schliessen

Filtern

 

Bibliotheken

CT-guided thoracic biopsy: evaluating diagnostic yield and complications

This study retrospectively evaluated CT-guided thoracic biopsies for diagnostic yield, accuracy and complications. A retrospective analysis of 384 patients (mean age 62.7 years; male/female = 251/133) who underwent 399 CT-guided thoracic biopsies were performed for evaluating diagnostic yield, accur... Full description

Journal Title: Annals of the Academy of Medicine Singapore, June 2013, Vol.42(6), pp.285-90
Main Author: Loh, Stanley E K
Other Authors: Wu, Donald D F , Venkatesh, Sudhakar K , Ong, Cheng Kang , Liu, Eugene , Seto, Kar Yin , Gopinathan, Anil , Tan, Lenny K A
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0304-4602 ; PMID: 23842769 Version:1
Link: http://pubmed.gov/23842769
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: medline23842769
title: CT-guided thoracic biopsy: evaluating diagnostic yield and complications
format: Article
creator:
  • Loh, Stanley E K
  • Wu, Donald D F
  • Venkatesh, Sudhakar K
  • Ong, Cheng Kang
  • Liu, Eugene
  • Seto, Kar Yin
  • Gopinathan, Anil
  • Tan, Lenny K A
subjects:
  • Postoperative Complications
  • Tomography, X-Ray Computed
  • Image-Guided Biopsy -- Methods
  • Lung Neoplasms -- Diagnosis
ispartof: Annals of the Academy of Medicine, Singapore, June 2013, Vol.42(6), pp.285-90
description: This study retrospectively evaluated CT-guided thoracic biopsies for diagnostic yield, accuracy and complications. A retrospective analysis of 384 patients (mean age 62.7 years; male/female = 251/133) who underwent 399 CT-guided thoracic biopsies were performed for evaluating diagnostic yield, accuracy and complications. Correlations between patients age, procedure factors (biopsy-needle size, number of passes, lesion-size, lesion-depth and traversed lung-length) and complications such as pneumothorax, haemothorax and haemoptysis were evaluated. A comparison between fine needle aspiration (FNA) group and core ± FNA group for diagnostic yield and complications was also performed. FNA was performed in 349 patients and core ± FNA in 50 patients. The biopsy samples were adequate in 91.9% and the diagnostic accuracy for malignant lesions was 96.8% with 95.7% sensitivity and 100% specificity. Pneumothorax (detected on CT) occurred in 139 cases (34.8%) and only 12 (3.0%) required insertion of an intercostals drain. Mild haemoptysis occurred in 13 patients (3.2%) and small haemothoraces in 2 patients. Pneumothorax occurrence was significantly associated with the traversed lung-length (>3mm), lesion-size (≤33 mm) and lesion-depth (≥60mm) (P 3mm) and lesion-size (≤33 mm) (P
language: eng
source:
identifier: ISSN: 0304-4602 ; PMID: 23842769 Version:1
fulltext: fulltext
issn:
  • 03044602
  • 0304-4602
url: Link


@attributes
ID1091240879
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid23842769
sourceidmedline
recordidTN_medline23842769
sourceformatXML
sourcesystemPC
pqid1399925903
display
typearticle
titleCT-guided thoracic biopsy: evaluating diagnostic yield and complications
creatorLoh, Stanley E K ; Wu, Donald D F ; Venkatesh, Sudhakar K ; Ong, Cheng Kang ; Liu, Eugene ; Seto, Kar Yin ; Gopinathan, Anil ; Tan, Lenny K A
ispartofAnnals of the Academy of Medicine, Singapore, June 2013, Vol.42(6), pp.285-90
identifierISSN: 0304-4602 ; PMID: 23842769 Version:1
subjectPostoperative Complications ; Tomography, X-Ray Computed ; Image-Guided Biopsy -- Methods ; Lung Neoplasms -- Diagnosis
descriptionThis study retrospectively evaluated CT-guided thoracic biopsies for diagnostic yield, accuracy and complications. A retrospective analysis of 384 patients (mean age 62.7 years; male/female = 251/133) who underwent 399 CT-guided thoracic biopsies were performed for evaluating diagnostic yield, accuracy and complications. Correlations between patients age, procedure factors (biopsy-needle size, number of passes, lesion-size, lesion-depth and traversed lung-length) and complications such as pneumothorax, haemothorax and haemoptysis were evaluated. A comparison between fine needle aspiration (FNA) group and core ± FNA group for diagnostic yield and complications was also performed. FNA was performed in 349 patients and core ± FNA in 50 patients. The biopsy samples were adequate in 91.9% and the diagnostic accuracy for malignant lesions was 96.8% with 95.7% sensitivity and 100% specificity. Pneumothorax (detected on CT) occurred in 139 cases (34.8%) and only 12 (3.0%) required insertion of an intercostals drain. Mild haemoptysis occurred in 13 patients (3.2%) and small haemothoraces in 2 patients. Pneumothorax occurrence was significantly associated with the traversed lung-length (>3mm), lesion-size (≤33 mm) and lesion-depth (≥60mm) (P 3mm) and lesion-size (≤33 mm) (P <0.05). There was no significant difference between diagnostic yield and complication rate between FNA and core ± FNA groups. CT-guided thoracic biopsy is a safe procedure with high diagnostic yield and low risk of significant complications. Traversed lung-length and smaller lesion size are associated with occurrence of pneumothorax and haemoptysis.
languageeng
source
version2
lds50peer_reviewed
links
openurl$$Topenurl_article
backlink$$Uhttp://pubmed.gov/23842769$$EView_this_record_in_MEDLINE/PubMed
openurlfulltext$$Topenurlfull_article
addlink$$Uhttp://exlibris-pub.s3.amazonaws.com/aboutMedline.html$$EView_the_MEDLINE/PubMed_Copyright_Statement
search
creatorcontrib
0Loh, Stanley E K
1Wu, Donald D F
2Venkatesh, Sudhakar K
3Ong, Cheng Kang
4Liu, Eugene
5Seto, Kar Yin
6Gopinathan, Anil
7Tan, Lenny K A
titleCT-guided thoracic biopsy: evaluating diagnostic yield and complications
description
0This study retrospectively evaluated CT-guided thoracic biopsies for diagnostic yield, accuracy and complications.
1A retrospective analysis of 384 patients (mean age 62.7 years; male/female = 251/133) who underwent 399 CT-guided thoracic biopsies were performed for evaluating diagnostic yield, accuracy and complications. Correlations between patients age, procedure factors (biopsy-needle size, number of passes, lesion-size, lesion-depth and traversed lung-length) and complications such as pneumothorax, haemothorax and haemoptysis were evaluated. A comparison between fine needle aspiration (FNA) group and core ± FNA group for diagnostic yield and complications was also performed.
2FNA was performed in 349 patients and core ± FNA in 50 patients. The biopsy samples were adequate in 91.9% and the diagnostic accuracy for malignant lesions was 96.8% with 95.7% sensitivity and 100% specificity. Pneumothorax (detected on CT) occurred in 139 cases (34.8%) and only 12 (3.0%) required insertion of an intercostals drain. Mild haemoptysis occurred in 13 patients (3.2%) and small haemothoraces in 2 patients. Pneumothorax occurrence was significantly associated with the traversed lung-length (>3mm), lesion-size (≤33 mm) and lesion-depth (≥60mm) (P 3mm) and lesion-size (≤33 mm) (P <0.05). There was no significant difference between diagnostic yield and complication rate between FNA and core ± FNA groups.
3CT-guided thoracic biopsy is a safe procedure with high diagnostic yield and low risk of significant complications. Traversed lung-length and smaller lesion size are associated with occurrence of pneumothorax and haemoptysis.
subject
0Postoperative Complications
1Tomography, X-Ray Computed
2Image-Guided Biopsy -- Methods
3Lung Neoplasms -- Diagnosis
general
023842769
1English
2MEDLINE/PubMed (U.S. National Library of Medicine)
3MEDLINE/PubMed (NLM)
sourceidmedline
recordidmedline23842769
issn
003044602
10304-4602
rsrctypearticle
creationdate2013
addtitleAnnals of the Academy of Medicine, Singapore
searchscope
0medline
1nlm_medline
2MEDLINE
scope
0medline
1nlm_medline
2MEDLINE
lsr41201306
citationpf 285 vol 42 issue 6
startdate20130601
enddate20130631
lsr30VSR-Enriched:[pages, pqid]
sort
titleCT-guided thoracic biopsy: evaluating diagnostic yield and complications
authorLoh, Stanley E K ; Wu, Donald D F ; Venkatesh, Sudhakar K ; Ong, Cheng Kang ; Liu, Eugene ; Seto, Kar Yin ; Gopinathan, Anil ; Tan, Lenny K A
creationdate20130600
lso0120130600
facets
frbrgroupid8145140409474651042
frbrtype5
newrecords20190701
languageeng
creationdate2013
topic
0Postoperative Complications
1Tomography, X-Ray Computed
2Image-Guided Biopsy–Methods
3Lung Neoplasms–Diagnosis
collectionMEDLINE/PubMed (NLM)
prefilterarticles
rsrctypearticles
creatorcontrib
0Loh, Stanley E K
1Wu, Donald D F
2Venkatesh, Sudhakar K
3Ong, Cheng Kang
4Liu, Eugene
5Seto, Kar Yin
6Gopinathan, Anil
7Tan, Lenny K A
jtitleAnnals Of The Academy Of Medicine, Singapore
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Loh
1Wu
2Venkatesh
3Ong
4Liu
5Seto
6Gopinathan
7Tan
aufirst
0Stanley E K
1Donald D F
2Sudhakar K
3Cheng Kang
4Eugene
5Kar Yin
6Anil
7Lenny K A
au
0Loh, Stanley E K
1Wu, Donald D F
2Venkatesh, Sudhakar K
3Ong, Cheng Kang
4Liu, Eugene
5Seto, Kar Yin
6Gopinathan, Anil
7Tan, Lenny K A
atitleCT-guided thoracic biopsy: evaluating diagnostic yield and complications
jtitleAnnals of the Academy of Medicine, Singapore
risdate201306
volume42
issue6
spage285
pages285-290
issn0304-4602
formatjournal
genrearticle
ristypeJOUR
abstractThis study retrospectively evaluated CT-guided thoracic biopsies for diagnostic yield, accuracy and complications.
pmid23842769
date2013-06