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10.5152/dir.2014.13463

http://scihub22266oqcxt.onion/10.5152/dir.2014.13463
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suck abstract from ncbi


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pmid25323838
      Diagn+Interv+Radiol 2014 ; 20 (6 ): 470-4
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  • Clinical applications of the C-arm cone-beam CT-based 3D needle guidance system in performing percutaneous transthoracic needle biopsy of pulmonary lesions #MMPMID25323838
  • Jiao de C ; Li TF ; Han XW ; Wu G ; Ma J ; Fu MT ; Sun Q ; Beilner J
  • Diagn Interv Radiol 2014[Nov]; 20 (6 ): 470-4 PMID25323838 show ga
  • PURPOSE: This study explored the value of flat detector C-arm CT-guidance system in performing percutaneous transthoracic needle biopsy (PTNB) for lung lesions in clinical practice. METHODS: A total of 110 patients with solid lung lesions were enrolled to undergo PTNB procedures. The mean diameter of lesions was 4.63 cm (range, 0.6-15cm). The needle path was carefully planned and calculated on the C-arm CT system, which acquired three-dimensional CT-like cross-sectional images. The PTNB procedures were performed under needle guidance with fluoroscopic feedbacks. RESULTS: Histopathologic tissue was successfully obtained from 108 patients with a puncture success rate of 98.2% (108/110). The diagnostic accuracy rate was found to be 96.3% (104/108). There was only one case of pneumothorax (0.9%) requiring therapy. The rates of mild pneumothorax and hemoptysis were low (12.0% and 6.5%, respectively). In addition, procedural time could be limited with this technique, which helped to reduce X-ray exposure. CONCLUSION: Our study shows that C-arm CT-based needle guidance enables reliable and efficient needle positioning and progression by providing real-time intraoperative guidance.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Biopsy, Needle/*methods [MESH]
  • |Cone-Beam Computed Tomography/*methods [MESH]
  • |Female [MESH]
  • |Fluoroscopy/methods [MESH]
  • |Humans [MESH]
  • |Lung Neoplasms/*pathology [MESH]
  • |Male [MESH]


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