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Image-Guided Biopsy for Lung Cancer
Terrance Healey, MD
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KEY FACTS

  • Preprocedure

    • Procedure

      • Post Procedure

        • Outcomes

          TERMINOLOGY

          • Abbreviations

            • Transthoracic needle biopsy (TTNB)
              • Fine needle aspiration (FNA)
              • Core needle biopsy (CNB)
          • Synonyms

            • FNA and CNB are seldom distinguished in literature
          • Definitions

            • TTNB: Usually performed using CT guidance
              • Biopsy needle is placed in lesion to collect tissue for pathological, microbiological, &/or genetic analysis

          PREPROCEDURE

          • Indications

            • Contraindications

              • Preprocedure Imaging

                • Getting Started

                  PROCEDURE

                  • Patient Positions/Location

                    • Equipment Preparation

                      • Procedure Steps

                        • Findings and Reporting

                          • Alternative Procedures/Therapies

                            POST PROCEDURE

                            • Expected Outcome

                              • Things To Do

                                • Things To Avoid

                                  OUTCOMES

                                  • Problems

                                    • Complications

                                      Selected References

                                      1. Accordino MK et al: Trends in use and safety of image-guided transthoracic needle biopsies in patients with cancer. J Oncol Pract. 11(3):e351-9, 2015
                                      2. Fontaine-Delaruelle C et al: Negative predictive value of transthoracic core needle biopsy: a multicenter study. Chest. ePub, 2015
                                      3. Kim JI et al: Rapid needle-out patient-rollover approach after cone beam CT-guided lung biopsy: effect on pneumothorax rate in 1,191 consecutive patients. Eur Radiol. ePub, 2015
                                      4. Liu S et al: Diagnostic accuracy of MRI-guided percutaneous transthoracic needle biopsy of solitary pulmonary nodules. Cardiovasc Intervent Radiol. 38(2):416-21, 2015
                                      5. Schneider F et al: Adequacy of core needle biopsy specimens and fine-needle aspirates for molecular testing of lung adenocarcinomas. Am J Clin Pathol. 143(2):193-200; quiz 306, 2015
                                      6. Yaffe D et al: A novel technique for CT-guided transthoracic biopsy of lung lesions: improved biopsy accuracy and safety. Eur Radiol. ePub, 2015
                                      7. De Filippo M et al: CT-guided biopsy of pulmonary nodules: is pulmonary hemorrhage a complication or an advantage? Diagn Interv Radiol. 20(5):421-5, 2014
                                      8. Yang JS et al: Meta-analysis of CT-guided transthoracic needle biopsy for the evaluation of the ground-glass opacity pulmonary lesions. Br J Radiol. 87(1042):20140276, 2014
                                      9. Rivera MP et al: Establishing the diagnosis of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 143(5 Suppl):e142S-65S, 2013
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Preprocedure

                                        • Procedure

                                          • Post Procedure

                                            • Outcomes

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Transthoracic needle biopsy (TTNB)
                                                  • Fine needle aspiration (FNA)
                                                  • Core needle biopsy (CNB)
                                              • Synonyms

                                                • FNA and CNB are seldom distinguished in literature
                                              • Definitions

                                                • TTNB: Usually performed using CT guidance
                                                  • Biopsy needle is placed in lesion to collect tissue for pathological, microbiological, &/or genetic analysis

                                              PREPROCEDURE

                                              • Indications

                                                • Contraindications

                                                  • Preprocedure Imaging

                                                    • Getting Started

                                                      PROCEDURE

                                                      • Patient Positions/Location

                                                        • Equipment Preparation

                                                          • Procedure Steps

                                                            • Findings and Reporting

                                                              • Alternative Procedures/Therapies

                                                                POST PROCEDURE

                                                                • Expected Outcome

                                                                  • Things To Do

                                                                    • Things To Avoid

                                                                      OUTCOMES

                                                                      • Problems

                                                                        • Complications

                                                                          Selected References

                                                                          1. Accordino MK et al: Trends in use and safety of image-guided transthoracic needle biopsies in patients with cancer. J Oncol Pract. 11(3):e351-9, 2015
                                                                          2. Fontaine-Delaruelle C et al: Negative predictive value of transthoracic core needle biopsy: a multicenter study. Chest. ePub, 2015
                                                                          3. Kim JI et al: Rapid needle-out patient-rollover approach after cone beam CT-guided lung biopsy: effect on pneumothorax rate in 1,191 consecutive patients. Eur Radiol. ePub, 2015
                                                                          4. Liu S et al: Diagnostic accuracy of MRI-guided percutaneous transthoracic needle biopsy of solitary pulmonary nodules. Cardiovasc Intervent Radiol. 38(2):416-21, 2015
                                                                          5. Schneider F et al: Adequacy of core needle biopsy specimens and fine-needle aspirates for molecular testing of lung adenocarcinomas. Am J Clin Pathol. 143(2):193-200; quiz 306, 2015
                                                                          6. Yaffe D et al: A novel technique for CT-guided transthoracic biopsy of lung lesions: improved biopsy accuracy and safety. Eur Radiol. ePub, 2015
                                                                          7. De Filippo M et al: CT-guided biopsy of pulmonary nodules: is pulmonary hemorrhage a complication or an advantage? Diagn Interv Radiol. 20(5):421-5, 2014
                                                                          8. Yang JS et al: Meta-analysis of CT-guided transthoracic needle biopsy for the evaluation of the ground-glass opacity pulmonary lesions. Br J Radiol. 87(1042):20140276, 2014
                                                                          9. Rivera MP et al: Establishing the diagnosis of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 143(5 Suppl):e142S-65S, 2013