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. 2023 Nov 30:88:e546-e551.
doi: 10.5114/pjr.2023.133309. eCollection 2023.

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
Affiliations

Safety, feasibility, and effectiveness of a CT-guided transthoracic lung and pleural biopsy - a single-centre experience with own low-dose protocol

Maciej Guzinski et al. Pol J Radiol. .

Abstract

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; haematoma; low-dose; lung biopsy; pleural biopsy; pneumothorax.

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Conflict of interest statement

The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Diagnostic performance of low-dose, computed tomographyguided biopsy
Figure 2
Figure 2
Computed tomography-guided thoracic biopsy of non-small cell carcinoma located in the right upper lobe. Axial (A) and sagittal (B) reconstruction
Figure 3
Figure 3
Number and types of complications that occurred during the procedures (pneumothorax was classified as clinically relevant based on the necessity of surgical intervention)
Figure 4
Figure 4
Complications occurring during the procedures. A) Minor bleeding in the biopsy canal. B) Not clinically significant pneumothorax
See this image and copyright information in PMC

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