 (05) :903-907
[10]   PERCUTANEOUS TRANSTHORACIC NEEDLE-BIOPSY IN AIDS - ANALYSIS IN 32 PATIENTS [J].
GRUDEN, JF ;
KLEIN, JS ;
WEBB, WR .
RADIOLOGY, 1993, 189 (02) :567-571