Rapid on-site evaluation in CT-guided percutaneous biopsy of peripheral pulmonary nodules
10.13929/j.issn.1672-8475.2020.01.006
- Author:
Yanyan LI
1
Author Information
1. Department of Pulmonary Medicine, People's Hospital of Binzhou City
- Publication Type:Journal Article
- Keywords:
Biopsy, fine-needle;
Rapid on-site evaluation;
Solitary pulmonary nodules
- From:
Chinese Journal of Interventional Imaging and Therapy
2020;17(1):18-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the value of rapid on-site evaluation (ROSE) in CT-guided percutaneous lung biopsy of peripheral pulmonary nodules (≤2 cm). Methods: A total of 108 patients with pulmonary nodules who underwent CT-guided percutaneous lung biopsy were retrospectively analyzed. According to the presence or absence of ROSE, they were divided into ROSE group (n=58) and conventional group (n=50). The adequacy of sampling, diagnostic accuracy, complications, secondary biopsy rate and statistical consistency were compared between ROSE and histopathology. Results: The adequacy and diagnostic accuracy in ROSE group were higher than those in conventional group (93.10% [54/58] vs 78.00% [39/50], 89.66% [52/58] vs 74.00% [37/50], both P<0.05), while the second biopsy rate in ROSE group was lower than in conventional group (6.90% [4/58] vs 22.00% [11/50], P<0.05). There was no statistical difference of incidence of pneumothorax nor bleeding between 2 groups (13.79% [8/58] vs 18.00% [9/50], 39.66% [23/58] vs 40.00% [20/50], both P>0.05). The consistency of ROSE and histopathology for benign and malignant lesions was 91.30% (21/23) and 93.33% (28/30), respectively. Conclusion: ROSE can guide puncture sampling without prolonging operation time and increasing complications, so as to ensure the adequacy of sampling, improve diagnostic accuracy and reduce the rate of secondary puncture during biopsy of pulmonary nodules, which has good consistency with histopathology and can make immediate diagnosis.
