Evidence map›Paper›PMID 31601137›Full record

ArticleThe Journal of international medical research2020

Computed tomography-guided biopsy of small lung nodules: diagnostic accuracy and analysis for true negatives.

Xing-Li Liu, Wei Li, Wei-Xin Yang, Mao-Ping Rui, Zhi Li, Liang Lv, Li-Peng Yang

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Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xing-Li LiuDepartment of Radiology, First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Wei LiDepartment of Radiology, First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Wei-Xin YangDepartment of Radiology, First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Mao-Ping RuiDepartment of Radiology, First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Zhi LiDepartment of Radiology, First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Liang LvDepartment of Radiology, First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Li-Peng YangDepartment of Radiology, First People's Hospital of Yunnan Province, Kunming, Yunnan, China.ORCID https://orcid.org/0000-0002-7897-2198

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe evaluated the diagnostic accuracy of computed tomography (CT)-guided transthoracic core needle biopsy (TCNB) for small (≤20-mm) lung nodules and identified predictive factors for true negatives among benign biopsy results.

methodsFrom March 2010 to June 2015, 222 patients with small lung nodules underwent CT-guided TCNB. We retrospectively analysed data regarding technical success, diagnostic accuracy, and predictors of true negatives.

resultsThe technical success rate was 100%. The TCNB results of the 222 lung nodules included malignancy (n = 136), suspected malignancy (n = 8), specific benign lesion (n = 17), and nonspecific benign lesion (n = 61). The final diagnosis of 222 lung nodules included malignant (n = 160), benign (n = 60), and nondiagnostic lesions (n = 2). The sensitivity, specificity, and overall diagnostic accuracy of CT-guided TCNB for small lung nodules were 90.0%, 100%, and 92.7%, respectively. Pneumothorax and haemoptysis occurred in 23 and 41 patients, respectively. Based on the Cox regression analysis, the significant independent predictive factor for true negatives was a biopsy result of chronic inflammation with fibroplasia.

conclusionsCT-guided TCNB offers high diagnostic accuracy for small lung nodules, and a biopsy result of chronic inflammation with fibroplasia can predict a true-negative result.

Indexed as

Lung NeoplasmsSolitary Pulmonary NoduleTomography, X-Ray ComputedAgedAntigens, NeoplasmFemaleHumansImage-Guided BiopsyKeratin-19LungMaleMiddle AgedRetrospective StudiesSensitivity and Specificityantigen CYFRA21.1Antigens, NeoplasmKeratin-19chronic inflammationComputed tomographydiagnostic accuracyfibroplasiasmall lung noduletransthoracic core needle biopsytrue negative

Identifiers

PMID31601137
PMCPMC7783288

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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.