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Does biopsy needle traversing through central portion of lesion increase the risk of hemoptysis during percutaneous transthoracic needle biopsy?

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Abstract

Purpose

To evaluate whether traversal through the central part of a pulmonary lesion by a biopsy needle, and other factors, increases the risk of hemoptysis in patients undergoing CT-guided percutaneous transthoracic needle biopsy (PTNB).

Materials and methods

From July 2012 to November 2016, 227 patients undergoing 233 procedures were recruited as our study population. Patients were classified according to the occurrence of hemoptysis. Radiological assessments were performed by reviewing multiplanar reconstructed CT images. Other factors complicating PTNB-related hemoptysis were classified into (1) patient-related variables: age, gender, presence of emphysema; (2) lesion-related variables: size, location, distance to pleura, characteristics, presence of and degree of enhancement, histopathology of biopsy results; and (3) procedure-related variables: lesion depth, patient’s body position.

Results

Twenty-two cases (9.4%) experienced hemoptysis. Univariate analysis revealed that subsolid lesions (p = 0.031) and lesion depth > 1 cm (p = 0.049) were risk factors. Traversal through the central part of the lesion by the biopsy needle was not a risk factor.

Conclusion

Traversal through the central part of the lesion by the biopsy needle is not a risk factor of PTNB-related hemoptysis, but subsolid lesions and lesion depth > 1 cm increase the risk of hemoptysis.

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Acknowledgements

The authors thank Fang-Ju Sun at MacKay Junior College of Medicine and MacKay Memorial Hospital for providing advice for the statistical analysis of the project data, and here we declare that no payment was received for this assistance.

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Authors and Affiliations

  1. Department of Radiology, Mackay Memorial Hospital, Taipei Branch, No. 92, Sec. 2, Zhongshan N. Rd., Taipei, 10449, Taiwan

    Chia-Hung Chen, Wei-Ming Huang, Shih-Hsuan Liang, Zong-Yi Jhou, Chien-Wen Chen, Yu-Chan Chien, Hui-Chen Lin, Chih-Hsin Wang, Chun-Chao Huang, Wei-Ni Liao & Chung-Yao Huang

  2. Department of Medicine, Mackay Medical College, Taipei, Taiwan

    Chia-Hung Chen, Wei-Ming Huang, Shih-Hsuan Liang, Zong-Yi Jhou, Chien-Wen Chen, Yu-Chan Chien, Hui-Chen Lin, Chih-Hsin Wang, Chun-Chao Huang, Wei-Ni Liao & Chung-Yao Huang

  3. Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan

    Chia-Hung Chen, Wei-Ming Huang, Shih-Hsuan Liang, Zong-Yi Jhou, Chien-Wen Chen, Yu-Chan Chien, Hui-Chen Lin, Chih-Hsin Wang, Chun-Chao Huang, Wei-Ni Liao & Chung-Yao Huang

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  1. Chia-Hung Chen
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  2. Wei-Ming Huang
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  9. Chun-Chao Huang
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  11. Chung-Yao Huang
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Corresponding authors

Correspondence to Wei-Ni Liao or Chung-Yao Huang.

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Cite this article

Chen, CH., Huang, WM., Liang, SH. et al. Does biopsy needle traversing through central portion of lesion increase the risk of hemoptysis during percutaneous transthoracic needle biopsy?. Jpn J Radiol 36, 231–237 (2018). https://doi.org/10.1007/s11604-018-0719-2

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  • DOI: https://doi.org/10.1007/s11604-018-0719-2

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