Evidence map›Paper›PMID 41467233›Full record

ArticleActa radiologica open2025

Comparison of low- and standard-dose CT-guided transthoracic core needle biopsies: Feasibility, safety, diagnostic yield, and radiation dose.

Adil Aytaç, Kâmil Gürel, Yunus Yılmazsoy, Mustafa Hızal, Selma Erdoğan Düzcü, Oya Kalaycıoğlu

Abstract read
In one paragraph

Article in Acta radiologica open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adil AytaçHealth Practice and Research Hospital, Department of Radiology, Balikesir University Faculty of Medicine, Balikesir, Turkey.ORCID https://orcid.org/0000-0003-3347-5830
Kâmil GürelUniversity of Health Sciences, Ankara, Turkey.
Yunus YılmazsoyFaculty of Medicine, Department of Internal Medical Sciences, Division of Radiology, Bolu Abant Izzet Baysal University, Bolu, Turkey.ORCID https://orcid.org/0000-0001-7293-2059
Mustafa HızalFaculty of Medicine, Department of Internal Medical Sciences, Division of Radiology, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Selma Erdoğan DüzcüFaculty of Medicine, Department of Surgical Medical Sciences, Division of Pathology, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Oya KalaycıoğluFaculty of Medicine, Department of Basic Medical Sciences, Division of Biostatistics and Medical Informatics, Bolu Abant Izzet Baysal University, Bolu, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Computed tomography (CT)-guided transthoracic biopsy is essential for diagnosing pulmonary lesions but exposes patients to considerable radiation from repeated image acquisitions. With the growing emphasis on radiation safety, applying validated low-dose CT protocols to interventional procedures has become a key clinical priority. Purpose: To assess the feasibility, safety, diagnostic yield, and radiation dose of low-dose computed tomography-guided transthoracic biopsies using an 80 kVp protocol compared with standard 120 kVp protocols. Methods: A retrospective review was performed on 183 consecutive computed tomography-guided transthoracic biopsies of lung nodules or masses, including 143 procedures with the standard 120 kVp protocol and 40 procedures with a low-dose 80 kVp protocol at 30 mAs. Procedural characteristics, image quality, histopathological adequacy, radiation exposure, and complications were analyzed. Both subjective and objective image quality assessments, including signal-to-noise and contrast-to-noise ratios, and cellular analyses of specimens were compared. Results: The low-dose protocol reduced mean effective radiation dose from 5.89 ± 2.88 millisieverts to 0.19 ± 0.06 millisieverts, a 96.8% reduction. Biopsy specimen adequacy was 85% in the low-dose group versus 79% in the standard-dose group. Complication rates were comparable, 45% versus 43.4%. Subjective image quality was lower in the low-dose group, but objective signal-to-noise and contrast-to-noise ratios remained sufficient for accurate diagnosis. Conclusion: Computed tomography-guided transthoracic biopsies with an 80 kVp and 30 mAs protocol significantly reduce radiation exposure without compromising diagnostic yield or safety. This low-dose approach is a viable alternative to conventional protocols and can be adopted in routine interventional radiology practice.

Indexed as

CT-guided biopsydiagnostic yieldlow-dose protocollung noduleradiation reduction

Identifiers

PMID41467233
PMCPMC12743816

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