SynthesisThe British journal of radiology2020
Pneumothorax rates in CT-Guided lung biopsies: a comprehensive systematic review and meta-analysis of risk factors.
Synthesis in The British journal of radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 112 papers, 4 of them syntheses that pooled 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.
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.
Effect of Post-Procedural Rapid Rollover on Pneumothorax After Percutaneous CT-Guided Lung Biopsy: A Randomized Controlled Trial
Comparative Study of Rotational Cryobiopsy Needle and Automated Biopsy Needle in Transthoracic Needle Biopsy for the Diagnosis of Peripheral Pulmonary Lesions
Who cites it
112 citing papers in PubMed, 4 syntheses or guidelines pooled it, 187 citations in OpenAlex.
- Outcomes of combined lung cancer resection and lung volume reduction surgery in adults with severe emphysema; a systematic review and meta-analysis.Frontiers in oncology · 2026Pooled it
- Pooled it
- 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 · 2024Pooled it
- Efficacy of autologous blood patch injection for pneumothorax rate after CT-guided percutaneous transthoracic lung biopsy: a systematic review and meta-analysis.Journal of cardiothoracic surgery · 2024Pooled it
- Clinical potential of computed tomography-guided coaxial needle sequence puncture with suture-anchored needle guidance and coupled needle retraction-and-advancement technique biopsy of pulmonary nodules.Frontiers in oncology · 2026Trial
- Association between intraprocedural oxygen administration and postprocedural pneumothorax after ct-guided transthoracic lung biopsy.BMC pulmonary medicine · 2026Article
- Procedural efficiency, diagnostic yield, and safety of a novel positioning grid combined with a non-coplanar puncture-angle guide for CT-guided percutaneous transthoracic lung biopsy: a retrospective contemporaneous-control study.Journal of thoracic disease · 2026Article
- Ultrasound- versus CT-guided Biopsy of Pleural-contact Pulmonary Lesions: A Comparative Analysis of Diagnostic Performance and Procedural Complications.Thoracic research and practice · 2026Article
- Retrospective Evaluation of Safety of Using a Semi-automatic Robotic System for Transthoracic Biopsy of Lung Mass Under Positron Emission Tomography-computed Tomography Guidance.Thoracic research and practice · 2026Article
- The PRECIsE study: a prospective, multicenter study of shape-sensing robotic-assisted bronchoscopy with 2 years of follow-up.Annals of the American Thoracic Society · 2026Observational
- Real-world diagnostic pathways and treatment patterns for suspected lung cancer in Japan: a nationwide claims database analysis.ESMO real world data and digital oncology · 2026Article
- Review
- Predictive factors for prolonged hospitalization related to pneumothorax after CT-guided transthoracic needle biopsy.BMC pulmonary medicine · 2026Article
- Article
- Determinants of Pneumothorax and Alveolar Hemorrhage After CT-Guided Lung Biopsy.Diagnostics (Basel, Switzerland) · 2026Article
- Improved reachability during bronchoscopy with a novel multisection robotic bronchoscope.JTCVS techniques · 2026Article
- CT-guided core needle biopsy of focal pulmonary lesions with coexisting interstitial lung abnormalities: a case-control study.European radiology · 2026Article
- From Passive Sampling to Precision Intervention: A Standardized Radiomics-Driven Workflow for Molecularly Adequate Lung Biopsy.Cardiovascular and interventional radiology · 2026Observational
- Multidisciplinary international expert consensus recommendations on tissue acquisition in non-small cell lung cancer.EBioMedicine · 2026Article
- Robotic-assisted bronchoscopy in dye localization in thoracoscopic pulmonary nodule resection: An initial experience.JTCVS techniques · 2026Article
52 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis systematic review and meta-analysis investigated risk factors for pneumothorax following CT-guided percutaneous transthoracic lung biopsy.
methodsA systematic search of nine literature databases between inception to September 2019 for eligible studies was performed.
results36 articles were included with 23,104 patients. The overall pooled incidence for pneumothorax was 25.9% and chest drain insertion was 6.9%. Pneumothorax risk was significantly reduced in the lateral decubitus position where the biopsied lung was dependent compared to a prone or supine position [odds ratio (OR):3.15]. In contrast, pneumothorax rates were significantly increased in the lateral decubitus position where the biopsied lung was non-dependent compared to supine (OR:2.28) or prone position (OR:3.20). Other risk factors for pneumothorax included puncture site up compared to down through a purpose-built biopsy window in the CT table (OR:4.79), larger calibre guide/needles (≤18G vs >18G: OR 1.55), fissure crossed (OR:3.75), bulla crossed (OR:6.13), multiple pleural punctures (>1 vs 1: OR:2.43), multiple non-coaxial tissue sample (>1 vs 1: OR 1.99), emphysematous lungs (OR:3.33), smaller lesions (<4 cm
conclusionThis meta-analysis quantifies factors that alter pneumothorax rates, particularly with patient positioning, when planning and performing a CT-guided lung biopsy to reduce pneumothorax rates. ADVANCES IN KNOWLEDGE: Positioning patients in lateral decubitus with the biopsied lung dependent, puncture site down with a biopsy window in the CT table, using smaller calibre needles and using coaxial technique if multiple samples are needed are associated with a reduced incidence of pneumothorax.
Indexed as
Identifiers
What OpenQuestion holds
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.