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CT-guided percutaneous lung biopsy: Comparison of conventional CT fluoroscopy to CT fluoroscopy with electromagnetic navigation system in 60 consecutive patients
Abstract Purpose To determine if use of an electromagnetic navigation system (EMN) decreases radiation dose and procedure time of CT fluoroscopy guided lung biopsy in lesions smaller than 2.5 cm. Materials/methods 86 consecutive patients with small lung masses (
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| Published in: | European journal of radiology 2011-08, Vol.79 (2), p.e133-e136 |
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| container_title | European journal of radiology |
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| creator | Grand, David Justin Atalay, Michael A Cronan, John J Mayo-Smith, William W Dupuy, Damian E |
| description | Abstract Purpose To determine if use of an electromagnetic navigation system (EMN) decreases radiation dose and procedure time of CT fluoroscopy guided lung biopsy in lesions smaller than 2.5 cm. Materials/methods 86 consecutive patients with small lung masses ( |
| doi_str_mv | 10.1016/j.ejrad.2011.05.030 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_885911236</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0720048X11005328</els_id><sourcerecordid>885911236</sourcerecordid><originalsourceid>FETCH-LOGICAL-c413t-d052ef769d0aa7a714328283353c7bf3db8a39a0aae0607e2e9ea2e0b3b6eff73</originalsourceid><addsrcrecordid>eNqFUk2r1DAUDaL4xqe_QJDsXLXeJNOmIyhI8QseuHAEdyFNb8fUNqlJO9Kf4z81dZ4u3sZVIPecc-895xLylEHOgJUv-hz7oNucA2M5FDkIuEd2rJI8k5LL-2QHkkMG--rrFXkUYw8Axf7AH5IrzsoKGC925Fd9zE6LbbGlEwazzNqhXyIdFneijfVTXF_S2o-TDjZ6R31HjXdndLP1Tg-0PtJuWHzw0fhppbO_-_PTzt8oDmjm4Ed9cjhbQ50-25PeJGhc44wjtY6WsElHTEPYM9Ip1VOb-Jg86PQQ8cnte02-vHt7rD9kN5_ef6zf3GRmz8SctVBw7GR5aEFrqSXbC17xSohCGNl0om0qLQ46FRFKkMjxgJojNKIpseukuCbPL7pT8D8WjLMabTQ4DBdHVFUVB8a4KBNSXJAmLRkDdmoKdtRhVQzUFo3q1Z9o1BaNgkKlaBLr2a3-0ozY_uP8zSIBXl0AmLY8WwwqmuSAwdaGZJ9qvf1Pg9d3-Gawzho9fMcVY--XkBKLiqnIFajP23Vsx8FYuotklvgNy0e6Fw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>885911236</pqid></control><display><type>article</type><title>CT-guided percutaneous lung biopsy: Comparison of conventional CT fluoroscopy to CT fluoroscopy with electromagnetic navigation system in 60 consecutive patients</title><source>ScienceDirect Freedom Collection</source><creator>Grand, David Justin ; Atalay, Michael A ; Cronan, John J ; Mayo-Smith, William W ; Dupuy, Damian E</creator><creatorcontrib>Grand, David Justin ; Atalay, Michael A ; Cronan, John J ; Mayo-Smith, William W ; Dupuy, Damian E</creatorcontrib><description>Abstract Purpose To determine if use of an electromagnetic navigation system (EMN) decreases radiation dose and procedure time of CT fluoroscopy guided lung biopsy in lesions smaller than 2.5 cm. Materials/methods 86 consecutive patients with small lung masses (<2.5 cm) were approached. 60 consented and were randomized to undergo biopsy with CT fluoroscopy (CTF) (34 patients) or EMN (26 patients). Technical failure required conversion to CTF in 8/26 EMN patients; 18 patients completed biopsy with EMN. Numerous biopsy parameters were compared as described below. Results Average fluoroscopy time using CTF was 28.2 s compared to 35.0 s for EMN ( p = 0.1). Average radiation dose was 117 mGy using CTF and 123 mGy for EMN ( p = 0.7). Average number of needle repositions was 3.7 for CTF and 4.4 for EMN ( p = 0.4). Average procedure time was 15 min for CTF and 20 min for EMN ( p = 0.01). There were 7 pneumothoracesin the CTF group and 6 pneumothoraces in the EMN group ( p = 0.7). One pneumothorax in the CTF group and 3 pneumothoraces in the EMN group required chest tube placement ( p = 0.1). One pneumothorax patient in each group required hospital admission. Diagnostic specimens were obtained in 31/34 patients in the CTF group and 22/26 patients in the EMN group ( p = 0.4). Conclusions EMN was not statistically different than CTF for fluoroscopy time, radiation dose, number of needle repositions, incidence of pneumothorax, need for chest tube, or diagnostic yield. Procedure time was increased with EMN.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2011.05.030</identifier><identifier>PMID: 21680125</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biopsy - methods ; CT fluoroscopy ; Electromagnetic Navigation ; Electromagnetic Phenomena ; Female ; Fiducial Markers ; Fluoroscopy ; Humans ; Lung biopsy ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - pathology ; Male ; Middle Aged ; Radiation Dosage ; Radiography, Interventional - instrumentation ; Radiography, Interventional - methods ; Radiology ; Surgery, Computer-Assisted ; Time Factors ; Tomography, X-Ray Computed - instrumentation ; Tomography, X-Ray Computed - methods</subject><ispartof>European journal of radiology, 2011-08, Vol.79 (2), p.e133-e136</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2011 Elsevier Ireland Ltd</rights><rights>Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-d052ef769d0aa7a714328283353c7bf3db8a39a0aae0607e2e9ea2e0b3b6eff73</citedby><cites>FETCH-LOGICAL-c413t-d052ef769d0aa7a714328283353c7bf3db8a39a0aae0607e2e9ea2e0b3b6eff73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21680125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grand, David Justin</creatorcontrib><creatorcontrib>Atalay, Michael A</creatorcontrib><creatorcontrib>Cronan, John J</creatorcontrib><creatorcontrib>Mayo-Smith, William W</creatorcontrib><creatorcontrib>Dupuy, Damian E</creatorcontrib><title>CT-guided percutaneous lung biopsy: Comparison of conventional CT fluoroscopy to CT fluoroscopy with electromagnetic navigation system in 60 consecutive patients</title><title>European journal of radiology</title><addtitle>Eur J Radiol</addtitle><description>Abstract Purpose To determine if use of an electromagnetic navigation system (EMN) decreases radiation dose and procedure time of CT fluoroscopy guided lung biopsy in lesions smaller than 2.5 cm. Materials/methods 86 consecutive patients with small lung masses (<2.5 cm) were approached. 60 consented and were randomized to undergo biopsy with CT fluoroscopy (CTF) (34 patients) or EMN (26 patients). Technical failure required conversion to CTF in 8/26 EMN patients; 18 patients completed biopsy with EMN. Numerous biopsy parameters were compared as described below. Results Average fluoroscopy time using CTF was 28.2 s compared to 35.0 s for EMN ( p = 0.1). Average radiation dose was 117 mGy using CTF and 123 mGy for EMN ( p = 0.7). Average number of needle repositions was 3.7 for CTF and 4.4 for EMN ( p = 0.4). Average procedure time was 15 min for CTF and 20 min for EMN ( p = 0.01). There were 7 pneumothoracesin the CTF group and 6 pneumothoraces in the EMN group ( p = 0.7). One pneumothorax in the CTF group and 3 pneumothoraces in the EMN group required chest tube placement ( p = 0.1). One pneumothorax patient in each group required hospital admission. Diagnostic specimens were obtained in 31/34 patients in the CTF group and 22/26 patients in the EMN group ( p = 0.4). Conclusions EMN was not statistically different than CTF for fluoroscopy time, radiation dose, number of needle repositions, incidence of pneumothorax, need for chest tube, or diagnostic yield. Procedure time was increased with EMN.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biopsy - methods</subject><subject>CT fluoroscopy</subject><subject>Electromagnetic Navigation</subject><subject>Electromagnetic Phenomena</subject><subject>Female</subject><subject>Fiducial Markers</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Lung biopsy</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lung Neoplasms - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiation Dosage</subject><subject>Radiography, Interventional - instrumentation</subject><subject>Radiography, Interventional - methods</subject><subject>Radiology</subject><subject>Surgery, Computer-Assisted</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed - instrumentation</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqFUk2r1DAUDaL4xqe_QJDsXLXeJNOmIyhI8QseuHAEdyFNb8fUNqlJO9Kf4z81dZ4u3sZVIPecc-895xLylEHOgJUv-hz7oNucA2M5FDkIuEd2rJI8k5LL-2QHkkMG--rrFXkUYw8Axf7AH5IrzsoKGC925Fd9zE6LbbGlEwazzNqhXyIdFneijfVTXF_S2o-TDjZ6R31HjXdndLP1Tg-0PtJuWHzw0fhppbO_-_PTzt8oDmjm4Ed9cjhbQ50-25PeJGhc44wjtY6WsElHTEPYM9Ip1VOb-Jg86PQQ8cnte02-vHt7rD9kN5_ef6zf3GRmz8SctVBw7GR5aEFrqSXbC17xSohCGNl0om0qLQ46FRFKkMjxgJojNKIpseukuCbPL7pT8D8WjLMabTQ4DBdHVFUVB8a4KBNSXJAmLRkDdmoKdtRhVQzUFo3q1Z9o1BaNgkKlaBLr2a3-0ozY_uP8zSIBXl0AmLY8WwwqmuSAwdaGZJ9qvf1Pg9d3-Gawzho9fMcVY--XkBKLiqnIFajP23Vsx8FYuotklvgNy0e6Fw</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Grand, David Justin</creator><creator>Atalay, Michael A</creator><creator>Cronan, John J</creator><creator>Mayo-Smith, William W</creator><creator>Dupuy, Damian E</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110801</creationdate><title>CT-guided percutaneous lung biopsy: Comparison of conventional CT fluoroscopy to CT fluoroscopy with electromagnetic navigation system in 60 consecutive patients</title><author>Grand, David Justin ; Atalay, Michael A ; Cronan, John J ; Mayo-Smith, William W ; Dupuy, Damian E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-d052ef769d0aa7a714328283353c7bf3db8a39a0aae0607e2e9ea2e0b3b6eff73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biopsy - methods</topic><topic>CT fluoroscopy</topic><topic>Electromagnetic Navigation</topic><topic>Electromagnetic Phenomena</topic><topic>Female</topic><topic>Fiducial Markers</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Lung biopsy</topic><topic>Lung Neoplasms - diagnostic imaging</topic><topic>Lung Neoplasms - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiation Dosage</topic><topic>Radiography, Interventional - instrumentation</topic><topic>Radiography, Interventional - methods</topic><topic>Radiology</topic><topic>Surgery, Computer-Assisted</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed - instrumentation</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grand, David Justin</creatorcontrib><creatorcontrib>Atalay, Michael A</creatorcontrib><creatorcontrib>Cronan, John J</creatorcontrib><creatorcontrib>Mayo-Smith, William W</creatorcontrib><creatorcontrib>Dupuy, Damian E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grand, David Justin</au><au>Atalay, Michael A</au><au>Cronan, John J</au><au>Mayo-Smith, William W</au><au>Dupuy, Damian E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CT-guided percutaneous lung biopsy: Comparison of conventional CT fluoroscopy to CT fluoroscopy with electromagnetic navigation system in 60 consecutive patients</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>79</volume><issue>2</issue><spage>e133</spage><epage>e136</epage><pages>e133-e136</pages><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>Abstract Purpose To determine if use of an electromagnetic navigation system (EMN) decreases radiation dose and procedure time of CT fluoroscopy guided lung biopsy in lesions smaller than 2.5 cm. Materials/methods 86 consecutive patients with small lung masses (<2.5 cm) were approached. 60 consented and were randomized to undergo biopsy with CT fluoroscopy (CTF) (34 patients) or EMN (26 patients). Technical failure required conversion to CTF in 8/26 EMN patients; 18 patients completed biopsy with EMN. Numerous biopsy parameters were compared as described below. Results Average fluoroscopy time using CTF was 28.2 s compared to 35.0 s for EMN ( p = 0.1). Average radiation dose was 117 mGy using CTF and 123 mGy for EMN ( p = 0.7). Average number of needle repositions was 3.7 for CTF and 4.4 for EMN ( p = 0.4). Average procedure time was 15 min for CTF and 20 min for EMN ( p = 0.01). There were 7 pneumothoracesin the CTF group and 6 pneumothoraces in the EMN group ( p = 0.7). One pneumothorax in the CTF group and 3 pneumothoraces in the EMN group required chest tube placement ( p = 0.1). One pneumothorax patient in each group required hospital admission. Diagnostic specimens were obtained in 31/34 patients in the CTF group and 22/26 patients in the EMN group ( p = 0.4). Conclusions EMN was not statistically different than CTF for fluoroscopy time, radiation dose, number of needle repositions, incidence of pneumothorax, need for chest tube, or diagnostic yield. Procedure time was increased with EMN.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>21680125</pmid><doi>10.1016/j.ejrad.2011.05.030</doi></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biopsy - methods CT fluoroscopy Electromagnetic Navigation Electromagnetic Phenomena Female Fiducial Markers Fluoroscopy Humans Lung biopsy Lung Neoplasms - diagnostic imaging Lung Neoplasms - pathology Male Middle Aged Radiation Dosage Radiography, Interventional - instrumentation Radiography, Interventional - methods Radiology Surgery, Computer-Assisted Time Factors Tomography, X-Ray Computed - instrumentation Tomography, X-Ray Computed - methods |
| title | CT-guided percutaneous lung biopsy: Comparison of conventional CT fluoroscopy to CT fluoroscopy with electromagnetic navigation system in 60 consecutive patients |
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