Complications of thoracic computed tomography-guided fiducial placement for the purpose of stereotactic body radiation therapy.
作者： Shadi Yousefi , Brian T. Collins , Cristina A. Reichner , Eric D. Anderson , Carlos Jamis-Dow
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摘要: Abstract Purpose This study examined the complication rates associated with percutaneous fiducial placement for purpose of stereotactic body radiation therapy primary and metastatic lung neoplasms. Patients Methods is a retrospective review computed tomography (CT) scans follow-up chest radiographs 48 consecutive patients who underwent CT-guided placement. The effect age, sex, number fiducials placed, performance concomitant biopsy on were assessed. Results Of total 221 16 (33%) had procedure-related pneumothorax. There was no significant difference in pneumothorax rate based age ( P = 0.16), sex > 0.99), placed 0.21). Overall, 6 (12.5%) required thoracostomy tube. Performance core needle at time 64% compared 26% without biopsies 0.03). Postprocedural CT demonstrated hemorrhage 9 (19%). Two hemoptysis; one admission. Patients' statistically implications parenchymal incidence. Conclusion Approximately third develop during Most are asymptomatic do not require thoracostomy. A concurrent an increased risk Hemorrhage occurs but usually clinically insignificant.
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