CT-guided biopsy of pulmonary nodules: is pulmonary hemorrhage a complication or an advantage?
| Autor: | Rita Nizzoli, Ilaria Paladini, Antonio Rotondo, Raffaella Zagaria, Mario Silva, Marcello Tiseo, Cristina Rossi, Cecilia Bozzetti, Stefano Lipia, Massimo De Filippo, Luca Brunese, Luca Macarini, Andrea Ardizzoni, G Carrafiello, Luca Saba, Giorgio Concari |
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| Přispěvatelé: | De Filippo, Massimo, Saba, Luca, Silva, Mario, Zagaria, Raffaella, Concari, Giorgio, Nizzoli, Rita, Bozzetti, Cecilia, Tiseo, Marcello, Ardizzoni, Andrea, Lipia, Stefano, Paladini, Ilaria, Macarini, Luca, Carrafello, Giampaolo, Brunese, Luca, Rotondo, Antonio, Rossi, Cristina, De Filippo, M, Saba, L, Silva, M, Zagaria, R, Concari, G, Nizzoli, R, Bozzetti, C, Tiseo, M, Ardizzoni, A, Lipia, S, Paladini, I, Macarini, L, Carrafiello, G, Brunese, L, Rossi, C. |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Image-Guided Biopsy Lung Diseases Male medicine.medical_specialty Radiology Nuclear Medicine and Imaging Lung Neoplasms Radiography Biopsy Fine-Needle Hemorrhage Radiography Interventional Lung Disease Chest Imaging Risk Factors Biopsy medicine Humans Lung Aged Aged 80 and over medicine.diagnostic_test business.industry Incidence (epidemiology) Risk Factor Pneumothorax Middle Aged medicine.disease respiratory tract diseases Lung Neoplasm Fine-needle aspiration medicine.anatomical_structure Female Radiology Pulmonary hemorrhage business Complication Cardiology and Cardiovascular Medicine Tomography X-Ray Computed Human |
| Zdroj: | Diagnostic and interventional radiology (Ankara, Turkey). 20(5) |
| ISSN: | 1305-3612 |
| Popis: | PURPOSE: We aimed to assess the correlation between pulmonary hemorrhage and pneumothorax in computed tomography (CT)-guided transthoracic fine needle aspiration (TTFNA), particularly its possible value as protection against the development of pneumotorax. MATERIALS AND METHODS: We reviewed the CT images of 538 patients (364 males and 174 females, mean age 70 years, range 36-90 years) who underwent CT-guided TTFNA of pulmonary nodules between January 2008 and September 2013. The following CT findings were assessed: pulmonary hemorrhage (type 1, along the needle track; type 2, perilesional; low-grade, ≤6 mm; high-grade, >6 mm), pneumothorax, distance between the target nodule and the pleural surface, and emphysema. RESULTS: Pneumothorax occurred in 154 cases (28.6%) and pulmonary hemorrhage occurred in 144 cases (26.8%). The incidence of pneumothorax was lower in patients showing type 1 and high-grade pulmonary hemorrhage pattern. The incidence of pneumothorax in biopsies ≥30 mm from pleural surface was 26% (12/46) in cases showing this pattern, while it was 71.4% (30/42) when this pattern was not seen. Similarly, the incidence of pneumothorax in biopsies |
| Databáze: | OpenAIRE |
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