ArticlePloS one2019
Complications of CT-guided lung biopsy with a non-coaxial semi-automated 18 gauge biopsy system: Frequency, severity and risk factors.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 42 citations in OpenAlex.
- Evaluation of the ability of hemostatic agents to prevent hemoptysis during ultrasound-guided lung biopsy.Quantitative imaging in medicine and surgery · 2026Article
- Predictive factors for prolonged hospitalization related to pneumothorax after CT-guided transthoracic needle biopsy.BMC pulmonary medicine · 2026Article
- Incidence, timing, and risk factors of severe complications after percutaneous ultrasound-guided tumor biopsy: a proposal for safe aftercare based on 30 years´ experience.BMC medical imaging · 2026Article
- From Passive Sampling to Precision Intervention: A Standardized Radiomics-Driven Workflow for Molecularly Adequate Lung Biopsy.Cardiovascular and interventional radiology · 2026Observational
- CT-Guided Percutaneous Lung Biopsy: Important Steps with "Tips and Tricks" for Optimal Yield.The Indian journal of radiology & imaging · 2025Review
- Article
- Diagnostic yield and complications of CT-guided biopsy of lung lesions as a radiological outpatient clinic procedure.Acta radiologica open · 2025Article
- Value of focused lung ultrasound in diagnosing and monitoring pneumothorax after CT-guided lung biopsy.Journal of ultrasound · 2025Article
- Proposal for a computed tomography score to predict major complications requiring hospitalization after percutaneous lung biopsy: a single-center retrospective study.Quantitative imaging in medicine and surgery · 2024Article
- Impact of radiomics features, pulmonary emphysema score and muscle mass on the rate of pneumothorax and chest tube insertion in CT-guided lung biopsies.Respiratory research · 2024Article
- Computed-Tomography-Guided Lung Biopsy: A Practice-Oriented Document on Techniques and Principles and a Review of the Literature.Diagnostics (Basel, Switzerland) · 2024Review
- Optimizing Precision: A Trajectory Tract Reference Approach to Minimize Complications in CT-Guided Transthoracic Core Biopsy.Diagnostics (Basel, Switzerland) · 2024Article
- Article
- [Analysis of Influencing Factors of Complications for CT-guided Percutaneous Lung Biopsy].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024Article
- Evaluation of preventive tract embolization with standardized gelatin sponge slurry on chest tube placement rate after CT-guided lung biopsy: a propensity score analysis.Insights into imaging · 2023Article
- Biopsy Method and Needle Size on Success of Next-Generation Sequencing in NSCLC: A Brief Report.JTO clinical and research reports · 2023Article
- Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report.Radiology case reports · 2023Article
- Pneumothoraxes after CT-guided percutaneous transthoracic needle aspiration biopsy of the lung: A single-center experience with 3426 patients.Tuberkuloz ve toraks · 2023Article
- Safety and efficacy of microwave ablation for lung cancer adjacent to the interlobar fissure.Thoracic cancer · 2022Article
- Experience and results after the implementation of a radiology day unit in a reference hospital.Insights into imaging · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate frequency and severity of complications after CT-guided lung biopsy using the Society of Interventional Radiology (SIR) classification, and to assess risk factors for overall and major complications. MATERIALS AND
methods311 consecutive biopsies with a non-coaxial semi-automated 18 gauge biopsy system were retrospectively evaluated. Complications after biopsy were classified into minor SIR1-2 and major SIR3-6. Studied risk factors for complications were patient-related (age, sex and underlying emphysema), lesion-related (size, location, morphologic characteristic, depth from the pleura and histopathology), and technique-related (patient position during procedure, thoracic wall thickness at needle path, procedure time length and number of procedural CT images, number of pleural passes, fissure penetration and needle-to-blood vessel angle). Data were analyzed using logistic and ordinal regression.
resultsComplications were pneumothorax and pulmonary hemorrhage. The complications were minor SIR1-2 in 142 patients (45.6%), and major SIR3-4 in 25 patients (8%). SIR5-6 complications were not present. Emphysema, smaller deeply located lesion, increased puncture time length and number of procedural CT images, multiple pleural passes and fissure puncture were significant risk factors for complication severity in univariate analysis. Emphysema (OR = 8.8, p<0.001), lesion depth from the pleura (OR = 1.9 per cm, p<0.001), and fissure puncture (OR = 9.4, p = 0.01) were the independent factors for major complications in a multiple logistic regression model. No statistical difference of complication rates between the radiologists performing biopsies was observed.
conclusionsKnowledge about risk factors influencing complication severity is important for planning and performing CT-guided lung biopsies.
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