ArticleEuropean radiology2020
Dependent lesion positioning at CT-guided lung biopsy to reduce risk of pneumothorax.
Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- From Passive Sampling to Precision Intervention: A Standardized Radiomics-Driven Workflow for Molecularly Adequate Lung Biopsy.Cardiovascular and interventional radiology · 2026Observational
- Assessment of diagnostic performance and complication rate in percutaneous lung biopsy based on target nodule size.Abdominal radiology (New York) · 2025Article
- Effect of needle aspiration for treatment of moderate to severe non-tension pneumothorax after transthoracic needle biopsy.Journal of thoracic disease · 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
- [Analysis of Influencing Factors of Complications for CT-guided Percutaneous Lung Biopsy].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024Article
- Is it a complication or a consequence - a new perspective on adverse outcomes in Interventional Radiology.CVIR endovascular · 2024Article
- The effectiveness of the puncture channel plugging for reduction of complications after CT-guided percutaneous transthoracic needle biopsy.Scientific reports · 2023Article
- Safety, feasibility, and effectiveness of a CT-guided transthoracic lung and pleural biopsy - a single-centre experience with own low-dose protocol.Polish journal of radiology · 2023Article
- Current investigative modalities for detecting and staging lung cancers: a comprehensive summary.Indian journal of thoracic and cardiovascular surgery · 2023Review
- Lung, Pleural, and Mediastinal Biopsies: From Preprocedural Assessment to Technique and Management of Complications.Seminars in interventional radiology · 2022Review
- Pneumothorax Induced by Computed Tomography Guided Transthoracic Needle Biopsy: A Review for the Clinician.International journal of general medicine · 2021Review
- Comparison of CT-Guided Core Needle Biopsy in Pulmonary Ground-Glass and Solid Nodules Based on Propensity Score Matching Analysis.Technology in cancer research & treatmentArticle
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Authors and funding
8 authors at 1 institution in 2 countries.
Funding
Abstract
objectivesTo evaluate the impact of patient positioning during CT-guided lung biopsy on patients' outcomes.
methodsIn this retrospective, IRB-approved, HIPAA-compliant study, consecutive CT-guided lung biopsies performed on 5/1/2015-12/26/2017 were included. Correlation between incidence of pneumothorax, chest tube placement, pulmonary bleeding with patient, and procedure characteristics was evaluated. Lesion-trachea-table angle (LTTA) was defined as an angle between the lesion, trachea, and horizontal line parallel to the table. Lesion above trachea has a positive LTTA. Univariate and multivariate logistic regression analysis was performed.
resultsA total of 423 biopsies in 409 patients (68 ± 11 years, 231/409, 56% female) were included in the study. Pneumothorax occurred in 83/423 (20%) biopsies with chest tube placed in 11/423 (3%) biopsies. Perilesional bleeding occurred in 194/423 (46%) biopsies and hemoptysis in 20/423 (5%) biopsies. Univariate analysis showed an association of pneumothorax with smaller lesions (p = 0.05), positive LTTA (p = 0.002), and lesions not attached to pleura (p = 0.026) with multivariate analysis showing lesion size and LTTA to be independent risk factors. Univariate analysis showed an association of increased pulmonary bleeding with smaller lesions (p < 0.001), no attachment to the pleura (p < 0.001), needle throw < 16 mm (p = 0.05), and a longer needle path (p < 0.001). Multivariate analysis showed lesion size, a longer needle path, and lesions not attached to the pleura to be independently associated with perilesional bleeding. Risk factors for hemoptysis were longer needle path (p = 0.002), no attachment to the pleura (p = 0.03), and female sex (p = 0.04).
conclusionsInterventional radiologists can reduce the pneumothorax risk during the CT-guided biopsy by positioning the biopsy site below the trachea. KEY POINTS: • Positioning patient with lesion to be below the trachea for the CT-guided lung biopsy results in lower rate of pneumothorax, as compared with the lesion above the trachea. • Positioning patient with lesion to be below the trachea for the CT-guided lung biopsy does not affect rate of procedure-associated pulmonary hemorrhage or hemoptysis.
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