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CT-guided microcoil implantation for localizing pulmonary ground-glass nodules: feasibility and accuracy of oblique approach for lesions difficult to access on axial images
(1) To evaluate the value of CT-guided microcoil implantation for localizing pulmonary ground-glass nodules (GGNs) before video-assisted thoracoscopic surgery (VATS). (2) To evaluate the feasibility, safety and accuracy of cephalic-caudal oblique approach for lesions difficult to access on axial ima...
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| Published in: | British journal of radiology 2020-05, Vol.93 (1109), p.20190571-20190571 |
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| container_end_page | 20190571 |
| container_issue | 1109 |
| container_start_page | 20190571 |
| container_title | British journal of radiology |
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| creator | Chuan-Dong, Li Hong-Liang, Sun Zhen-Guo, Huang Bao-Xiang, Gao He, Chen Min-Xing, Yang Xiao-Liang, Chen |
| description | (1) To evaluate the value of CT-guided microcoil implantation for localizing pulmonary ground-glass nodules (GGNs) before video-assisted thoracoscopic surgery (VATS). (2) To evaluate the feasibility, safety and accuracy of cephalic-caudal oblique approach for lesions difficult to access on axial images owing to overlying bony structures, large vessels or interlober fissures.
From June 2016 to March 2019, all patients with GGNs resected by VATS after marking using CT-guided microcoil implantation in China-Japan friendship hospital were enrolled and clinical and imaging data were retrospectively analyzed. According to the microcoil marked path, the GGNs were divided into cephalic-caudal oblique group (oblique group) and non-oblique group. The success rate of marking, the time required for marking and the incidence of complications between the two groups were compared.
258 GGNs from 215 consecutive patients were included in this study. The diameter of GGNs was 1.22 ± 0.50 cm, and the shortest distance from GGNs to the pleura was 1.56 ± 1.09 cm. All 258 GGNs were successfully resected by VATS under the guidance of implanted microcoils, and no case was converted to thoracotomy. During CT-guided microcoil implantation, cephalic- caudal oblique approach was taken in 56 GGNs (oblique group) to avoid bone, interlobar fissure and blood vessels. The time required for marking was significantly longer for oblique group compared with non-oblique group (16.6 ± 2.4 vs. 13.1 ± 1.9 min, |
| doi_str_mv | 10.1259/bjr.20190571 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7217567</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2351526467</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-45857d50bcc136bb5aa508b8cd943fb64e9673071a68935dcb5df622833c51ec3</originalsourceid><addsrcrecordid>eNpVkc1u1DAUhS0EosPAjjXykgVp7ThOHBZIaEQBqRKbVmJnXf-lrpw42AlieCYesp5OW9GVZfnc7xzfg9BbSk5pzfszdZNOa0J7wjv6DG1o14hKCPLzOdoQQrqK1oKfoFc53xyuvCcv0QkrA11L6Ab9211Ww-qNNXj0OkUdfcB-nANMCyw-TtjFhEPUEPxfPw14XsMYJ0h7PKS4TqYaAuSMp2jWYPNH7Cxkr3zwyx7DZDBovSbQexwdjir4X6vFMM8pgr4-sm0uNhkb75zXa1jwEg9TtlCLPfzxcEgEg82v0QsHIds39-cWXZ1_udx9qy5-fP2--3xRaSaapWq44J3hRGlNWasUB-BEKKFN3zCn2sb2bcdIR6EVPeNGK25cW9eCMc2p1WyLPh2586pGa7SdlgRBzqnESHsZwcunL5O_lkP8Lbuadrywt-j9PSDF8uG8yNFnbUPZqo1rljXjlNdtcyf9cJSW5eecrHu0oUQeCpalYPlQcJG_-z_ao_ihUXYLELunMQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2351526467</pqid></control><display><type>article</type><title>CT-guided microcoil implantation for localizing pulmonary ground-glass nodules: feasibility and accuracy of oblique approach for lesions difficult to access on axial images</title><source>Oxford Journals Online</source><source>Alma/SFX Local Collection</source><creator>Chuan-Dong, Li ; Hong-Liang, Sun ; Zhen-Guo, Huang ; Bao-Xiang, Gao ; He, Chen ; Min-Xing, Yang ; Xiao-Liang, Chen</creator><creatorcontrib>Chuan-Dong, Li ; Hong-Liang, Sun ; Zhen-Guo, Huang ; Bao-Xiang, Gao ; He, Chen ; Min-Xing, Yang ; Xiao-Liang, Chen</creatorcontrib><description>(1) To evaluate the value of CT-guided microcoil implantation for localizing pulmonary ground-glass nodules (GGNs) before video-assisted thoracoscopic surgery (VATS). (2) To evaluate the feasibility, safety and accuracy of cephalic-caudal oblique approach for lesions difficult to access on axial images owing to overlying bony structures, large vessels or interlober fissures.
From June 2016 to March 2019, all patients with GGNs resected by VATS after marking using CT-guided microcoil implantation in China-Japan friendship hospital were enrolled and clinical and imaging data were retrospectively analyzed. According to the microcoil marked path, the GGNs were divided into cephalic-caudal oblique group (oblique group) and non-oblique group. The success rate of marking, the time required for marking and the incidence of complications between the two groups were compared.
258 GGNs from 215 consecutive patients were included in this study. The diameter of GGNs was 1.22 ± 0.50 cm, and the shortest distance from GGNs to the pleura was 1.56 ± 1.09 cm. All 258 GGNs were successfully resected by VATS under the guidance of implanted microcoils, and no case was converted to thoracotomy. During CT-guided microcoil implantation, cephalic- caudal oblique approach was taken in 56 GGNs (oblique group) to avoid bone, interlobar fissure and blood vessels. The time required for marking was significantly longer for oblique group compared with non-oblique group (16.6 ± 2.4 vs. 13.1 ± 1.9 min,
<0.01). No significant differences in the success rate of marking (94.6%
91.6%), the incidence of pneumothorax (19.6%
17.8%), the bleeding rate (10.7%
8.9%), and the hemoptysis rate (1.8%
1.5%) were observed between the two groups.
CT-guided microcoil implantation can effectively guide VATS to resect GGNs. For GGNs difficult to access on axial images, CT-guided cephalic-caudal oblique approach is feasible, safe, and accurate.
CT-guided microcoil implantation can effectively guide VATS to resect GGNs. The marked path with cephalic-caudal obliquity can effectively avoid bone, interlobar fissure and blood vessels, successfully mark GGNs difficult to access on axial images, while keeping the distance from the pleura to the lesion on the marked path as short as possible at the same time.</description><identifier>ISSN: 0007-1285</identifier><identifier>EISSN: 1748-880X</identifier><identifier>DOI: 10.1259/bjr.20190571</identifier><identifier>PMID: 32017601</identifier><language>eng</language><publisher>England: The British Institute of Radiology</publisher><subject>Feasibility Studies ; Female ; Fiducial Markers ; Humans ; Lung Neoplasms - surgery ; Male ; Middle Aged ; Multiple Pulmonary Nodules - surgery ; Prosthesis Implantation ; Radiography, Interventional ; Retrospective Studies ; Thoracic Surgery, Video-Assisted - methods ; Tomography, X-Ray Computed</subject><ispartof>British journal of radiology, 2020-05, Vol.93 (1109), p.20190571-20190571</ispartof><rights>2020 The Authors. Published by the British Institute of Radiology 2020 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-45857d50bcc136bb5aa508b8cd943fb64e9673071a68935dcb5df622833c51ec3</citedby><cites>FETCH-LOGICAL-c384t-45857d50bcc136bb5aa508b8cd943fb64e9673071a68935dcb5df622833c51ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32017601$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chuan-Dong, Li</creatorcontrib><creatorcontrib>Hong-Liang, Sun</creatorcontrib><creatorcontrib>Zhen-Guo, Huang</creatorcontrib><creatorcontrib>Bao-Xiang, Gao</creatorcontrib><creatorcontrib>He, Chen</creatorcontrib><creatorcontrib>Min-Xing, Yang</creatorcontrib><creatorcontrib>Xiao-Liang, Chen</creatorcontrib><title>CT-guided microcoil implantation for localizing pulmonary ground-glass nodules: feasibility and accuracy of oblique approach for lesions difficult to access on axial images</title><title>British journal of radiology</title><addtitle>Br J Radiol</addtitle><description>(1) To evaluate the value of CT-guided microcoil implantation for localizing pulmonary ground-glass nodules (GGNs) before video-assisted thoracoscopic surgery (VATS). (2) To evaluate the feasibility, safety and accuracy of cephalic-caudal oblique approach for lesions difficult to access on axial images owing to overlying bony structures, large vessels or interlober fissures.
From June 2016 to March 2019, all patients with GGNs resected by VATS after marking using CT-guided microcoil implantation in China-Japan friendship hospital were enrolled and clinical and imaging data were retrospectively analyzed. According to the microcoil marked path, the GGNs were divided into cephalic-caudal oblique group (oblique group) and non-oblique group. The success rate of marking, the time required for marking and the incidence of complications between the two groups were compared.
258 GGNs from 215 consecutive patients were included in this study. The diameter of GGNs was 1.22 ± 0.50 cm, and the shortest distance from GGNs to the pleura was 1.56 ± 1.09 cm. All 258 GGNs were successfully resected by VATS under the guidance of implanted microcoils, and no case was converted to thoracotomy. During CT-guided microcoil implantation, cephalic- caudal oblique approach was taken in 56 GGNs (oblique group) to avoid bone, interlobar fissure and blood vessels. The time required for marking was significantly longer for oblique group compared with non-oblique group (16.6 ± 2.4 vs. 13.1 ± 1.9 min,
<0.01). No significant differences in the success rate of marking (94.6%
91.6%), the incidence of pneumothorax (19.6%
17.8%), the bleeding rate (10.7%
8.9%), and the hemoptysis rate (1.8%
1.5%) were observed between the two groups.
CT-guided microcoil implantation can effectively guide VATS to resect GGNs. For GGNs difficult to access on axial images, CT-guided cephalic-caudal oblique approach is feasible, safe, and accurate.
CT-guided microcoil implantation can effectively guide VATS to resect GGNs. The marked path with cephalic-caudal obliquity can effectively avoid bone, interlobar fissure and blood vessels, successfully mark GGNs difficult to access on axial images, while keeping the distance from the pleura to the lesion on the marked path as short as possible at the same time.</description><subject>Feasibility Studies</subject><subject>Female</subject><subject>Fiducial Markers</subject><subject>Humans</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple Pulmonary Nodules - surgery</subject><subject>Prosthesis Implantation</subject><subject>Radiography, Interventional</subject><subject>Retrospective Studies</subject><subject>Thoracic Surgery, Video-Assisted - methods</subject><subject>Tomography, X-Ray Computed</subject><issn>0007-1285</issn><issn>1748-880X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVkc1u1DAUhS0EosPAjjXykgVp7ThOHBZIaEQBqRKbVmJnXf-lrpw42AlieCYesp5OW9GVZfnc7xzfg9BbSk5pzfszdZNOa0J7wjv6DG1o14hKCPLzOdoQQrqK1oKfoFc53xyuvCcv0QkrA11L6Ab9211Ww-qNNXj0OkUdfcB-nANMCyw-TtjFhEPUEPxfPw14XsMYJ0h7PKS4TqYaAuSMp2jWYPNH7Cxkr3zwyx7DZDBovSbQexwdjir4X6vFMM8pgr4-sm0uNhkb75zXa1jwEg9TtlCLPfzxcEgEg82v0QsHIds39-cWXZ1_udx9qy5-fP2--3xRaSaapWq44J3hRGlNWasUB-BEKKFN3zCn2sb2bcdIR6EVPeNGK25cW9eCMc2p1WyLPh2586pGa7SdlgRBzqnESHsZwcunL5O_lkP8Lbuadrywt-j9PSDF8uG8yNFnbUPZqo1rljXjlNdtcyf9cJSW5eecrHu0oUQeCpalYPlQcJG_-z_ao_ihUXYLELunMQ</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Chuan-Dong, Li</creator><creator>Hong-Liang, Sun</creator><creator>Zhen-Guo, Huang</creator><creator>Bao-Xiang, Gao</creator><creator>He, Chen</creator><creator>Min-Xing, Yang</creator><creator>Xiao-Liang, Chen</creator><general>The British Institute of Radiology</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><scope>5PM</scope></search><sort><creationdate>20200501</creationdate><title>CT-guided microcoil implantation for localizing pulmonary ground-glass nodules: feasibility and accuracy of oblique approach for lesions difficult to access on axial images</title><author>Chuan-Dong, Li ; Hong-Liang, Sun ; Zhen-Guo, Huang ; Bao-Xiang, Gao ; He, Chen ; Min-Xing, Yang ; Xiao-Liang, Chen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-45857d50bcc136bb5aa508b8cd943fb64e9673071a68935dcb5df622833c51ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Feasibility Studies</topic><topic>Female</topic><topic>Fiducial Markers</topic><topic>Humans</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple Pulmonary Nodules - surgery</topic><topic>Prosthesis Implantation</topic><topic>Radiography, Interventional</topic><topic>Retrospective Studies</topic><topic>Thoracic Surgery, Video-Assisted - methods</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chuan-Dong, Li</creatorcontrib><creatorcontrib>Hong-Liang, Sun</creatorcontrib><creatorcontrib>Zhen-Guo, Huang</creatorcontrib><creatorcontrib>Bao-Xiang, Gao</creatorcontrib><creatorcontrib>He, Chen</creatorcontrib><creatorcontrib>Min-Xing, Yang</creatorcontrib><creatorcontrib>Xiao-Liang, Chen</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chuan-Dong, Li</au><au>Hong-Liang, Sun</au><au>Zhen-Guo, Huang</au><au>Bao-Xiang, Gao</au><au>He, Chen</au><au>Min-Xing, Yang</au><au>Xiao-Liang, Chen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CT-guided microcoil implantation for localizing pulmonary ground-glass nodules: feasibility and accuracy of oblique approach for lesions difficult to access on axial images</atitle><jtitle>British journal of radiology</jtitle><addtitle>Br J Radiol</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>93</volume><issue>1109</issue><spage>20190571</spage><epage>20190571</epage><pages>20190571-20190571</pages><issn>0007-1285</issn><eissn>1748-880X</eissn><abstract>(1) To evaluate the value of CT-guided microcoil implantation for localizing pulmonary ground-glass nodules (GGNs) before video-assisted thoracoscopic surgery (VATS). (2) To evaluate the feasibility, safety and accuracy of cephalic-caudal oblique approach for lesions difficult to access on axial images owing to overlying bony structures, large vessels or interlober fissures.
From June 2016 to March 2019, all patients with GGNs resected by VATS after marking using CT-guided microcoil implantation in China-Japan friendship hospital were enrolled and clinical and imaging data were retrospectively analyzed. According to the microcoil marked path, the GGNs were divided into cephalic-caudal oblique group (oblique group) and non-oblique group. The success rate of marking, the time required for marking and the incidence of complications between the two groups were compared.
258 GGNs from 215 consecutive patients were included in this study. The diameter of GGNs was 1.22 ± 0.50 cm, and the shortest distance from GGNs to the pleura was 1.56 ± 1.09 cm. All 258 GGNs were successfully resected by VATS under the guidance of implanted microcoils, and no case was converted to thoracotomy. During CT-guided microcoil implantation, cephalic- caudal oblique approach was taken in 56 GGNs (oblique group) to avoid bone, interlobar fissure and blood vessels. The time required for marking was significantly longer for oblique group compared with non-oblique group (16.6 ± 2.4 vs. 13.1 ± 1.9 min,
<0.01). No significant differences in the success rate of marking (94.6%
91.6%), the incidence of pneumothorax (19.6%
17.8%), the bleeding rate (10.7%
8.9%), and the hemoptysis rate (1.8%
1.5%) were observed between the two groups.
CT-guided microcoil implantation can effectively guide VATS to resect GGNs. For GGNs difficult to access on axial images, CT-guided cephalic-caudal oblique approach is feasible, safe, and accurate.
CT-guided microcoil implantation can effectively guide VATS to resect GGNs. The marked path with cephalic-caudal obliquity can effectively avoid bone, interlobar fissure and blood vessels, successfully mark GGNs difficult to access on axial images, while keeping the distance from the pleura to the lesion on the marked path as short as possible at the same time.</abstract><cop>England</cop><pub>The British Institute of Radiology</pub><pmid>32017601</pmid><doi>10.1259/bjr.20190571</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of radiology, 2020-05, Vol.93 (1109), p.20190571-20190571 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7217567 |
| source | Oxford Journals Online; Alma/SFX Local Collection |
| subjects | Feasibility Studies Female Fiducial Markers Humans Lung Neoplasms - surgery Male Middle Aged Multiple Pulmonary Nodules - surgery Prosthesis Implantation Radiography, Interventional Retrospective Studies Thoracic Surgery, Video-Assisted - methods Tomography, X-Ray Computed |
| title | CT-guided microcoil implantation for localizing pulmonary ground-glass nodules: feasibility and accuracy of oblique approach for lesions difficult to access on axial images |
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