Korean Journal of Radiology

  • 제18권6호
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  • Pages.1005-1011
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  • 2017
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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Practice Pattern of Transthoracic Needle Biopsy: 2016 Survey in the Members of Korean Society of Thoracic Radiology

  • Jo, Yeseul (Department of Radiology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Han, Dae Hee (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Beck, Kyongmin Sarah (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Jai Soung (Department of Radiology, Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Kim, Tae Jung (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2017.01.23
  • 심사 : 2017.05.23
  • 발행 : 2017.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: To assess the current practice patterns of radiologists who perform transthoracic needle biopsy (TNB). Materials and Methods: An email survey of 71 questions on TNB was sent to 240 members of the Korean Society of Thoracic Radiology. The answers to multiple-choice questions (n = 56) were analyzed. Results: Of 60 respondents, 45% had 10 or more years of experience in chest radiology, and 70% had 5 or more years of experience in TNB. For the question on the most frequently used diagnostic method for lesions with high probability of being resectable-stage lung cancer, 70% of respondents answered that TNB is initially used, with or without bronchoscopy. In patients at high-risk of TNB-related complications, the proportion of the respondents who consistently declined TNB was only 5%. The number of rebiopsies was said to be increased; molecular analysis for an established target therapy (43.6%) and clinical trial of a new drug (28.2%) were the two most common reasons for it. The most popular needle type was the coaxial cutting needle (55%), and the popular guiding modality was conventional computed tomography (CT) (56.7%). In addition, 15% of respondents have encountered air embolism. Conclusion: Despite high variation in how TNB is being performed in Korea, some patterns were noted. It is common for patients with resectable-stage lung cancer to undergo TNB prior to surgery. Rebiopsy is now more common than before, with personalized medicine as the most important reason for it. The most popular type of needle is the coaxial system; the most popular modality for guidance is still CT.

키워드

참고문헌

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피인용 문헌

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  2. Diagnostic Performance of Core Needle Biopsy and Fine Needle Aspiration Separately or Together in the Diagnosis of Intrathoracic Lesions Under C-arm Guidance vol.102, pp.1, 2017, https://doi.org/10.5334/jbsr.1615
  3. Perilesional emphysema as a predictor of risk of complications from computed tomography-guided transthoracic lung biopsy vol.37, pp.12, 2019, https://doi.org/10.1007/s11604-019-00880-w
  4. Patterns of percutaneous transthoracic needle biopsy (PTNB) of the lung and risk of PTNB-related severe pneumothorax: A nationwide population-based study vol.15, pp.7, 2020, https://doi.org/10.1371/journal.pone.0235599
  5. 2020 Clinical Practice Guideline for Percutaneous Transthoracic Needle Biopsy of Pulmonary Lesions: A Consensus Statement and Recommendations of the Korean Society of Thoracic Radiology vol.22, pp.2, 2021, https://doi.org/10.3348/kjr.2020.0137
  6. Tissue Adequacy and Safety of Percutaneous Transthoracic Needle Biopsy for Molecular Analysis in Non-Small Cell Lung Cancer: A Systematic Review and Meta-analysis vol.22, pp.None, 2017, https://doi.org/10.3348/kjr.2021.0244
  7. Learning Curve for CT-Guided Percutaneous Transthoracic Needle Biopsy: Retrospective Evaluation Among 17 Thoracic Imaging Fellows at a Tertiary Referral Hospital vol.218, pp.1, 2017, https://doi.org/10.2214/ajr.21.26346