Safety and utility of performing CT-guided biopsies of pulmonary lesions that arise after radiotherapy.

This study aimed to evaluate the feasibility, safety and usefulness of performing computed tomography (CT)-guided biopsies of pulmonary lesions that arise after radiotherapy. Seventeen patients (14 males and 3 females; median age: 69 years, range: 48-84 years) underwent CT-guided biopsies of pulmona...

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Publicado en:Journal of Medical Imaging & Radiation Oncology Vol. 65; no. 3; pp. 317 - 323
Autores principales: Ohta, Kengo, Shimohira, Masashi, Ogino, Hiroyuki, Nagai, Keiichi, Sawada, Yusuke, Nakayama, Keita, Shibamoto, Yuta
Formato: Journal Article
Publicado: Wiley-Blackwell Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
      vid: 65
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/1754-9485.13172
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        atl: Safety and utility of performing CT-guided biopsies of pulmonary lesions that arise after radiotherapy.
      aug:
        au:
          Ohta, Kengo
          Shimohira, Masashi
          Ogino, Hiroyuki
          Nagai, Keiichi
          Sawada, Yusuke
          Nakayama, Keita
          Shibamoto, Yuta
        affil: Department of Radiology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan
      sug:
        subj:
          Lung Neoplasms
          Lung Neoplasms Radiotherapy
          Pneumothorax
          Biopsy
          Tomography, X-Ray Computed
          Male
          Female
          Aged
          Retrospective Design
          Lung
          Scales
          Aged: 65+ years
          Male
          Female
      ab: This study aimed to evaluate the feasibility, safety and usefulness of performing computed tomography (CT)-guided biopsies of pulmonary lesions that arise after radiotherapy. Seventeen patients (14 males and 3 females; median age: 69 years, range: 48-84 years) underwent CT-guided biopsies of pulmonary lesions that occurred in lung regions that had previously been treated with radiotherapy. Three patients underwent CT-guided biopsies twice, and thus, the total number of procedures was 20. We reviewed the subjects' medical records and images, and evaluated the rate for obtaining pathological diagnosis with the biopsy sample, subsequent clinical course, and complications associated with the procedure. In 19 of 20 procedures (95%), the CT-guided biopsy resulted in a pathological diagnosis being obtained. In 14 procedures, the pathological results were consistent with the patients' clinical courses. In the remaining 5 procedures, the lesions were pathologically diagnosed as benign, but they increased in size thereafter; so the lesions were considered to be clinically malignant. The results were considered to represent sampling errors. There were 3 minor complications (slight pneumothorax which did not require drainage) (3/20, 15%), and there were no major complications. In conclusion, performing CT-guided biopsies of pulmonary lesions that arise after radiotherapy appears to be feasible, safe and useful.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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