CT-GUIDED TRANSTHORACIC NEEDLE-BIOPSY

被引:44
作者
GARDNER, D [1 ]
VANSONNENBERG, E [1 ]
DAGOSTINO, HB [1 ]
CASOLA, G [1 ]
TAGGART, S [1 ]
MAY, S [1 ]
机构
[1] UNIV CALIF SAN DIEGO,MED CTR,DEPT RADIOL,SAN DIEGO,CA 92103
关键词
LUNG; CANCER; PERCUTANEOUS BIOPSY;
D O I
10.1007/BF02635526
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
CT-guided biopsy of pulmonary and mediastinal lesions is safe and effective. It is most valuable in those cases in which fluoroscopic guidance is not possible due to resolution or anatomic consideration. CT guidance permits puncture of lesions as small as 0.5 cm, typically not seen fluoroscopically. Sensitivity of biopsy in malignant lung lesions in our series of 83 cases was 92%. Pneumothorax is the most frequent complication (10-60%) and requires chest tube insertion in 5-15% of patients.
引用
收藏
页码:17 / 23
页数:7
相关论文
共 34 条
[11]  
Pinstein M.L., Scott R.L., Salazar J., Avoidance of negative percutaneous lung biopsy using contrast-enhanced CT, AJR, 140, pp. 265-267, (1983)
[12]  
vanSonnenberg E., Lin A.S., Casola G., Nakamoto S.K., Wing V.W., Cubberly D.A., Removable hub needle system for coaxial biopsy of small and difficult lesions, Radiology, 152, (1984)
[13]  
Perlmutt L.M., Brown S.D., Newman G.E., Oke E.J., Dunnick N.R., Timing of chest film follow-up after transthoracic needle aspiration, AJR, 146, pp. 1049-1050, (1986)
[14]  
Berquist T.H., Bailey P.B., Cortese D.A., Miller W.E., Transthoracic needle biopsy accuracy and complications in relation to location and type of lesion, Mayo Clin Proc, 55, pp. 475-481, (1980)
[15]  
Poe R.H., Kallay M.C., Wicks C.M., Odoroff C.L., Predicting risk of pneumothorax in needle biopsy of the lung, Chest, 85, pp. 232-235, (1984)
[16]  
Fish G.D., Stanley J.H., Miller K.S., Schabel S.I., Sutherland S.E., Postbiopsy pneumothorax: Estimating the risk by chest radiography and pulmonary function tests, American Journal of Roentgenology, 150, pp. 71-74, (1988)
[17]  
Sider L., Davis T.M., Hilar masses: Evaluation with CT-guided biopsy after negative bronchoscopic examination, Radiology, 164, pp. 107-109, (1987)
[18]  
Boe J., Arve J., Johansson S., Fine-needle and screw-needle samples of CT-assisted biopsies of chest lesions, Eur J Respir Dis, 71, pp. 108-112, (1987)
[19]  
Sinner W.N., Pulmonary neoplasms diagnosed with transthoracic needle biopsy, Cancer, 43, pp. 1533-1540, (1979)
[20]  
Khouri N.F., Stitik F.P., Erozan Y.S., Gupta P.K., Kim N.S., Scott W.W., Hamper U.M., Mann R.B., Eggleston J.C., Baker R.R., Transthoracic needle aspiration biopsy of benign and malignant lung lesions, AJR, 144, pp. 281-288, (1985)