CT-guided transthoracic cutting needle biopsy of intrathoracic lesions: Comparison between coaxial and single needle technique

doi:10.1016/j.ejrad.2011.05.032

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標題:	CT-guided transthoracic cutting needle biopsy of intrathoracic lesions: Comparison between coaxial and single needle technique
作者:	Wu, Reng-Hong Tzeng, Wen-Sheng Lee, Wei-Jing Chang, Shih-Chin Chen, Chia-Huei Fung, Jui-Lung Wang, Yen-Jen Mak, Chee-Wai
貢獻者:	保健營養系
關鍵字:	Ct-Guided Core Biopsy Coaxial Single Needle Pneumothorax Bleeding Diagnostic Accuracy
日期:	2012-05
上傳時間:	2014-03-21 16:16:41 (UTC+8)
出版者:	Elsevier Ireland Ltd
摘要:	Purpose: To evaluate the complication rates and diagnostic accuracy of two different CT-guided transthoracic cutting needle biopsy techniques: coaxial method and single needle method.Methods: This study involved 198 consecutive subjects with 198 intrathoracic lesions. The first 98 consecutive subjects received a single needle cutting technique and the next 100 consecutive subjects received a coaxial technique. Both groups were compared in relation the diagnostic accuracy and complication rates.Results: No significant difference was found between the two groups concerning patient characteristics, lesions and procedure variables. There was a borderline statistical difference in the incidence of pneumothorax at within 24-h post biopsy between patients in the single needle group (5%) and the coaxial group (13%) (P = 0.053). Little difference was found in the pneumothorax rate at immediately post biopsy between the two groups, which was 28% in the single needle group and 31% in the coaxial group. There was no significant difference in the hemoptysis rate between the two groups, which was 9.2% in the single needle group and 11% in the coaxial group. Both techniques yielded an overall diagnostic accuracy of 98% for malignant lesions with similar sensitivity (single needle: 96.9% vs. coaxial: 96.4%) and specificity (single needle: 100% vs. coaxial: 100%).Conclusion: There is little difference in the pneumothorax rates and bleeding complications between patients who either received a single needle or a coaxial transthoracic cutting biopsy. Both techniques produce an overall diagnostic accuracy of 98% for malignant lesions. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
關聯:	European Journal of Radiology, 81(5), E712-E716
顯示於類別:	[保健營養系(所) ] 期刊論文

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