US Guidance for Thoracic Biopsy: A Valuable Alternative to CT

作者: Sheila Sheth , Ulrike M. Hamper , Deroshia B. Stanley , Jane H. Wheeler , Patricia A. Smith

DOI: 10.1148/RADIOLOGY.210.3.R99MR23721

关键词: MedicineDifferential diagnosisTomographyMediastinal DiseasesLungRadiologyPneumothoraxBiopsyLung biopsyRadiography

摘要: PURPOSE: To determine the role, accuracy, and selection criteria of ultrasonographic (US) guidance for biopsy thoracic lesions. MATERIALS AND METHODS: Imaging-guided biopsies (n = 86) were performed in 84 consecutive patients. US was used lesions abutting chest wall; computed tomographic (CT) all masses surrounded by aerated lung. Mass location size, modality, histologic results, procedure time, complications recorded. RESULTS: Thirty-four (19 parenchymal, six pleural, wall, three mediastinal) amenable to US-guided biopsy. The mean mass diameter 4.3 cm, number passes 3.2, time 31.4 minutes. A diagnosis achieved 31 (91%) patients, including with small (<2-cm) 9). There one case pneumothorax. CT 52 (60%) 86 cases. Lesions parenchymal 41), pleural 1), mediastinal hilar 10). Th...

参考文章(18)
A. Madan, W. van Rooij, M. Verpalen, Sonographically guided needle biopsy in peripheral thoracic masses: results in 50 patients. Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren. ,vol. 160, pp. 75- 77 ,(1994) , 10.1055/S-2008-1032376
Akihiko Arakawa, Tetsuya Matsukawa, Mitsuko Kira, Seiji Tomiguchi, Mutsumasa Takahashi, Osamu Kawano, Value of ultrasound-guided core-needle biopsy for peripheral intrathoracic and mediastinal lesions Computerized Medical Imaging and Graphics. ,vol. 21, pp. 23- 28 ,(1997) , 10.1016/S0895-6111(96)00060-2
N Suzuki, T Saitoh, S Kitamura, Tumor invasion of the chest wall in lung cancer: diagnosis with US. Radiology. ,vol. 187, pp. 39- 42 ,(1993) , 10.1148/RADIOLOGY.187.1.8451433
D S Memel, G D Dodd, C C Esola, Efficacy of sonography as a guidance technique for biopsy of abdominal, pelvic, and retroperitoneal lymph nodes American Journal of Roentgenology. ,vol. 167, pp. 957- 962 ,(1996) , 10.2214/AJR.167.4.8819394
Jiamn-Fong Pan, Pan-Chyr Yang, Dun-Bing Chang, Yung-Chie Lee, Sow-Hsong Kuo, Kwen-Tay Luh, Needle aspiration biopsy of malignant lung masses with necrotic centers. Improved sensitivity with ultrasonic guidance. Chest. ,vol. 103, pp. 1452- 1456 ,(1993) , 10.1378/CHEST.103.5.1452
G D Dodd, C C Esola, D S Memel, A A Ghiatas, K N Chintapalli, E K Paulson, R C Nelson, J V Ferris, R L Baron, Sonography: the undiscovered jewel of interventional radiology. Radiographics. ,vol. 16, pp. 1271- 1288 ,(1996) , 10.1148/RADIOGRAPHICS.16.6.8946535
W D Middleton, S K Hiskes, S A Teefey, L D Boucher, Small (1.5 cm or less) liver metastases: US-guided biopsy. Radiology. ,vol. 205, pp. 729- 732 ,(1997) , 10.1148/RADIOLOGY.205.3.9393528
Wu-Huei Hsu, Chi-Der Chiang, Jeng-Yuan Hsu, Chih-Yi Chen, Chun-Shih Chiang, Tain Lee, Value of ultrasonically guided needle biopsy of pleural masses: an under-utilized technique. Journal of Clinical Ultrasound. ,vol. 25, pp. 119- 125 ,(1997) , 10.1002/(SICI)1097-0096(199703)25:3<119::AID-JCU4>3.0.CO;2-J