ArticleAnnals of Saudi medicine
Assessing risk factors for complications in computer tomography-guided lung biopsy: quantitative analysis for predicting pneumothorax.
Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Ultrasound- versus CT-guided Biopsy of Pleural-contact Pulmonary Lesions: A Comparative Analysis of Diagnostic Performance and Procedural Complications.Thoracic research and practice · 2026Article
- Correlation Between Distance From Lesions to Pleura and Complications in CT-Guided Lung Biopsy: A Cross-Sectional Study in Vietnam.Thoracic cancer · 2026Article
- Clinical and Procedural Predictive Model for Pneumothorax Risk After CT-Guided Lung Biopsy.Therapeutics and clinical risk management · 2026Article
- The diagnostic value of CT-guided percutaneous lung biopsy in atypical pulmonary hamartoma and pulmonary sclerosing pneumocytoma.Frontiers in oncology · 2025Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundComputer tomography (CT)-guided lung biopsy carries the risk of pneumothorax. A variety of other risk factors affect the occurrence of pneumothorax.
objectiveAssess the incidence and risk factors associated with pneumothorax complications in CT-guided lung biopsy, and to conduct a quantitative analysis of the variables among the significant risk factors to identify more effective indicators for predicting pneumothorax complications.
designRetrospective logistic.
settingSingle center in China. PATIENTS AND
methodsFrom June 2017 to May 2021, consecutive patients who underwent CT-guided lung biopsy were identified from the medical record system. Binary logistic regression analysis was used to identify potential risk factors for pneumothorax. Receiver operating characteristic (ROC) curves were constructed for continuous variables to determine cutoff values that optimized sensitivity and specificity.
main outcome measuresThe incidence and risk factors of pneumothorax in CT-guided lung biopsy. SAMPLE SIZE: 132 patients.
resultsThe incidence of pneumothorax was 28.9% (38/132), with 6.8% (9/132) of patients requiring chest tube insertion. Results indicated that smaller lesion size (OR 0.724; 95% CI 0.619-0.848;
conclusionsThe L/D ratio, multiple passes through the pleura, longer needle tract length, and smaller lesions were independent risk factors for pneumothorax. A L/D ratio of less than 0.81 may indicate a pneumothorax. It may be necessary to use the proper sealing procedure for this patient group. LIMITATIONS: Due to its retrospective nature, there may be inherent selection bias.
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