CT 투시촬영 유도하 중심부바늘생검을 이용한 폐 소결절(≤ 20 mm)의 진단CT Fluoroscopy-Guided Core Biopsy for Diagnosis of Small (≤ 20 mm) Pulmonary Nodules
- Other Titles
- CT Fluoroscopy-Guided Core Biopsy for Diagnosis of Small (≤ 20 mm) Pulmonary Nodules
- Authors
- 이혜란; 김윤경; 우옥희; 용환석; 강은영; 김현구; 신봉경
- Issue Date
- 2011
- Publisher
- 대한영상의학회
- Keywords
- Computed Tomography; Computed Tomography Fluoroscopy; Biopsy; Needle; Lung Neoplasms; Pulmonary Nodules
- Citation
- 대한영상의학회지, v.65, no.4, pp 373 - 379
- Pages
- 7
- Indexed
- KCI
- Journal Title
- 대한영상의학회지
- Volume
- 65
- Number
- 4
- Start Page
- 373
- End Page
- 379
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/13993
- ISSN
- 1738-2637
2288-2928
- Abstract
- Purpose: To evaluate the efficacy of CT fluoroscopy-guided core biopsy of small pulmonary nodules.
Materials and Methods: This study included 62 patients (35 men, 27 women; age range, 36-85 years) that had a small (≤ 20 mm) pulmonary nodule and underwent CT fluoroscopy-guided core biopsy. The overall diagnostic accuracy and complication rate were calculated. The diagnostic accuracy was compared between two groups according to the nodule size (≤ 10 mm vs. > 10 mm), and nodule density (solid vs. subsolid).
Results: Malignant or premalignant lesions were finally diagnosed in 39 patients; 36 true-positive and three false-negative findings (sensitivity, 92%). A benign lesion was finally diagnosed in 23 patients, with no false-positive results (specificity, 100%). The overall diagnostic accuracy was 95%. The sensitivity and diagnostic accuracy were 85% and 91% for nodules ≤ 10 mm, and 96% and 97% for nodules > 10 mm (p > 0.05). The sensitivity and diagnostic accuracy were 93% and 96% in the solid group and 90% and 92% in the subsolid group (p > 0.05). Seventeen (27%) patients had a pneumothorax and two (3%) required a closed thoracostomy.
Conclusion: CT fluoroscopy-guided core biopsy of small pulmonary nodules yields high diagnostic accuracy with acceptable complication rates.
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Collections - 2. Clinical Science > Department of Pathology > 1. Journal Articles
- 2. Clinical Science > Department of Thoracic and Cardiovascular Surgery > 1. Journal Articles
- 2. Clinical Science > Department of Radiology > 1. Journal Articles
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