Comparison of computed tomography–guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique
Introduction: Computed tomography (CT)-guided core needle biopsy (CNB) is a common method for diagnosing pulmonary nodules (PNs). It is often performed using the coaxial technique (CAT) to streamline the process. Aim: This study aimed to compare the safety and diagnostic performance of CT-guided...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Termedia Publishing House
2024-12-01
|
| Series: | Videosurgery and Other Miniinvasive Techniques |
| Subjects: | |
| Online Access: | https://www.mp.pl/videosurgery/issue/article/17917/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582434790572032 |
|---|---|
| author | Qun-Qun Zhu Li Zhang Fengfei Xia Yi-Bing Shi Lei Zhu Xian-Xian Liang |
| author_facet | Qun-Qun Zhu Li Zhang Fengfei Xia Yi-Bing Shi Lei Zhu Xian-Xian Liang |
| author_sort | Qun-Qun Zhu |
| collection | DOAJ |
| description | Introduction: Computed tomography (CT)-guided core needle biopsy (CNB) is a common method for diagnosing pulmonary nodules (PNs). It is often performed using the coaxial technique (CAT) to streamline the process.
Aim: This study aimed to compare the safety and diagnostic performance of CT-guided CNB with and without CAT for diagnosing PNs.
Materials and methods: This retrospective analysis included patients undergoing CT-guided CNB for a diagnosis of PNs between January 2017 and December 2019. The study population was divided according to the use of CAT for the biopsy. Procedure-related data, diagnostic accuracy and yield, and complication rates were compared between the 2 groups.
Results: During the study period, a total of 111 and 108 patients underwent CT-guided CNB with and without CAT, respectively. As compared with the non-CAT group, the CAT group showed a lower mean needle pathway number (P <0.001), a higher mean sample number (P <0.001), and shorter procedural duration (P <0.001). Diagnostic accuracy was similar between the 2 groups (98.3% vs 96.3%, respectively, for CAT vs non-CAT; P = 0.6), though the CAT group demonstrated a higher diagnostic yield than the non-CAT group (81.4% vs 68.5%; P = 0.03). Pneumothorax and pulmonary hemorrhage rates did not differ between the 2 groups (P = 0.09 and P = 0.16, respectively).
Conclusions: CT-guided CNB with CAT demonstrated greater procedural efficiency, with fewer needle pathways, shorter operative duration, and improved diagnostic yield, as compared with procedures performed without CAT. |
| format | Article |
| id | doaj-art-340138e60c84467d8b8e8a6775629384 |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-340138e60c84467d8b8e8a67756293842025-01-29T18:23:34ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542024-12-0119447648210.20452/wiitm.2024.17917Comparison of computed tomography–guided core needle biopsy of pulmonary nodules performed with and without the coaxial techniqueQun-Qun Zhu0Li Zhang1Fengfei Xia2Yi-Bing Shi3Lei Zhu4Xian-Xian Liang5Department of Medical Imaging, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, ChinaDepartment of Medical Imaging, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, ChinaDepartment of Interventional Medicine, Binzhou People’s Hospital, Binzhou, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, ChinaIntroduction: Computed tomography (CT)-guided core needle biopsy (CNB) is a common method for diagnosing pulmonary nodules (PNs). It is often performed using the coaxial technique (CAT) to streamline the process. Aim: This study aimed to compare the safety and diagnostic performance of CT-guided CNB with and without CAT for diagnosing PNs. Materials and methods: This retrospective analysis included patients undergoing CT-guided CNB for a diagnosis of PNs between January 2017 and December 2019. The study population was divided according to the use of CAT for the biopsy. Procedure-related data, diagnostic accuracy and yield, and complication rates were compared between the 2 groups. Results: During the study period, a total of 111 and 108 patients underwent CT-guided CNB with and without CAT, respectively. As compared with the non-CAT group, the CAT group showed a lower mean needle pathway number (P <0.001), a higher mean sample number (P <0.001), and shorter procedural duration (P <0.001). Diagnostic accuracy was similar between the 2 groups (98.3% vs 96.3%, respectively, for CAT vs non-CAT; P = 0.6), though the CAT group demonstrated a higher diagnostic yield than the non-CAT group (81.4% vs 68.5%; P = 0.03). Pneumothorax and pulmonary hemorrhage rates did not differ between the 2 groups (P = 0.09 and P = 0.16, respectively). Conclusions: CT-guided CNB with CAT demonstrated greater procedural efficiency, with fewer needle pathways, shorter operative duration, and improved diagnostic yield, as compared with procedures performed without CAT.https://www.mp.pl/videosurgery/issue/article/17917/biopsycoaxialcomputed tomographypulmonary nodule |
| spellingShingle | Qun-Qun Zhu Li Zhang Fengfei Xia Yi-Bing Shi Lei Zhu Xian-Xian Liang Comparison of computed tomography–guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique Videosurgery and Other Miniinvasive Techniques biopsy coaxial computed tomography pulmonary nodule |
| title | Comparison of computed tomography–guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique |
| title_full | Comparison of computed tomography–guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique |
| title_fullStr | Comparison of computed tomography–guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique |
| title_full_unstemmed | Comparison of computed tomography–guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique |
| title_short | Comparison of computed tomography–guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique |
| title_sort | comparison of computed tomography guided core needle biopsy of pulmonary nodules performed with and without the coaxial technique |
| topic | biopsy coaxial computed tomography pulmonary nodule |
| url | https://www.mp.pl/videosurgery/issue/article/17917/ |
| work_keys_str_mv | AT qunqunzhu comparisonofcomputedtomographyguidedcoreneedlebiopsyofpulmonarynodulesperformedwithandwithoutthecoaxialtechnique AT lizhang comparisonofcomputedtomographyguidedcoreneedlebiopsyofpulmonarynodulesperformedwithandwithoutthecoaxialtechnique AT fengfeixia comparisonofcomputedtomographyguidedcoreneedlebiopsyofpulmonarynodulesperformedwithandwithoutthecoaxialtechnique AT yibingshi comparisonofcomputedtomographyguidedcoreneedlebiopsyofpulmonarynodulesperformedwithandwithoutthecoaxialtechnique AT leizhu comparisonofcomputedtomographyguidedcoreneedlebiopsyofpulmonarynodulesperformedwithandwithoutthecoaxialtechnique AT xianxianliang comparisonofcomputedtomographyguidedcoreneedlebiopsyofpulmonarynodulesperformedwithandwithoutthecoaxialtechnique |