CT-guided transthoracic needle aspiration biopsy of pulmonary nodules: needle size and pneumothorax rate.

作者: Patricia R. Geraghty , Stephen T. Kee , Gillian McFarlane , Mahmood K. Razavi , Daniel Y. Sze

DOI: 10.1148/RADIOL.2291020499

关键词:

摘要: PURPOSE: To evaluate the effect of coaxial needle size on pneumothorax rate and diagnostic accuracy computed tomography (CT)-guided transthoracic aspiration biopsy (TNAB) pulmonary nodules. MATERIALS AND METHODS: Retrospective review 846 consecutive CT-guided TNAB procedures was performed. A approach implemented in all patients by using an 18- or 19-gauge outer stabilizing through which a smaller automated gun inserted for tissue sampling. Univariate multivariate regression analyses were used to analyze size, age, sex, smoking history, lesion use core gun, number passes, frequency chest tube placement. Sensitivity, specificity, calculated 676 with at least 18 months clinical follow-up. RESULTS: Pneumothorax occurred 226 patients. Coaxial patient age had significant rate. Pneumo...

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