Tuberculosis and Respiratory Diseases

  • 제56권3호
  • /
  • Pages.241-247
  • /
  • 2004
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

흉부 병터에 대한 경흉부 바늘생검

Transthoracic Needle Biopsy of Thoracic Lesions

  • 송재우 (울산대학교 의과대학 방사선과학교실, 서울아산병원 방사선과)
  • Song, Jae-Woo (Department of Radiology, Asan Medical Center, University of Ulsan)
  • 발행 : 2004.03.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

In the diagnostic evaluation of thoracic lesions, the image-guided transthoracic needle biopsy was developed, and its role was expanded with the development of cross-sectional detection and characterization of thoracic lesions and advances in biopsy needle design and techniques. Particularly for diagnostic evaluation of solitary pulmonary nodules, transthoracic needle biopsy has emerged as the invasive procedure of choice. This article covers the indication, the pre-procedure preparation, various guidance-modalities and techniques, and complications.

키워드

참고문헌

  1. Chechani V. Bronchoscopic diagnosis of soli tary pulmonary nodules and lung masses in the absence of endobronchial anormality. Chest 1996;109:620-5
  2. Munden RF, Pugatch RD, Liptary MJ. Small pulmonary lesions detected at CT: clinical importance. Radiology 1997;202:105-10
  3. Protopapas Z, Westcott JL. Transthoracic needle biopsy of mediastinal lymph nodes for staging lung and other cancers. Radiology 1996;199:489-96
  4. Kelvin JS, Zarka MA. Transthoracic needle biopsy. Radiol Clin North Am 2000;38:235-66
  5. Kelvin JS, Zarka MA. Transthoracic needle biopsy: an overview. J Thor Imag 1997;12: 232-49
  6. Fink I, Gamsu G, Harter LP. CT-guided aspiration biopsy of the thorax. J ComputAssist Tomogr 1982;6:958-62
  7. Sheth S, Hamper UM, Stanley DB, et al. US guidance for thoracic biopsy: a valuable alternative to CT. Radiology 1999;210:721-6
  8. Yang PC, Chang DB, Yu CJ, et al. Ultrasound-guided core biopsy of thoracictumors. Am Rev Respir Dis 1992;146:763-7
  9. Conces DJ Jr, Rarver RD, Gray WC, et al. Treatment of pneumothoraces utilizing small caliber chest tubes. Chest 1988;94:55-7
  10. Moore EH, LeBlanc J, Montesi SA, et al. Effects of patient positioning after aspiration lung ciopsy. Radiology 1991;181:385-7
  11. Poe RH, Kallay MC, Wicks CM, et al. Predicting risk of pneumothorax in needlebiopsy of the lung. Chest 1984;85:232-5
  12. Kazerooni EA, Lim FT, Mikhail A, et al. Risk of pneumothorax in CT-guided transthoracic needle aspiration biopsy of the lung. Radio logy 1996;198:371-5
  13. Westcott JL. Direct percutaneous needle aspiration of localized pulmonary lesions: results in 422 patients. Radiology 1980;137:31-5
  14. Nashed Z, Klein JS, Zarka MA. Special techniques in CT-guided transthoracic needle biopsy. Am J Roentgenol 1998;171:1665-8
  15. Yankelevitz DF, Dais SD, Henschke CI. Aspiration of a large pneumothorax resulting from transthoracic needle biopsy. Radiology 1996;200:695-7
  16. Ayar D, Golla B, Lee JY, et al. Needle-track metastasis after transthoracic needle biopsy. J Thorc Imaging 1998;13:2-6
  17. Aberle DR, Gamsu G, Golden JA. Fatal systemic arterial air embolism following lung needle aspiration. Radiology 1987;165:351-3