Browse > Article
http://dx.doi.org/10.3348/kjr.2012.13.2.210

CT-Guided Percutaneous Biopsy of Intrathoracic Lesions  

Lal, Hira (Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences)
Neyaz, Zafar (Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences)
Nath, Alok (Department of Pulmonary Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences)
Borah, Samudra (Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences)
Publication Information
Korean Journal of Radiology / v.13, no.2, 2012 , pp. 210-226 More about this Journal
Abstract
Percutaneous CT-guided needle biopsy of mediastinal and pulmonary lesions is a minimally invasive approach for obtaining tissue for histopathological examination. Although it is a widely accepted procedure with relatively few complications, precise planning and detailed knowledge of various aspects of the biopsy procedure is mandatory to avert complications. In this pictorial review, we reviewed important anatomical approaches, technical aspects of the procedure, and its associated complications.
Keywords
Biopsy; Computed tomography; Interventional radiology; Lung; Mediastinum; Pneumothorax;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Klein JS, Salomon G, Stewart EA. Transthoracic needle biopsy with a coaxially placed 20-gauge automated cutting needle: results in 122 patients. Radiology 1996;198:715-720   DOI
2 Manhire A, Charig M, Clelland C, Gleeson F, Miller R, Moss H, et al. Guidelines for radiologically guided lung biopsy. Thorax 2003;58:920-936   DOI   ScienceOn
3 Cham MD, Henschke CI, Yankelevitz DF. Biopsy procedures of the lung, mediastnum, and chest wall. In: Kandarpa K, Machan L, eds. Handbook of interventional radiologic procedures, 4th ed. Philadelphia, USA: Wolters Kluwer/ Lippincott Williams & Wilkins, 2011:478-485
4 Cham MD, Lane ME, Henschke CI, Yankelevitz DF. Lung biopsy: special techniques. Semin Respir Crit Care Med 2008;29:335- 349   DOI   ScienceOn
5 Gupta S, Seaberg K, Wallace MJ, Madoff DC, Morello FA Jr, Ahrar K, et al. Imaging-guided percutaneous biopsy of mediastinal lesions: different approaches and anatomic considerations. Radiographics 2005;25:763-788   DOI   ScienceOn
6 Moore EH. Technical aspects of needle aspiration lung biopsy: a personal perspective. Radiology 1998;208:303-318   DOI
7 Tsai IC, Tsai WL, Chen MC, Chang GC, Tzeng WS, Chan SW, et al. CT-guided core biopsy of lung lesions: a primer. Am J Roentgenol 2009;193:1228-1235   DOI   ScienceOn
8 Kinoshita F, Kato T, Sugiura K, Nishimura M, Kinoshita T, Hashimoto M, et al. CT-guided transthoracic needle biopsy using a puncture site-down positioning technique. Am J Roentgenol 2006;187:926-932   DOI   ScienceOn
9 Wallace AB, Suh RD. Percutaneous transthoracic nnedle biopsy:special considerations and techniques used in lung transplant recipients. Semin Intervent Radiol 2004;21:247-258   DOI   ScienceOn
10 Cox JE, Chiles C, McManus CM, Aquino SL, Choplin RH. Transthoracic needle aspiration biopsy: variables that affect risk of pneumothorax. Radiology 1999;212:165-168   DOI
11 Yamagami T, Kato T, Iida S, Hirota T, Nishimura T. Percutaneous needle biopsy for small lung nodules beneath the rib under CT scan fluoroscopic guidance with gantry tilt. Chest 2004;126:744-747   DOI   ScienceOn
12 Paulson EK, Sheafor DH, Enterline DS, McAdams HP, Yoshizumi TT. CT fluoroscopy-guided interventional procedures: techniques and radiation dose to radiologists. Radiology 2001;220:161-167   DOI
13 Kim GR, Hur J, Lee SM, Lee HJ, Hong YJ, Nam JE, et al. CT fluoroscopy-guided lung biopsy versus conventional CT-guided lung biopsy: a prospective controlled study to assess radiation doses and diagnostic performance. Eur Radiol 2011;21:232- 239   DOI   ScienceOn
14 Bandoh S, Fujita J, Fukunaga Y, Yokota K, Ueda Y, Okada H, et al. Cavitary lung cancer with an aspergilloma-like shadow. Lung Cancer 1999;26:195-198   DOI   ScienceOn
15 Oertel MF, Korinth MC, Reinges MH, Krings T, Terbeck S, Gilsbach JM. Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J 2006;15 Suppl 5:S636-S643   DOI
16 Collings CL, Westcott JL, Banson NL, Lange RC. Pneumothorax and dependent versus nondependent patient position after needle biopsy of the lung. Radiology 1999;210:59-64   DOI
17 Wu CC, Maher MM, Shepard JA. Complications of CT-guided percutaneous needle biopsy of the chest: prevention and management. AJR 2011;196:W678-W682   DOI   ScienceOn
18 Hare SS, Gupta A, Goncalves AT, Souza CA, Matzinger F, Seely JM. Systemic arterial air embolism after percutaneous lung biopsy. Clin Radiol 2011;66:589-596   DOI   ScienceOn