Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 1/2011

01-02-2011 | Technical Note

MDCT-Guided Transthoracic Needle Aspiration Biopsy of the Lung Using the Transscapular Approach

Authors: Umberto G. Rossi, Sara Seitun, Carlo Ferro

Published in: CardioVascular and Interventional Radiology | Issue 1/2011

Login to get access

Abstract

The purpose of this study is to report our preliminary experience using MDCT-guided percutaneous transthoracic needle aspiration biopsy using the transscapular approach in the upper posterolateral lung nodules, an area that it is difficult or hazardous to reach with the conventional approach. Five patients underwent CT-guided percutaneous transthoracic needle aspiration biopsy of the lung via the transscapular approach. A coaxial needle technique was used in all patients. Biopsy was successful in all patients. No major complications were encountered. One patient developed a minimal pneumothorax next to the lesion immediately after biopsy, which resolved spontaneously. MDCT-guided percutaneous transthoracic needle aspiration biopsy of the lung via the transscapular approach is an effective and safe procedure that reduces the risk of pneumothorax in selected patients.
Literature
1.
Li H, Boiselle PM, Shepard JO et al (1996) Diagnostic accuracy and safety of CT-guided percutaneous needle aspiration biopsy of the lung: comparison of small and large pulmonary nodules. AJR Am J Roentgenol 167:105–109PubMed
2.
Cox JE, Chiles CC, McManus CM et al (1999) Transthoracic needle aspiration biopsy:variables that affect risk of pneumothorax. Radiology 212:165–168PubMed
3.
Geraghty PR, Kee ST, McFarlane G et al (2003) CT-guided transthoracic needle aspiration biopsy of pulmonary nodules: needle size and pneumothorax rate. Radiology 229:475–481CrossRefPubMed
4.
Westcott JL (1988) Percutaneous transthoracic needle biopsy. Radiology 169:593–601PubMed
5.
Laurent F, Michel P, Latrabe V et al (1999) Pneumothoraces and chest tube placement after CT-guided technique. AJR Am J Roentgenol 172:1049–1053PubMed
6.
Kazerooni EA, Lim FT, Mikhail A et al (1996) Risk of pneumothorax in CT-guided transthoracic needle aspiration biopsy of the lung. Radiology 198:371–375PubMed
7.
Haaga JR, Alfidi RJ (1976) Precise biopsy localization by computed tomography. Radiology 118:603–607PubMed
8.
Greif J, Marmur S, Schwarz Y et al (1998) Percutaneous core cutting needle biopsy compared with fine-needle aspiration in the diagnosis of peripheral lung malignant lesions. Cancer 84:144–147CrossRefPubMed
9.
Manhire A, Charing M, Clelland C et al (2003) Guidelines for radiologically guided lung biopsy. Thorax 58:920–936CrossRefPubMed
10.
Austin JH, Cohen MB (1993) Value of having a cytopathologist present during percutaneous fine-needle aspiration biopsy. AJR Am J Roentgenol 160:175–177PubMed
11.
Greene R, Szyfelbein WM, Isler RJ et al (1985) Supplemental core-tissue histology for fine-needle transthoracic aspiration biopsy. AJR Am J Roentgenol 144:787–792PubMed
12.
Greif J, Marmur S, Schwarz Y et al (1999) Percutaneous core needle biopsy vs. fine needle aspiration diagnosis in diagnosing benign lung lesions. Acta Cytol 44:756–760
13.
Yankelevitz DF, Davis SD, Chiarella DA et al (1996) Pitfalls in CT-guided transthoracic needle biopsy of pulmonary nodules. Radiographics 16:1073–1084PubMed
14.
De Filippo M, Onniboni M, Rusca M et al (2008) Advantages of multidetector-row CT with multiplanar reformation in guiding percutaneous lung biopsies. Radiol Med 113:945–953CrossRefPubMed
15.
Gupta S, Seaberg K, Wallace MJ et al (2005) Imaging-guided percutaneous biopsy of mediastinal lesions: different approaches and anatomic considerations. Radiographics 25:763–788CrossRefPubMed
16.
Tatsumara T, Sato H, Mori A et al (1994) A new surgical approach to apical segment lung disease, including carcinomas and inflammatory diseases. J Thorac Cardiovasc Surg 107:32–33
17.
Harrell JS, Chiou-Tan FY, Zhang H et al (2009) Procedure-oriented sectional anatomy of the shoulder. J Comput Assist Tomogr 33:814–817CrossRefPubMed
Metadata
Title
MDCT-Guided Transthoracic Needle Aspiration Biopsy of the Lung Using the Transscapular Approach
Authors
Umberto G. Rossi
Sara Seitun
Carlo Ferro
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 1/2011
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-010-9816-z

Other articles of this Issue 1/2011

CardioVascular and Interventional Radiology 1/2011 Go to the issue

Clinical Investigation

Predictors of Reintervention After Endovascular Repair of Isolated Iliac Artery Aneurysm

Review

Transcatheter Arterial Chemoembolization for Liver Cancer: Is It Time to Distinguish Conventional from Drug-Eluting Chemoembolization?

Clinical Investigation

Comparison of BMSs with SES for Symptomatic Intracranial Disease of the Middle Cerebral Artery Stenosis

Clinical Investigation

Previous PICC Placement May Be Associated With Catheter-Related Infections in Hemodialysis Patients

Review/State of the Art

Catheter-Directed Thrombolysis of Lower Limb Thrombosis

Clinical Investigation

Irreversible Electroporation of Renal Cell Carcinoma: A First-in-Man Phase I Clinical Study