Clinical applications of the C-arm cone-beam CT-based 3D needle guidance system in performing percutaneous transthoracic needle biopsy of pulmonary lesions.
Purpose: This study explored the value of flat detector C-arm CT-guidance system in performing percutaneous transthoracic needle biopsy (PTNB) for lung lesions in clinical practice.Methods: A total of 110 patients with solid lung lesions were enrolled to undergo PTNB procedures. The mean diameter of...
| Publicado en: | Diagnostic & Interventional Radiology Vol. 20; no. 6; pp. 470 - 475 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Galenos Yayinevi Tic. LTD. STI
Nov/Dec2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109682887&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109682887 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13053825 39NM jtl: Diagnostic & Interventional Radiology issn: 13053825 maglogo: N pubinfo: dt: Nov/Dec2014 vid: 20 iid: 6 pid: 28155 pub: Galenos Yayinevi Tic. LTD. STI artinfo: ui: 109682887 NLM25323838 2012786015 10.5152/dir.2014.13463 NLM25323838 PMC4463285 109682887 ppf: 470 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Clinical applications of the C-arm cone-beam CT-based 3D needle guidance system in performing percutaneous transthoracic needle biopsy of pulmonary lesions. aug: au: Jiao, De Chao Li, Teng Fei Han, Xin Wei Wu, Gang Ma, Ji Fu, Ming Ti Sun, Qi Beilner, Janina sug: ab: Purpose: This study explored the value of flat detector C-arm CT-guidance system in performing percutaneous transthoracic needle biopsy (PTNB) for lung lesions in clinical practice.Methods: A total of 110 patients with solid lung lesions were enrolled to undergo PTNB procedures. The mean diameter of lesions was 4.63 cm (range, 0.6-15cm). The needle path was carefully planned and calculated on the C-arm CT system, which acquired three-dimensional CT-like cross-sectional images. The PTNB procedures were performed under needle guidance with fluoroscopic feedbacks.Results: Histopathologic tissue was successfully obtained from 108 patients with a puncture success rate of 98.2% (108/110). The diagnostic accuracy rate was found to be 96.3% (104/108). There was only one case of pneumothorax (0.9%) requiring therapy. The rates of mild pneumothorax and hemoptysis were low (12.0% and 6.5%, respectively). In addition, procedural time could be limited with this technique, which helped to reduce X-ray exposure.Conclusion: Our study shows that C-arm CT-based needle guidance enables reliable and efficient needle positioning and progression by providing real-time intraoperative guidance. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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