Skip to content
2000
Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
side by side viewer icon HTML

Abstract

Background

Larger sample volume can be obtained in one needle pass using an aspiration-type semi-automatic cutting biopsy needle (STARCUT® aspiration-type needle; TSK Laboratory, Tochigi, Japan) in comparison to the conventional semi-automatic cutting biopsy needle.

Objective

To evaluate and compare the safety and effectiveness of aspiration-type semi-automatic cutting biopsy needles and non-aspiration-type biopsy needles when performing computed tomography (CT)-guided core needle biopsies (CNBs).

Methods

A total of 106 patients underwent CT-guided CNB for chest lesions between June 2013 and March 2020 at our hospital. Non-aspiration-type cutting biopsy needles were used in 47 of these patients, while aspiration-type needles were used in the remaining 59 patients. All needles used were 18- or 20-gauge biopsy needles. Parameters, like forced expiratory volume in 1-second percent (FEV1.0%), the maximum size of the target lesion, puncture pathway distance in the lung, number of needle passes, procedure time, diagnostic accuracy, and incidence of complications, were measured. Comparisons were made between the needle-type groups.

Results

No significant difference was observed in terms of diagnostic accuracy. However, the procedure time was shorter and a lesser number of needle passes were required with the aspiration-type cutting biopsy needle compared to the non-aspiration-type needle. Pneumothorax and pulmonary hemorrhage were the complications encountered, however, their incidence was not significantly different between the two types of needles.

Conclusion

The aspiration-type semi-automatic cutting biopsy needle had similar diagnostic accuracy as the non-aspiration-type biopsy needle, with added advantages of a lesser number of needle passes and shorter procedure time.

© 2024 The Author(s). Published by Bentham Science Publisher. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/cmir/10.2174/1573405620666230518143323
2023-07-13
2025-01-29
Loading full text...

Full text loading...

/deliver/fulltext/cmir/20/1/CMIR-20-E180523217058.html?itemId=/content/journals/cmir/10.2174/1573405620666230518143323&mimeType=html&fmt=ahah

References

  1. YaoX. GomesM.M. TsaoM.S. AllenC.J. GeddieW. SekhonH. Fine-needle aspiration biopsy versus core-needle biopsy in diagnosing lung cancer: A systematic review.Curr. Oncol.2012191162710.3747/co.19.87122328844
    [Google Scholar]
  2. YamauchiY. IzumiY. NakatsukaS. InoueM. HayashiY. MukaiM. NomoriH. Diagnostic performance of percutaneous core needle lung biopsy under multi-CT fluoroscopic guidance for ground-glass opacity pulmonary lesions.Eur. J. Radiol.2011792e85e8910.1016/j.ejrad.2011.03.08821515009
    [Google Scholar]
  3. YamagamiT. YoshimatsuR. MiuraH. YamadaK. TakahataA. MatsumotoT. HasebeT. Diagnostic performance of percutaneous lung biopsy using automated biopsy needles under CT-fluoroscopic guidance for ground-glass opacity lesions.Br. J. Radiol.20138610222012044710.1259/bjr.2012044723385998
    [Google Scholar]
  4. TianP. WangY. LiL. ZhouY. LuoW. LiW. CT-guided transthoracic core needle biopsy for small pulmonary lesions: Diagnostic performance and adequacy for molecular testing.J. Thorac. Dis.20179233334310.21037/jtd.2017.02.1628275482
    [Google Scholar]
  5. KimD.Y. SunJ.S. KimE.Y. ParkK.J. YouS. Diagnostic accuracy and safety of CT-guided percutaneous lung biopsy with a coaxial cutting needle for the diagnosis of lung cancer in patients with UIP pattern.Sci. Rep.20221211568210.1038/s41598‑022‑20030‑z36127437
    [Google Scholar]
  6. LiQ.K. DingY.K. LiuY. XiaF.F. LiL. FuY.F. Diagnostic yield of computed tomography–guided percutaneous lung biopsy in patients with prior nondiagnostic transbronchial biopsy.J. Comput. Assist. Tomogr.202044230530910.1097/RCT.000000000000099932195810
    [Google Scholar]
  7. KomemushiA. KannoS. SuzukiS. SanoA. KariyaS. NakataniM. Yagi YoshidaR. KonoY. HarimaY. TanigawaN. Evaluation of an aspiration-type semiautomatic cutting biopsy needle.Minim. Invasive Ther. Allied Technol.201524425025210.3109/13645706.2015.102135925744823
    [Google Scholar]
  8. IguchiT. HirakiT. MatsuiY. MitsuhashiT. KomakiT. OkamotoS. FukumaS. TomitaK. UkaM. KanazawaS. Difference in specimen weights with semi-automatic cutting biopsy needles.Jpn. J. Radiol.202038657958610.1007/s11604‑020‑00935‑332124166
    [Google Scholar]
  9. ZhanP. ZhuQ.Q. MiuY.Y. LiuY.F. WangX.X. ZhouZ.J. JinJ.J. LiQ. SasadaS. IzumoT. TuC.Y. ChengW.C. EvisonM. LvT.F. SongY. Comparison between endobronchial ultrasound-guided transbronchial biopsy and CT-guided transthoracic lung biopsy for the diagnosis of peripheral lung cancer: A systematic review and meta-analysis.Transl. Lung Cancer Res.201761233410.21037/tlcr.2017.01.0128331821
    [Google Scholar]
  10. HanY. KimH.J. KongK.A. KimS.J. LeeS.H. RyuY.J. LeeJ.H. KimY. ShimS.S. ChangJ.H. Diagnosis of small pulmonary lesions by transbronchial lung biopsy with radial endobronchial ultrasound and virtual bronchoscopic navigation versus CT-guided transthoracic needle biopsy: A systematic review and meta-analysis.PLoS One2018131e019159010.1371/journal.pone.019159029357388
    [Google Scholar]
  11. KimG.R. HurJ. LeeS.M. LeeH.J. HongY.J. NamJ.E. KimH.S. KimY.J. ChoiB.W. KimT.H. ChoeK.O. CT fluoroscopy-guided lung biopsy versus conventional CT-guided lung biopsy: A prospective controlled study to assess radiation doses and diagnostic performance.Eur. Radiol.201121223223910.1007/s00330‑010‑1936‑y20730613
    [Google Scholar]
  12. HeckS.L. BlomP. BerstadA. Accuracy and complications in computed tomography fluoroscopy-guided needle biopsies of lung masses.Eur. Radiol.20061661387139210.1007/s00330‑006‑0152‑216541227
    [Google Scholar]
  13. HuangM.D. WengH.H. HsuS.L. HsuL.S. LinW.M. ChenC.W. TsaiY.H. Accuracy and complications of CT-guided pulmonary core biopsy in small nodules: A single-center experience.Cancer Imaging20191915110.1186/s40644‑019‑0240‑631337425
    [Google Scholar]
  14. KotharyN. LockL. SzeD.Y. HofmannL.V. Computed tomography-guided percutaneous needle biopsy of pulmonary nodules: impact of nodule size on diagnostic accuracy.Clin. Lung Cancer200910536036310.3816/CLC.2009.n.04919808195
    [Google Scholar]
  15. MatsuiY. HirakiT. IguchiT. SakuraiJ. UkaM. MasaokaY. GobaraH. KanazawaS. A clinical study evaluating an aspiration-type semi-automatic cutting biopsy needle (SCIRO-1702).Acta Med. Okayama202074320921410.18926/AMO/5995132577018
    [Google Scholar]
  16. YeowK.M. SuI.H. PanK.T. TsayP.K. LuiK.W. CheungY.C. ChouA.S.B. Risk factors of pneumothorax and bleeding: Multivariate analysis of 660 CT-guided coaxial cutting needle lung biopsies.Chest2004126374875410.1378/chest.126.3.74815364752
    [Google Scholar]
  17. HeerinkW.J. de BockG.H. de JongeG.J. GroenH.J.M. VliegenthartR. OudkerkM. Complication rates of CT-guided transthoracic lung biopsy: Meta-analysis.Eur. Radiol.201727113814810.1007/s00330‑016‑4357‑827108299
    [Google Scholar]
  18. FreundM.C. PetersenJ. GoderK.C. BunseT. WiedermannF. GlodnyB. Systemic air embolism during percutaneous core needle biopsy of the lung: frequency and risk factors.BMC Pulm. Med.2012121210.1186/1471‑2466‑12‑222309812
    [Google Scholar]
  19. OhnoY. HatabuH. TakenakaD. ImaiM. OhbayashiC. SugimuraK. Transthoracic CT-guided biopsy with multiplanar reconstruction image improves diagnostic accuracy of solitary pulmonary nodules.Eur. J. Radiol.200451216016810.1016/S0720‑048X(03)00216‑X15246522
    [Google Scholar]
  20. TaiR. DunneR.M. Trotman-DickensonB. JacobsonF.L. MadanR. KumamaruK.K. HunsakerA.R. Frequency and severity of pulmonary hemorrhage in patients undergoing percutaneous CT-guided transthoracic lung biopsy: Single-institution experience of 1175 cases.Radiology2016279128729610.1148/radiol.201515038126479161
    [Google Scholar]
  21. WallaceM.J. KrishnamurthyS. BroemelingL.D. GuptaS. AhrarK. MorelloF.A.Jr HicksM.E. CT-guided percutaneous fine-needle aspiration biopsy of small (< or =1-cm) pulmonary lesions.Radiology2002225382382810.1148/radiol.225301146512461267
    [Google Scholar]
  22. LohS.E.K. WuD.D.F. VenkateshS.K. OngC.K. LiuE. SetoK.Y. GopinathanA. TanL.K.A. CT-guided thoracic biopsy: Evaluating diagnostic yield and complications.Ann. Acad. Med. Singap.201342628529010.47102/annals‑acadmedsg.V42N6p28523842769
    [Google Scholar]
  23. ZhuJ. QuY. WangX. JiangC. MoJ. XiJ. WenZ. Risk factors associated with pulmonary hemorrhage and hemoptysis following percutaneous CT-guided transthoracic lung core needle biopsy: A retrospective study of 1,090 cases.Quant. Imaging Med. Surg.20201051008102010.21037/qims‑19‑102432489925
    [Google Scholar]
  24. KhanM.F. StraubR. MoghaddamS.R. MaataouiA. GurungJ. WagnerT.O.F. AckermannH. ThalhammerA. VoglT.J. JacobiV. Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy.Eur. Radiol.20081871356136310.1007/s00330‑008‑0893‑118351356
    [Google Scholar]
  25. Nour-EldinN.E.A. AlsubhiM. NaguibN.N. LehnertT. EmamA. BeeresM. BodelleB. KoitkaK. VoglT.J. JacobiV. Risk factor analysis of pulmonary hemorrhage complicating CT-guided lung biopsy in coaxial and non-coaxial core biopsy techniques in 650 patients.Eur. J. Radiol.201483101945195210.1016/j.ejrad.2014.06.02325063212
    [Google Scholar]
  26. Nour-EldinN.E.A. AlsubhiM. EmamA. LehnertT. BeeresM. JacobiV. Gruber-RouhT. ScholtzJ.E. VoglT.J. NaguibN.N. Pneumothorax complicating coaxial and non-coaxial CT-guided lung biopsy: Comparative analysis of determining risk factors and management of pneumothorax in a retrospective review of 650 patients.Cardiovasc. Intervent. Radiol.201639226127010.1007/s00270‑015‑1167‑326148648
    [Google Scholar]
  27. HuoY.R. ChanM.V. HabibA.R. LuiI. RidleyL. Pneumothorax rates in CT-Guided lung biopsies: A comprehensive systematic review and meta-analysis of risk factors.Br. J. Radiol.20209311082019086610.1259/bjr.2019086631860329
    [Google Scholar]
  28. YildirimE. KirbasI. HarmanA. OzyerU. ToreH.G. AytekinC. BoyvatF. CT-guided cutting needle lung biopsy using modified coaxial technique: Factors effecting risk of complications.Eur. J. Radiol.2009701576010.1016/j.ejrad.2008.01.00618294798
    [Google Scholar]
  29. AsaiN. KawamuraY. YamazakiI. SogawaK. OhkuniY. O’uchiT. KuboA. YamaguchiE. KanekoN. Is emphysema a risk factor for pneumothorax in CT-guided lung biopsy?Springerplus20132119610.1186/2193‑1801‑2‑19623741641
    [Google Scholar]
  30. AyyappanA.P. SouzaC.A. SeelyJ. PetersonR. DennieC. MatzingerF. Ultrathin fine-needle aspiration biopsy of the lung with transfissural approach: Does it increase the risk of pneumothorax?AJR Am. J. Roentgenol.200819161725172910.2214/AJR.08.111019020242
    [Google Scholar]
  31. TakeshitaJ. MasagoK. KatoR. HataA. KajiR. FujitaS. KatakamiN. CT-guided fine-needle aspiration and core needle biopsies of pulmonary lesions: A single-center experience with 750 biopsies in Japan.AJR Am. J. Roentgenol.20152041293410.2214/AJR.14.1315125539234
    [Google Scholar]
  32. FilippoM.D. SabaL. SilvaM. ZagariaR. ConcariG. NizzoliR. BozzettiC. TiseoM. ArdizzoniA. LipiaS. PaladiniI. MacariniL. CarrafielloG. BruneseL. RotondoA. RossiC. CT-guided biopsy of pulmonary nodules: Is pulmonary hemorrhage a complication or an advantage?Diagn. Interv. Radiol.201420542142510.5152/dir.2014.1401925163758
    [Google Scholar]
  33. BrandénE. WallgrenS. HögbergH. KoyiH. Computer tomography-guided core biopsies in a county hospital in Sweden: Complication rate and diagnostic yield.Ann. Thorac. Med.20149314915310.4103/1817‑1737.13406924987473
    [Google Scholar]
  34. SachdevaM. RonaghiR. MillsP.K. PetersonM.W. Complications and yield of computed tomography-guided transthoracic core needle biopsy of lung nodules at a high-volume academic center in an endemic coccidioidomycosis area.Lung2016194337938510.1007/s00408‑016‑9866‑326980483
    [Google Scholar]
/content/journals/cmir/10.2174/1573405620666230518143323
Loading
/content/journals/cmir/10.2174/1573405620666230518143323
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test