JRM
Journal of Radiology in Medicine

Journal of Radiology in Medicine is an international journal that published original research and articles in all areas of radiology. Its publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

eISSN: 3023-6487
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Original Article
Results and complications of percutaneous co-axial trans-thoracic biopsy in lung masses: our clinical experience
Abstract
Aims: The aim of our study was to evaluate the diagnostic rates and procedure-related complications in lung masses undergoing computed tomography (CT)-guided percutaneous coaxial trans-thoracic biopsy (PCTTB).
Methods: We retrospectively analyzed 117 patients who underwent CT-guided PCTTB between January 2016 and December 2018. A 64 slice Multislice-CT was used in each patient. A core biopsy was performed with a 16–18-gauge needle using the co-axial method. The demographic characteristics of the patients, post-procedural diagnosis rates, and complications were evaluated.
Results: Of 117 patients, 93 were male (mean age 67.9±10.8 years) and 24 were female (mean age 64.2±15.2 years). The pathologic evaluation of three patients was reported as "insufficient material". The diagnostic sensitivity of CT-guided PCTTB was 97.4%. Malignant lesions were detected in 70 patients (59.8%) and benign lesions in 44 patients (37.9%). The most common complication was pneumothorax, which occurred in 24 (20.5%) patients. A thoracic tube was inserted in three of these patients, while the others were discharged with follow-up. Other complications were hemorrhage (10.3%) and hemoptysis (12%), respectively. While mortality in CT-guided biopsy was associated with air embolization in some studies, mortality was not present in our study.
Conclusion: CT-guided PCTTB lung biopsies have a high diagnostic rate and acceptable complications. Percutaneous coaxial trans-thoracic biopsy should be the first choice in all appropriate cases.

Keywords : Trans-thoracic biopsy, malignant, pneumothorax, hemorrhage, hemoptysis

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1. Manhire A, Charig M, Clelland C, et al. Guidelines for radiologicallyguided lung biopsy. Thorax. 2003;58:920-936.
2. Herth FJF, Eberhardt R, and Ernst A. The future of bronchoscopyin diagnosing, staging and treatment of lung cancer. Respiration.2006;73:399-409.
3. Düzgün F, Tarhan S. Perkütan transtorasik akciğer ve kemik biyopsileri.Trd Sem. 2015;3:182-191.
4. Cheng YC, Tsai SH, Cheng Y, et al. Percutaneous transthoracic lungbiopsy: comparison between C-arm cone-beam CT and conventionalCT guidance. Transl Oncol. 2015;8(4):258-264.
5. Hiraki T, Mimura H, Gobara H, et al. CT fluoroscopy-guided biopsyof 1,000 pulmonary lesions performed with 20-gauge coaxial cuttingneedles: diagnostic yield and risk factors for diagnostic failure. Chest.2009;136: 1612-1617.
6. Brenner DJ, Hall EJ. Computed tomography—an increasing source ofradiation exposure. N Engl J Med. 2007;357:2277-2284.
7. Sivri, M. Bilgisayarlı tomografi eşliğinde transtorasik akciğer biyopsisiyapılan hastaların sonuçlarının değerlendirilmesi ve komplikasyonlaraeşlik eden risk faktörlerinin belirlenmesi. 2016.
8. Cohen BR, Leitner 0, Ronah R, Guber A, Griffel B, Geiger B:immunocytochemical characterization of lung tumors in fine-needleaspiration. Cancer. 1990;66:1817-1827.
9. Berquist TH, Bailey PB, Cortese DA, et al. Transthoracic needle biopsy:accuracy and complication in relation to location and type of lesion.Mayo Clin Proc. 1980;55:475-481.
10. Sinner WN. Complications of percutaneous transthoracic needleaspiration biopsy. Acta Radiol Diag. 1976;17:813-828.
11. Tomiyama N, Yasuhara Y, Nakajima Y, et al.CT-guided needle biopsy oflung lesions: a survey of severe complication based on 9783 biopsiesinJapan. Eur J Radiol. 2006;59(1):60-64.
12. Şahan MH, Inal M, Muluk NB, Doğan A, Atasoy P. The diagnosticvalue of CT-guided percutaneous Co-axial trans-thoracic biopsy(PCTTB) and evaluation of the pathologic examination. Current Med.Imaging. 2019;15(5):479-488.
13. Boskovic T, Stanic J ,Pena-Karan S, et al. Pneumothorax aftertransthoracic needle biopsy of lung lesions under CT guidance. J ThoracDis. 2014;6(1):99-107.
14. Lang E K, Ghavami R, Schreiner V C, Archibald S, Ramirez J.Autologous blood clot sealto prevent pneumothorax at CT-guided lungbiopsy. Radiology. 2000;216:93-96.
15. Takeshita J, Masago K, Kato R, et al. CT-guided fine-needle aspirationand core needle biopsies of pulmonary lesions: A single centerexperience with 750 biopsies in Japan. 2015;204:29-34.
16. Tuncel P, Ergun O, Çetin N, Türkmenoğlu TT, Durmaz HA, HekimoğluB. CT-guided percutaneous transthoracic lung biopsy: one centerexperience. Ortadoğu Tıp Dergisi, 2018;10(1):57-63.
Article available in :
Volume 1, Issue 3, 2024
Page : 42-45
https://doi.org/10.51271/JRM-0012
Article Information
Received : 17 Jun 2024
Accepted : 20 Jul 2024
Published : 29 Jul 2024
Corresponding Author :

Adnan Özdemir: Department of Radiology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye

[email protected]
Citation : Özdemir A, Şahan MH.Results and complications of percutaneous co-axial trans-thoracic biopsy in lung masses: our clinical experience . J Radiol Med. 2024;1(3):42-45.

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