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2020 Clinical Practice Guideline for Percutaneous Transthoracic Needle Biopsy of Pulmonary Lesions: A Consensus Statement and Recommendations of the Korean Society of Thoracic Radiology

  • Soon Ho Yoon (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Sang Min Lee (Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Chul Hwan Park (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Jong Hyuk Lee (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Hyungjin Kim (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kum Ju Chae (Department of Radiology, Institute of Medical Science, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Kwang Nam Jin (Department of Radiology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center) ;
  • Kyung Hee Lee (Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Jung Im Kim (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Jung Hee Hong (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Eui Jin Hwang (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Heekyung Kim (Department of Radiology, Eulji University College of Medicine, Eulji University Hospital) ;
  • Young Joo Suh (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Samina Park (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Young Sik Park (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Dong-Wan Kim (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Miyoung Choi (National Evidence-based Healthcare Collaborating Agency) ;
  • Chang Min Park (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2020.02.17
  • Accepted : 2020.07.02
  • Published : 2021.02.01

Abstract

Percutaneous transthoracic needle biopsy (PTNB) is one of the essential diagnostic procedures for pulmonary lesions. Its role is increasing in the era of CT screening for lung cancer and precision medicine. The Korean Society of Thoracic Radiology developed the first evidence-based clinical guideline for PTNB in Korea by adapting pre-existing guidelines. The guideline provides 39 recommendations for the following four main domains of 12 key questions: the indications for PTNB, pre-procedural evaluation, procedural technique of PTNB and its accuracy, and management of post-biopsy complications. We hope that these recommendations can improve the diagnostic accuracy and safety of PTNB in clinical practice and promote standardization of the procedure nationwide.

Keywords

Acknowledgement

The authors would like to acknowledge Andrew Dombrowski, PhD (Compecs, Inc.) for his assistance in improving the use of English in this manuscript.

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