Precision of coaxial needle placement in computed tomography‑guided transthoracic needle biopsy

Huang,Rui; Jiang,Nan-Chuan; Lu,Hao-Hao; Wang,Yu-Hui; Li,Hui; Shi,He-Shui; Han,Ping

doi:10.3892/etm.2013.1283

November 2013 Volume 6 Issue 5

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November 2013 Volume 6 Issue 5

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Article

Precision of coaxial needle placement in computed tomography‑guided transthoracic needle biopsy

Authors:
- Rui Huang
- Nan-Chuan Jiang
- Hao-Hao Lu
- Yu-Hui Wang
- Hui Li
- He-Shui Shi
- Ping Han
View Affiliations / Copyright

Affiliations: Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, P.R. China
Pages: 1307-1311
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Published online on: September 2, 2013

https://doi.org/10.3892/etm.2013.1283
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Abstract

In the present study, a set of self-designed measurement protocols for the precision of coaxial needle placement (PCNP) was proposed and applied in a computed tomography (CT)-guided transthoracic needle biopsy (TNB) audit of an interventional radiologist to determine if the PCNP was commensurate with the experience of the operator. A total of 102 patients (98 with lung lesions and four with mediastinum lesions) consented to be subjected to CT-guided TNB performed by staff interventional radiologists. The patients were divided into two groups based on appointment date. Group A consisted of the first 51 patients and group B comprised of the latter 51 patients. A set of self-designed measurement protocols for PCNP was proposed, and the PCNP was classified into four grades, from grade 1 (most accurate) to grade 4 (least accurate). PCNPs were independently measured by three staff radiologists who were blind to the grouping. The anatomical features of the lesions were also analyzed between the two groups. A significant difference in the PCNP gained after the first needle placement was identified between the two groups (P=0.003, two-tailed). The number of patients in group B with grade I PCNP (51.0%) was significantly higher than that in group A (21.6%) (P<0.05). The number of patients in group B with grade III PCNP (11.8%) was significantly lower than that in group A (29.4%, P<0.05). The PCNP was observed to be commensurate with the experience of the operator and should be considered as a routine audit index in CT-guided TNB.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Precision of coaxial needle placement in computed tomography‑guided transthoracic needle biopsy

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Abstract

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