Evidence map›Paper›PMID 27108299›Full record

SynthesisEuropean radiology2017

Complication rates of CT-guided transthoracic lung biopsy: meta-analysis.

W J Heerink, G H de Bock, G J de Jonge, H J M Groen, R Vliegenthart, M Oudkerk

4 registry-linked trialsOpen access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 370 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
370citing papers in PubMed, 6 pooled it
29.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05342675 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect of Post-Procedural Rapid Rollover on Pneumothorax After Percutaneous CT-Guided Lung Biopsy: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of California, San FranciscoRan2022 to 2024Enrolled54ConditionsLung Cancer, PneumothoraxArmsRapid Rollover
NCT05904574 completednot on this mapstarted 2020, after this paper: background citation

Evaluation of the the Effectiveness of the Autologous Blood Patch Method in Transthoracic Lung Biopsies Using the Coaxial Technique

TypeobservationalSponsorTrakya UniversityRan2020 to 2021Enrolled240ConditionsLung Cancer, PneumothoraxArmsAutologous blood patch, Percutaneous transthoracic biopsy
NCT07528170 completednot on this map

Complications After CT-guided Lung Biopsies at St. Olavs Hospital

Typeobservational_patient_registrySponsorSt. Olavs HospitalRan2012 to 2023Enrolled1,200ConditionsPneumothorax Iatrogenic Postprocedural, Air Embolism as A Complication of Medical Care, HemoptysisArmsCT-guided needle biopsy of lung nodule
NCT07772479 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Comparative Study of Rotational Cryobiopsy Needle and Automated Biopsy Needle in Transthoracic Needle Biopsy for the Diagnosis of Peripheral Pulmonary Lesions

TypeinterventionalSponsorBeijing Chao Yang HospitalRan2025 to 2029Enrolled308ConditionsPeripheral Pulmonary Lesions (PPLs), Pulmonary NodulesArmsCassiII rotational core biopsy, Automated biopsy
3 · Its place in the literature

Who cites it

370 citing papers in PubMed, 6 syntheses or guidelines pooled it, 724 citations in OpenAlex.

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  2. Diagnostic yield and safety of diagnostic techniques for pulmonary lesions: systematic review, meta-analysis and network meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2024
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310 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

W J HeerinkCenter for Medical Imaging-North East Netherlands, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. w.j.heerink@umcg.nl.
G H de BockCenter for Medical Imaging-North East Netherlands, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
G J de JongeDepartment of Radiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
H J M GroenCenter for Medical Imaging-North East Netherlands, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
R VliegenthartCenter for Medical Imaging-North East Netherlands, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
M OudkerkCenter for Medical Imaging-North East Netherlands, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
University Medical Center Groningen · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo meta-analyze complication rate in computed tomography (CT)-guided transthoracic lung biopsy and associated risk factors.

methodsFour databases were searched from 1/2000 to 8/2015 for studies reporting complications in CT-guided lung biopsy. Overall and major complication rates were pooled and compared between core biopsy and fine needle aspiration (FNA) using the random-effects model. Risk factors for complications in core biopsy and FNA were identified in meta-regression analysis.

resultsFor core biopsy, 32 articles (8,133 procedures) were included and for FNA, 17 (4,620 procedures). Pooled overall complication rates for core biopsy and FNA were 38.8 % (95 % CI: 34.3-43.5 %) and 24.0 % (95 % CI: 18.2-30.8 %), respectively. Major complication rates were 5.7 % (95 % CI: 4.4-7.4 %) and 4.4 % (95 % CI: 2.7-7.0 %), respectively. Overall complication rate was higher for core biopsy compared to FNA (p < 0.001). For FNA, larger needle diameter was a risk factor for overall complications, and increased traversed lung parenchyma and smaller lesion size were risk factors for major complications. For core biopsy, no significant risk factors were identified.

conclusionsIn CT-guided lung biopsy, minor complications were common and occurred more often in core biopsy than FNA. Major complication rate was low. For FNA, smaller nodule diameter, larger needle diameter and increased traversed lung parenchyma were risk factors for complications. KEY POINTS: • Minor complications are common in CT-guided lung biopsy • Major complication rate is low in CT-guided lung biopsy • CT-guided lung biopsy complications occur more often in core biopsy than FNA • Major complication rate is similar in core biopsy and FNA • Risk factors for FNA are larger needle diameter, smaller lesion size.

Indexed as

Biopsy, Fine-NeedleBiopsy, Large-Core NeedleGlobal HealthHumansImage-Guided BiopsyIncidenceLungLung NeoplasmsPneumothoraxRetrospective StudiesTomography, X-Ray ComputedBiopsyComputed tomography, X-RayLung neoplasmsMeta-analysisPneumothorax

Identifiers

PMID27108299
PMCPMC5127875
OpenAlexW2336837860

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.