ArticleDiagnostics (Basel, Switzerland)2024
Enhanced Positioning Strategies to Reduce Pneumothorax in CT-Guided Lung Biopsies.
Article in Diagnostics (Basel, Switzerland), 2024. 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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Who cites it
6 citing papers in PubMed.
- Supine CT-Guided Posterior Approach Using a Dorsal-Space Mat: Initial Clinical Experience and Geometric Characterization.Tomography (Ann Arbor, Mich.) · 2026Article
- Ambient Ozone Exposure and Pneumothorax Risk After CT-Guided Lung Biopsy.Tomography (Ann Arbor, Mich.) · 2026Article
- Body mass index and thoracic morphology parameters as predictors of pneumothorax in CT-guided lung biopsies.Polish journal of radiology · 2026Article
- Reevaluating Routine Post-Biopsy Chest X-Rays After CT-Guided Lung Biopsy: Incidence of Pneumothorax and Value of Symptom-Based Monitoring.Journal of clinical medicine · 2025Article
- The role of gravitational effects and pre-puncture techniques in reducing pneumothorax during CT-guided lung biopsies.La Radiologia medica · 2025Article
- Ground-Glass Opacities in the Access Route and Biopsy in Highly Perfused Dependent Areas of the Lungs as Risk Factors for Pulmonary Hemorrhage During CT-Guided Lung Biopsy: A Retrospective Study.Tomography (Ann Arbor, Mich.) · 2025Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesThis study aimed to investigate pneumothorax risk, focusing on the gravitational effect of pleural pressure caused by specific patient positioning.
methodsWe retrospectively analyzed 144 percutaneous CT-guided lung biopsies performed between January 2019 and December 2023. Patients were grouped into those with or without pneumothorax. Variations in patient positioning (prone, supine, lateral, lesion in decubitus biopsy-side-down [LD BSD] and the dependent area [L DA M], and access route beginning in the dependent area [AR LD M]) were compared using the chi-square, Fisher's exact, and Mann-Whitney U tests. Performance metrics were evaluated. Univariate and binomial logistic regression models assessed the influence of these factors and other patient-related and interventional parameters on pneumothorax occurrence.
resultsThree positional variants (AR DA M, L DA M, and L LD BSD;
conclusionsFocusing on the dependent zones of each lung and adjusting the access route accordingly can significantly reduce the risk of pneumothorax compared to conventional positioning techniques.
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