1,204 results match your criteria Transthoracic Needle Biopsy


Learning Curve of C-Arm Cone-beam Computed Tomography Virtual Navigation-Guided Percutaneous Transthoracic Needle Biopsy.

Korean J Radiol 2019 May;20(5):844-853

Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul, Korea.

Objective: To evaluate the learning curve for C-arm cone-beam computed tomography (CBCT) virtual navigation-guided percutaneous transthoracic needle biopsy (PTNB) and to determine the amount of experience needed to develop appropriate skills for this procedure using cumulative summation (CUSUM).

Materials And Methods: We retrospectively reviewed 2042 CBCT virtual navigation-guided PTNBs performed by 7 novice operators between March 2011 and December 2014. Learning curves for CBCT virtual navigation-guided PTNB with respect to its diagnostic performance and the occurrence of biopsy-related pneumothorax were analyzed using standard and risk-adjusted CUSUM (RA-CUSUM). Read More

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http://dx.doi.org/10.3348/kjr.2018.0555DOI Listing

Gelatinous foam needle tract embolization during CT guided percutaneous transthoracic lung biopsy: A practical and cost effective approach in the community hospital setting.

Radiol Case Rep 2019 Jun 23;14(6):656-659. Epub 2019 Mar 23.

Department of Interventional Radiology, St Luke's Cornwall Hospital, 70 Dubois St, Newburgh, NY 12550.

Gelatinous foam (GelFoam, Pfizer, Inc, New York, NY) is a low cost, readily available material with a wide range of procedural applications. A novel implementation during computed tomography (CT) guided percutaneous lung biopsy to reduce the rates of pneumothorax leading to further intervention with chest tube placement. We present the imaging and outcome of a patient undergoing this procedure in a community hospital setting. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.01.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434060PMC

Safety maximization of percutaneous transthoracic needle biopsy with ultrasound guide in subpleural lesions in the evaluation of pulmonary consolidation.

Respir Res 2019 Apr 5;20(1):68. Epub 2019 Apr 5.

Department of Medical and Surgical Sciences, Institute of Respiratory Disease, University of Foggia, Viale degli Aviatori, 2, 71122, Foggia, FG, Italy.

The study by Kiranantawat et al. "Clinical role, safety and diagnostic accuracy of percutaneous transthoracic needle biopsy in the evaluation of pulmonary consolidation" highlights how "pulmonary consolidation can be safely evaluated with CT-guided percutaneous needle biopsy". Even if we agree about the role of CT guidance, we would like to point out how Thoracic Ultrasound could be better than CT for biopsy of subpleural lesions that could easily be detected and reached with this "real-time" and quicker technique. Read More

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https://respiratory-research.biomedcentral.com/articles/10.1
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http://dx.doi.org/10.1186/s12931-019-1031-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451297PMC
April 2019
2 Reads

Application of deep learning-based computer-aided detection system: detecting pneumothorax on chest radiograph after biopsy.

Eur Radiol 2019 Mar 26. Epub 2019 Mar 26.

Department of Radiology and Research Institute of Radiology, Asan Medical Center, College of Medicine, University of Ulsan, 88 Olympic-ro 43 Gil, Songpa-gu, Seoul, 138736, South Korea.

Objectives: To retrospectively evaluate the diagnostic performance of a convolutional neural network (CNN) model in detecting pneumothorax on chest radiographs obtained after percutaneous transthoracic needle biopsy (PTNB) for pulmonary lesions.

Methods: A CNN system for computer-aided diagnosis on chest radiographs was developed using the full 26-layer You Only Look Once model. A total of 1596 chest radiographs with pneumothorax were used for training. Read More

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http://dx.doi.org/10.1007/s00330-019-06130-xDOI Listing

Transthoracic computed tomography-guided lung biopsy in the new era of personalized medicine.

Future Oncol 2019 Apr 18;15(10):1125-1134. Epub 2019 Mar 18.

Department of Medicine & Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.

Computed tomography-guided lung biopsy is a valid and safe procedure for characterizing pulmonary nodules. In the past years, this technique has been mainly used to confirm the malignant nature of undetermined pulmonary lesions; however, today its role has been completely renewed. With the advent of target therapy and immunotherapy, it has arisen for lung cancer, in inoperable patients, the necessity to obtain adequate bioptical material to perform a correct molecular characterization of the lesion. Read More

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http://dx.doi.org/10.2217/fon-2018-0527DOI Listing

Post-Biopsy Manoeuvres to Reduce Pneumothorax Incidence in CT-Guided Transthoracic Lung Biopsies: A Systematic Review and Meta-analysis.

Cardiovasc Intervent Radiol 2019 Mar 12. Epub 2019 Mar 12.

Department of Radiology, Concord Repatriation General Hospital, Sydney, Australia.

This systematic review and meta-analysis investigated post-biopsy manoeuvres to reduce pneumothorax following computed tomography-guided percutaneous transthoracic lung biopsy. Twenty-one articles were included with 7080 patients. Chest drain insertion rates were significantly reduced by ninefold with the normal saline tract sealant compared to controls (OR 0. Read More

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http://dx.doi.org/10.1007/s00270-019-02196-8DOI Listing
March 2019
1.965 Impact Factor

Rapid effects of benralizumab on severe asthma during surgery for residual tumor after advanced lung squamous cell carcinoma treatment with pembrolizumab.

Respir Med Case Rep 2019 19;26:292-295. Epub 2019 Feb 19.

Department of Thoracic Surgery, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan.

Severe bronchial asthma is a chronic disorder of the airways that may be accompanied by comorbid diseases. Invasive treatment, including surgery, in patients with severe asthma has limitations depending on the degree of control of the asthma. A 71-year-old woman was diagnosed with squamous cell carcinoma with high programmed death-ligand 1 (PD-L1) expression and cT3N0M1a. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.02.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395856PMC
February 2019

Complications and Accuracy of Computed Tomography-guided Transthoracic Needle Biopsy in Patients Over 80 Years of Age.

J Thorac Imaging 2019 Feb 26. Epub 2019 Feb 26.

Department of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA.

Objectives: The purpose of this study was to evaluate the complications and diagnostic accuracy of computed tomography-guided percutaneous transthoracic needle biopsy (PTNB) in patients aged 80 years and older.

Materials And Methods: Consecutive PTNB procedures performed in an academic institution between July 2009 and June 2013 were reviewed. Procedures were performed according to a standard protocol using conscious sedation and rapid on-site pathology evaluation. Read More

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http://dx.doi.org/10.1097/RTI.0000000000000403DOI Listing
February 2019
4 Reads

Transthoracic ultrasound-guided biopsy in the hands of chest physicians - a stepwise approach.

Eur Clin Respir J 2019 14;6(1):1579632. Epub 2019 Feb 14.

Department of Respiratory Medicine, Odense University Hospital, Odense C, Denmark.

The evaluation of patients with lung lesions is challenging. The nature of the lesion can be determined by pathological evaluation of biopsies. The pulmonologists will be met by increasing demands with regard to biopsy techniques including ultrasound-guided transthoracic needle biopsy (US-TTNB). Read More

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http://dx.doi.org/10.1080/20018525.2019.1579632DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383606PMC
February 2019
1 Read

Conventional transbronchial needle aspiration is promising for identifying EGFR mutations in lung adenocarcinoma.

Thorac Cancer 2019 Apr 27;10(4):856-863. Epub 2019 Feb 27.

Department of Medical Oncology, Sun Yat-Sen Cancer Center, Taipei, Taiwan.

Background: Conventional transbronchial needle aspiration (TBNA) is advantageous for the one-step diagnosis and staging of lung adenocarcinoma under topical anesthesia and conscious sedation. We examined its efficacy for identifying EGFR mutations.

Methods: Forty-seven patients with proven or suspected lung adenocarcinoma indicated for hilar-mediastinal lymph node (LN) staging between June 2011 and December 2017 were enrolled. Read More

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http://dx.doi.org/10.1111/1759-7714.13014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449271PMC
April 2019
1 Read

Clinical role, safety and diagnostic accuracy of percutaneous transthoracic needle biopsy in the evaluation of pulmonary consolidation.

Respir Res 2019 Jan 31;20(1):23. Epub 2019 Jan 31.

Division of Thoracic Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.

Background: To determine the clinical role, safety, and diagnostic accuracy of percutaneous transthoracic needle biopsy in the evaluation of pulmonary consolidation.

Methods: A retrospective review of all computed tomography (CT)-guided percutaneous transthoracic needle biopsies (PTNB) at a tertiary care hospital over a 4-year period was performed to identify all cases of PTNB performed for pulmonary consolidation. For each case, CT Chest images were reviewed by two thoracic radiologists. Read More

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https://respiratory-research.biomedcentral.com/articles/10.1
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http://dx.doi.org/10.1186/s12931-019-0982-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357395PMC
January 2019
18 Reads

Transthoracic Rebiopsy for Mutation Analysis in Lung Adenocarcinoma: Outcomes and Risk Factors for the Acquisition of Nondiagnostic Specimens in 199 Patients.

Clin Lung Cancer 2018 Dec 31. Epub 2018 Dec 31.

Department of Radiology, Samsung Medical Center, Seoul, Korea; Sungkyunkwan University School of Medicine, Seoul, Korea.

Purpose: To determine the outcomes of transthoracic rebiopsy for epidermal growth factor receptor (EGFR) mutation in patients with lung adenocarcinoma and to explore the clinical and procedure-related risk factors for the acquisition of nondiagnostic rebiopsy specimens.

Patients And Methods: We retrospectively reviewed 367 patients with lung adenocarcinoma who underwent transthoracic core needle biopsy for mutation analysis from September 2011 to October 2016. Of these, 199 patients underwent rebiopsy. Read More

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http://dx.doi.org/10.1016/j.cllc.2018.12.021DOI Listing
December 2018
2 Reads

Analysis of Complications of Percutaneous Transthoracic Needle Biopsy Using CT-Guidance Modalities In a Multicenter Cohort of 10568 Biopsies.

Korean J Radiol 2019 Feb;20(2):323-331

Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Korea.

Objective: To analyze the complications of percutaneous transthoracic needle biopsy using CT-based imaging modalities for needle guidance in comparison with fluoroscopy in a large retrospective cohort.

Materials And Methods: This study was approved by multiple Institutional Review Boards and the requirement for informed consent was waived. We retrospectively included 10568 biopsies from eight referral hospitals from 2010 through 2014. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.3348/kjr.2018.00
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http://dx.doi.org/10.3348/kjr.2018.0064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342766PMC
February 2019
15 Reads

Bronchoalveolar lavage hemosiderosis in dogs and cats with respiratory disease.

Vet Clin Pathol 2019 Mar 18;48(1):42-49. Epub 2019 Jan 18.

Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

Background: Hemosiderophages can be found in bronchoalveolar lavage samples and have been reported in association with a wide range of respiratory and cardiovascular disorders in cats and humans.

Objectives: This study aimed to retrospectively evaluate the presence of hemosiderin in canine and feline bronchoalveolar lavage (BAL) samples. It also aimed to examine the association of BAL hemosiderin with signalment, clinical signs, and historical disease prior to BAL, with prior transthoracic fine-needle aspiration (FNA), with bronchoalveolar lavage duration, and with cytologic interpretation. Read More

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http://doi.wiley.com/10.1111/vcp.12698
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http://dx.doi.org/10.1111/vcp.12698DOI Listing
March 2019
7 Reads

Influencing factors of pneumothorax and parenchymal haemorrhage after CT-guided transthoracic needle biopsy: single-institution experience.

Pol J Radiol 2018 26;83:e379-e388. Epub 2018 Jul 26.

Department of Radiology, Faculty of Medicine, Thammasat University Hospital, Pathum Thani, Thailand.

Purpose: To evaluate the incidences and influencing factors of pneumothorax and parenchymal haemorrhage after computed tomography (CT)-guided transthoracic needle biopsy (TTNB).

Material And Methods: A retrospective analysis of 216 patients who underwent CT-guided TTNB was performed. The frequencies and risk factors of pneumothorax and parenchymal haemorrhage were determined. Read More

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https://www.termedia.pl/doi/10.5114/pjr.2018.79202
Publisher Site
http://dx.doi.org/10.5114/pjr.2018.79202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334090PMC
July 2018
16 Reads

Virtual Guidance of Percutaneous Transthoracic Needle Biopsy with C-Arm Cone-Beam CT: Diagnostic Accuracy, Risk Factors and Effective Radiation Dose.

Cardiovasc Intervent Radiol 2019 May 16;42(5):712-719. Epub 2019 Jan 16.

Department of Diagnostic and Interventional Radiology, "San Gerardo" Hospital, Via Pergolesi 33, 20900, Monza, MB, Italy.

Purpose: C-arm cone-beam computed tomography-guided transthoracic lung core needle biopsy (CBCT-CNB) is a safe and accurate procedure for the evaluation of patients with pulmonary nodules. The purpose of our study was to evaluate the diagnostic performance, complication rates and effective radiation dose of CBCT-CNB with virtual guidance.

Materials And Methods: We retrospectively collected data regarding 375 CBCT-CNBs performed with virtual guidance (XperGuide-Philips Healthcare, Best, The Netherlands) from January 2010 to June 2015 on 355 patients (mean age, 68. Read More

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http://link.springer.com/10.1007/s00270-019-02163-3
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http://dx.doi.org/10.1007/s00270-019-02163-3DOI Listing
May 2019
11 Reads

Feasibility of lung cancer RNA acquisition from a single transbronchial or transthoracic needle pass (FASTT trial).

Lung Cancer 2019 Jan 20;127:6-11. Epub 2018 Nov 20.

Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC, United States; W.G. (Bill) Hefner VA Medical Center, Salisbury, NC, United States. Electronic address:

Introduction: RNA isolation from tumor tissue is used for biomarker analyses and validation. Limited diagnostic material from small volume biopsies combined with an increasing demand for standard histologic, molecular characterization, and next generation sequencing applications often leads to limited material for research. We sought to evaluate small volume sampling of lung cancer tissue collected from a single needle pass during a diagnostic procedure and determine if it can provide RNA of acceptable quantity and quality. Read More

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http://dx.doi.org/10.1016/j.lungcan.2018.11.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386467PMC
January 2019
4 Reads

Role of CT-guided transthoracic biopsy in the diagnosis of mycobacterial infection.

J Investig Med 2019 Jan 11. Epub 2019 Jan 11.

Division of Pulmonology, Department of Medicine, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Mycobacterial infection(MI) is sometimes diagnosed using CT-guided transthoracic needle biopsy (TNB). However, the exact role of CT-guided TNB in this diagnostic process is not clearly known. The purpose of this study is to analyze the role of CT-guided TNB in patients with MI who present with a focal lung lesion. Read More

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http://dx.doi.org/10.1136/jim-2018-000887DOI Listing
January 2019
2 Reads

Imaging of Post Transthoracic Needle Biopsy Complications.

Can Assoc Radiol J 2019 Jan 8. Epub 2019 Jan 8.

Department of Medical Imaging, University of Montreal, CIUSSS du Nord-de-l'île-de-Montréal, Montréal, Québec, Canada. Electronic address:

When faced with characterization of a suspicious lung lesion, transthoracic needle biopsy (TTNB) is the standard technique used to retrieve a pathological specimen. Usual complications reported for this intervention are pneumothorax, hemorrhage, air embolism, and tumor seeding. This pictorial essay illustrates imaging of these complications. Read More

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http://dx.doi.org/10.1016/j.carj.2018.08.006DOI Listing
January 2019
5 Reads
0.584 Impact Factor

A young man with an unchanged consolidation in chest CT.

Authors:
Yang Zhao Wei Guo

Respir Med Case Rep 2019 15;26:150-153. Epub 2018 Dec 15.

Department of Pathology, Basic Medical Sciences of Wuhan University, Wuhan, Hubei, PR China.

Primary pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma is extremely rare. MALT lymphoma patients usually show no clinical symptoms or physical signs. Chest radiograph or computed tomography (CT) may confuse MALT lymphoma with other pulmonary diseases, which would lead to misdiagnosis or a delayed diagnosis. Read More

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http://dx.doi.org/10.1016/j.rmcr.2018.12.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307102PMC
December 2018
11 Reads

Nondiagnostic Percutaneous Transthoracic Needle Biopsy of Lung Lesions: A Multicenter Study of Malignancy Risk.

Radiology 2019 Mar 18;290(3):814-823. Epub 2018 Dec 18.

From the Department of Radiology, Seoul National University Bundang Hospital, Gyeonggi-do, South Korea (K.H.L.); Department of Radiology, National Cancer Center, Gyeonggi-do, South Korea (K.Y.L.); Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea (Y.J.S., J.H.); Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea (J.H.); Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea (D.H.H.); Department of Radiology, Inje University Sanggyepaik Hospital, Seoul, South Korea (M.J.K.); Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, South Korea (J.Y.C., C.K.); Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, South Korea (J.I.K.); Department of Radiology, Seoul National University College of Medicine, Seoul, South Korea (S.H.Y., C.M.P.); Department of Statistics, Inha University, Incheon, South Korea (W.L.); and Institute of Radiation Medicine, Seoul National University Medical Research Center, 101 Daehak-ro, Jongno-gu, Seoul 03080, South Korea (C.M.P.).

Purpose To evaluate the malignancy risk of lung lesions that show nondiagnostic results at transthoracic needle biopsy (PTNB) of the lung and to identify any malignancy-associated risk factors in each nondiagnostic category. Materials and Methods In this retrospective study, 9384 initial PTNBs (9239 patients [mean age, 65 years; age range, 20-99 years] consisting of 5729 men [mean age, 66 years; age range, 20-99 years] and 3510 women [mean age, 63 years; age range, 20-94 years]) were performed in eight institutions between January 2010 and December 2014. PTNB results were categorized as diagnostic (malignant or specifically benign) or nondiagnostic (nonspecific benign pathologic findings, atypical cells, or insufficient specimen), and the proportion of final malignant diagnoses per nondiagnostic category was obtained. Read More

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http://dx.doi.org/10.1148/radiol.2018181482DOI Listing
March 2019
1 Read

Learning Electromagnetic Navigational Bronchoscopy and Percutaneous Transthoracic Needle Biopsy (LEAP): A Pilot Study.

J Bronchology Interv Pulmonol 2019 Jan;26(1):55-61

Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Prior studies in pulmonology have examined the validity of procedural training tools, however, translation of simulation skill acquisition into real world competency remains understudied. We examine an assessment process with a simulation training course for electromagnetic navigational (EMN) bronchoscopy and percutaneous transthoracic needle aspiration (PTTNA).

Methods: A cohort study was conducted by subjects using EMN bronchoscopy and PTTNA. Read More

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http://Insights.ovid.com/crossref?an=01436970-201901000-0001
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http://dx.doi.org/10.1097/LBR.0000000000000520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298825PMC
January 2019
4 Reads

Does Ipsilateral-Dependent Positioning During Percutaneous Lung Biopsy Decrease the Risk of Pneumothorax?

AJR Am J Roentgenol 2019 Feb 12;212(2):461-466. Epub 2018 Dec 12.

1 Department of Radiology, Cochin Hospital, Descartes University, 27 rue du Faubourg Saint Jacques, 75 014 Paris, France.

Objective: The purpose of this study is to determine whether placing patients in an ipsilateral-dependent position during percutaneous CT-guided transthoracic biopsy reduces the pneumothorax rate.

Materials And Methods: Between July 2013 and August 2017, a total of 516 patients (317 men and 199 women; mean age, 66.4 years) underwent core needle biopsies performed using 17- and 18-gauge needles. Read More

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http://dx.doi.org/10.2214/AJR.18.19871DOI Listing
February 2019
20 Reads

CT-guided Transthoracic Core-Needle Biopsies of Mediastinal and Lung Lesions in 235 Consecutive Patients: Factors Affecting the Risks of Complications and Occurrence of a Final Diagnosis of Malignancy.

Arch Bronconeumol 2018 Dec 4. Epub 2018 Dec 4.

Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São Paulo, Brazil.

Objective: To assess the impact of patient-, lesion- and procedure-related factors on the risks of complications and final diagnosis of malignancy in PCNB of mediastinal and lung lesions.

Material And Methods: We studied a large single-center cohort of 235 consecutive patients (66.8% men; 58. Read More

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http://dx.doi.org/10.1016/j.arbres.2018.09.021DOI Listing
December 2018
6 Reads

Pleomorphic carcinoma of the lung mimicking synchronous pulmonary adenocarcinoma and small bowel sarcoma.

Ann Thorac Med 2018 Oct-Dec;13(4):251-253

Department of Pathology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea.

Pulmonary pleomorphic carcinoma is defined as a nonsmall cell lung carcinoma (NSCLC) that contains at least 10% sarcomatoid components. We report a case of pulmonary pleomorphic carcinoma of which only the sarcomatoid component metastasized to the small bowel and adenocarcinoma was identified on percutaneous transthoracic needle biopsy (PTNB). We suggest that if an NSCLC is diagnosed by PTNB and a sarcoma is found at another site, or vice versa, pulmonary pleomorphic carcinoma with a single metastasis should be considered as a differential diagnosis to establish the best effective treatment plan. Read More

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http://www.thoracicmedicine.org/text.asp?2018/13/4/251/24305
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http://dx.doi.org/10.4103/atm.ATM_362_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196664PMC
November 2018
6 Reads

Giant solitary fibrous tumor of the pleura.

J Surg Case Rep 2018 Nov 1;2018(11):rjy270. Epub 2018 Nov 1.

Department of Thoracic Surgery, Valiasr Hospital, Tehran University of Medical Science, Tehran, Iran.

Introduction: Solitary fibrous tumors of the pleura (SFTP) are rare mesenchymal tumors representing <5% of all tumors of the pleura. Literature reveals only two case series and a few solitary reports.

Case Report: A 68-year-old male presented to our hospital after experiencing exertional dyspnea. Read More

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http://dx.doi.org/10.1093/jscr/rjy270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6210664PMC
November 2018
2 Reads

Asymptomatic systemic air embolism after CT-guided percutaneous transthoracic needle biopsy.

Clin Imaging 2019 Jan - Feb;53:49-57. Epub 2018 Sep 11.

Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute, Pusan, Republic of Korea.

Purpose: We presented details and incidence of systemic arterial embolism (SAE) following a CT-guided percutaneous transthoracic needle biopsy (PTNB) and evaluated risk factors for SAEs.

Methods: We retrospectively evaluated 1014 PTNBs performed in our hospital from 2005 to 2017. SAE was identified in the pulmonary vein, left heart, coronary artery, and aorta by reviewing post-biopsy CT images. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08997071183024
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http://dx.doi.org/10.1016/j.clinimag.2018.09.004DOI Listing
March 2019
4 Reads

Injection of Saline Into the Biopsy Tract and Rapid Patient Rollover Decreases Pneumothorax Size Following Computed Tomography-Guided Transthoracic Needle Biopsy.

Can Assoc Radiol J 2018 Nov 8;69(4):489-492. Epub 2018 Oct 8.

Department of Medical Imaging, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; Department of Radiology, St. Joseph Health Centre, London, Ontario, Canada.

Purpose: To determine if saline tract injection and rapid patient rollover following computed tomography (CT)-guided transthoracic needle biopsy (TTNB) affects pneumothorax incidence and size.

Methods: A retrospective cohort design was used to compare 278 patients who underwent post-biopsy saline injection and rapid rollover so that the biopsy site was dependent (N = 180) to a control group with routine post-biopsy care (N = 98). Post-procedure radiographs and CT were assessed for presence and size of pneumothorax, as well as requirement for chest tube placement. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08465371183013
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http://dx.doi.org/10.1016/j.carj.2018.08.002DOI Listing
November 2018
13 Reads

Success of genomic profiling of non-small cell lung cancer biopsies obtained by trans-thoracic percutaneous needle biopsy.

J Surg Oncol 2018 Dec 27;118(7):1170-1177. Epub 2018 Sep 27.

Department of Medical Oncology, Lowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.

Purpose: Genomic profiling for personalized targeted therapy has become standard of care. We report the success of genomic profiling of non-small cell lung cancer (NSCLC) obtained by trans-thoracic needle biopsy (TTNB) in a single center experience.

Materials And Methods: Patients with NSCLC who underwent TTNB for genomic were identified. Read More

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http://dx.doi.org/10.1002/jso.25241DOI Listing
December 2018
17 Reads

Bronchovascular injury associated with clinically significant hemoptysis after CT-guided core biopsy of the lung: Radiologic and histopathologic analysis.

PLoS One 2018 21;13(9):e0204064. Epub 2018 Sep 21.

Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.

Objective: To evaluate bronchovascular injuries as the causative occurrence for clinically significant hemoptysis after percutaneous transthoracic needle biopsy (PTNB).

Materials And Methods: We included 111 consecutive patients who experienced hemoptysis after cone beam CT (CBCT)-guided PTNB from January 2014 through January 2017. Clinically significant hemoptysis was defined as hemoptysis causing hemodynamic instability or oxygen desaturation greater than 10% of baseline. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0204064PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150475PMC
March 2019
16 Reads
3.234 Impact Factor

Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy.

Thorac Cancer 2018 11 17;9(11):1530-1543. Epub 2018 Sep 17.

Department of Interventional Therapy, Tianjin Third Central Hospital, Tianjin, China.

Biopsy has been used to diagnose thoracic diseases for more than a century. Percutaneous needle biopsy plays a crucial role in the diagnosis, staging, and treatment planning for tumors in the lungs, thoracic wall, hilum, and mediastinum. With the continuous improvement in imaging techniques, the range of clinical applications for percutaneous needle biopsy is also expanding. Read More

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http://dx.doi.org/10.1111/1759-7714.12849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209790PMC
November 2018
15 Reads
1.130 Impact Factor

Factors predicting the need for tube thoracostomy in patients with iatrogenic pneumothorax associated with computed tomography-guided transthoracic needle biopsy.

Turk J Emerg Med 2018 Sep 24;18(3):105-110. Epub 2018 May 24.

Kocaeli University, Faculty of Medicine, Department of Thoracic Surgery, Kocaeli, Turkey.

Objectives: Traumatic iatrogenic pneumothorax occurs most often after a transthoracic needle biopsy. Since this procedure has become a common outpatient intervention, emergency department admissions of post-biopsy pneumothorax patients have increased. The aim of this study was to determine the factors that predict the need for tube thoracostomy in patients with post-biopsy pneumothorax in the emergency department. Read More

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http://dx.doi.org/10.1016/j.tjem.2018.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107931PMC
September 2018
5 Reads

Peripheral Lung Nodule Diagnosis and Fiducial Marker Placement Using a Novel Tip-Tracked Electromagnetic Navigation Bronchoscopy System.

J Bronchology Interv Pulmonol 2019 Jan;26(1):41-48

Division of Pulmonary and Critical Care Medicine, University of North Carolina at Chapel Hill, NC.

Background: Electromagnetic navigation (EMN) has improved bronchoscopic access to peripheral pulmonary nodules. A novel EMN system utilizing novel tip-tracked instruments for endobronchial [electromagnetic navigation bronchoscopy (ENB)] as well as transthoracic lung biopsy [electromagnetic-guided transthoracic needle aspiration (EMTTNA)] has become available. The system provides real-time feedback as well as the ability to biopsy lesions outside of the airway. Read More

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http://dx.doi.org/10.1097/LBR.0000000000000528DOI Listing
January 2019
19 Reads

Clinical updates of approaches for biopsy of pulmonary lesions based on systematic review.

BMC Pulm Med 2018 Sep 3;18(1):146. Epub 2018 Sep 3.

Department of Thoracic Surgery, Institute of Surgery Research, Daping Hospital, Army Medical University, Chongqing, 400042, People's Republic of China.

Background: Convenient approaches for accurate biopsy are extremely important to the diagnosis of lung cancer. We aimed to systematically review the clinical updates and development trends of approaches for biopsy, i.e. Read More

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http://dx.doi.org/10.1186/s12890-018-0713-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122670PMC
September 2018
22 Reads

Open Bronchus Sign on CT: A Risk Factor for Hemoptysis after Percutaneous Transthoracic Biopsy.

Korean J Radiol 2018 Sep-Oct;19(5):880-887. Epub 2018 Aug 6.

Department of Radiology, Seoul National University College of Medicine, and Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul 03080, Korea.

Objective: We hypothesized that open bronchi within target pulmonary lesions are associated with percutaneous transthoracic needle biopsy (PTNB)-related hemoptysis. We sought to analyze and compare patient characteristics and target features as well as biopsy-related factors between patients with and without PTNB-related hemoptysis.

Materials And Methods: We retrospectively analyzed 1484 patients (870 males and 614 females; median age, 66 years) who had undergone 1569 cone-beam CT (CBCT)-guided PTNBs. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.3348/kjr.2018.19
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http://dx.doi.org/10.3348/kjr.2018.19.5.880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082752PMC
April 2019
9 Reads
1.810 Impact Factor

Histopathologic findings in lung biopsies from patients with primary biliary cholangitis.

Hum Pathol 2018 Dec 29;82:177-186. Epub 2018 Jul 29.

Division of Anatomic Pathology, Mayo Clinic, Rochester, 55905 MN. Electronic address:

Primary biliary cholangitis (PBC) is a progressive autoimmune disease of the liver causing destruction of intrahepatic bile ducts, associated with lymphocytic and granulomatous inflammation. PBC has been associated with many extrahepatic manifestations including interstitial lung disease. However, comprehensive pulmonary histopathology in PBC has not been well documented. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00468177183028
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http://dx.doi.org/10.1016/j.humpath.2018.07.021DOI Listing
December 2018
7 Reads

[Pulmonary metastatic angiosarcoma presenting with diffuse alveolar hemorrhage: 9 case reports].

Zhonghua Nei Ke Za Zhi 2018 Aug;57(8):582-587

Department of Respiratory Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.

Pulmonary metastatic angiosarcoma is a rare, fatal disease that often presents as diffuse alveolar hemorrhage(DAH). In this report, clinical characteristics of pulmonary metastatic angiosarcoma were retrospectively reviewed. A total of 9 patients with angiosarcoma who presented as DAH were enrolled. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2018.08.009DOI Listing
August 2018
32 Reads

Right atrial epithelioid angiosarcoma with multiple pulmonary metastasis confirmed by multimodality imaging-guided pulmonary biopsy: A case report and literature review.

Medicine (Baltimore) 2018 Jul;97(30):e11588

Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Rationale: Primary cardiac tumors are very rare, and angiosarcoma accounts for about 33% of all primary malignant cardiac tumors. Primary cardiac epithelioid angiosarcoma is a highly aggressive and difficult to diagnose tumor, with early systemic metastasis and poor prognosis.

Patient Concerns: A 35-year-old Han male experienced sudden severe palpitation and moderate dyspnea. Read More

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http://Insights.ovid.com/crossref?an=00005792-201807270-0004
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http://dx.doi.org/10.1097/MD.0000000000011588DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078731PMC
July 2018
16 Reads

Percutaneous lung needle biopsies - utility and complications in various chest lesions: a single-institution experience.

Pol J Radiol 2018 23;83:e103-e108. Epub 2018 Mar 23.

Second Department of Radiology, Medical University of Gdansk, Poland.

Purpose: It is crucial to obtain a specific diagnosis before treatment of chest pathology is initiated. The purpose of the study is to present the utility of percutaneous biopsies, core and fine-needle aspiration, in various thoracic lesions, and related complications.

Material And Methods: A total of 593 transthoracic biopsies were performed in the Department of Radiology between 2013 and 2016. Read More

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http://dx.doi.org/10.5114/pjr.2018.75825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048974PMC
March 2018
17 Reads

Diagnosis of Multiple Primary Intestinal-Type Adenocarcinoma in the Lung by 18F-FDG PET/CT.

Clin Nucl Med 2018 Sep;43(9):693-694

From the Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China.

A 74-year-old man with multiple soft tissue lesions in the lung, which were suspected to be metastatic neoplasms, underwent F-FDG PET/CT scan to detect primary malignancy. The images demonstrated that the lung and 2 retroperitoneal lymph nodes were the only affected organ or tissues with suspected primary lung neoplasms. Multiple intestinal-type adenocarcinoma was eventually diagnosed by CT-guided transthoracic needle aspiration biopsy. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002171DOI Listing
September 2018
10 Reads

Management of lung nodules in Brazil-assessment of realities, beliefs and attitudes: a study by the Brazilian Society of Thoracic Surgery (SBCT), the Brazilian Thoracic Society (SBPT) and the Brazilian College of Radiology (CBR).

J Thorac Dis 2018 May;10(5):2849-2856

Pulmonary Division, Instituto do Coracao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.

Background: Pulmonary nodules are common; some are inconsequential while others are malignant. Management of solitary pulmonary nodule (SPN) in Brazil appears to be highly variable, potentially leading to suboptimal outcomes. Assessment of the variability and the association with the degree of availability of resources can provide a foundation for development of clinical guidelines for management of SPN specific for the Brazilian setting. Read More

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http://dx.doi.org/10.21037/jtd.2018.05.23DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006090PMC
May 2018
18 Reads

Inflammatory Myofibroblastic Tumor Invading the Left Atrium: Report of a Rare Case.

J Tehran Heart Cent 2018 Jan;13(1):24-26

Department of Cardiovascular Surgery, Gulhane Military Medical School, Ankara, Turkey.

Inflammatory myofibroblastic tumors (IMTs) of the lung are rare solid tumors and usually affect children and young adults. We describe an unusual form of an IMT of the left lower lobe invading the left atrium. A 9-year-old male patient with recurrent cough was referred for an evaluation of left-lung pneumonia. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6037625PMC
January 2018
23 Reads

Giant intercostal nerve schwannoma in a patient with neurofibromatosis type 2.

Tumori 2018 Jun 1:300891618778950. Epub 2018 Jun 1.

1 Thoracic Surgery, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy.

Purpose: To describe a case of giant intercostal nerve schwannoma successfully resected in a patient with neurofibromatosis type 2.

Methods: A 44-year-old woman, with a history of neurofibromatosis type 2, presented with chest discomfort and mild dyspnea. She had undergone a recent resection of a large frontal parasagittal benign meningioma. Read More

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http://dx.doi.org/10.1177/0300891618778950DOI Listing
June 2018
15 Reads
1.090 Impact Factor

Diagnosing Lung Cancer: The Complexities of Obtaining a Tissue Diagnosis in the Era of Minimally Invasive and Personalised Medicine.

J Clin Med 2018 Jun 29;7(7). Epub 2018 Jun 29.

Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2050, Australia.

The role of the respiratory physician in diagnosing lung cancer has increased in complexity over the last 20 years. Adenocarcinoma is now the prevailing histopathological sub-type of non-small cell lung cancer (NSCLC) resulting in more peripheral cancers. Conventional bronchoscopy is often not sufficient to obtain adequate tissue samples for diagnosis. Read More

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http://dx.doi.org/10.3390/jcm7070163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068581PMC
June 2018
24 Reads

Risk of pleural recurrence after percutaneous transthoracic needle biopsy in stage I non-small-cell lung cancer.

Eur Radiol 2019 Jan 15;29(1):270-278. Epub 2018 Jun 15.

Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Korea.

Objectives: To determine whether percutaneous transthoracic needle biopsy (PTNB) increased the risk of pleural recurrence in stage I non-small-cell lung cancer (NSCLC).

Methods: In this retrospective study, we reviewed 830 consecutive patients with stage I NSCLC who underwent curative resection between 2004 and 2010. Cox regression analyses with propensity score matching were performed to identify risk factors for pleural recurrence. Read More

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http://link.springer.com/10.1007/s00330-018-5561-5
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http://dx.doi.org/10.1007/s00330-018-5561-5DOI Listing
January 2019
18 Reads