Percutaneous low-dose CT-guided lung biopsy with an augmented reality navigation system: validation of the technique on 496 suspected lesions

Eliodoro Faiella; Giulia Frauenfelder; Domiziana Santucci; Giacomo Luppi; Emiliano Schena; Bruno Beomonte Zobel; Rosario Francesco Grasso

doi:10.1016/j.clinimag.2017.11.013

Percutaneous low-dose CT-guided lung biopsy with an augmented reality navigation system: validation of the technique on 496 suspected lesions

Clin Imaging. 2018 May-Jun:49:101-105. doi: 10.1016/j.clinimag.2017.11.013. Epub 2017 Dec 5.

Authors

Eliodoro Faiella¹, Giulia Frauenfelder², Domiziana Santucci³, Giacomo Luppi⁴, Emiliano Schena⁵, Bruno Beomonte Zobel⁶, Rosario Francesco Grasso⁷

Affiliations

¹ Department of Diagnostic and Interventional Radiology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200, 00128 Roma, Italy. Electronic address: e.faiella@unicampus.it.
² Department of Diagnostic and Interventional Radiology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200, 00128 Roma, Italy. Electronic address: g.frauenfelder@unicampus.it.
³ Department of Diagnostic and Interventional Radiology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200, 00128 Roma, Italy. Electronic address: d.santucci@unicampus.it.
⁴ Department of Diagnostic and Interventional Radiology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200, 00128 Roma, Italy. Electronic address: g.luppi@unicampus.it.
⁵ Department of Measurement and Biomedical Instrumentation, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy. Electronic address: e.schena@unicampus.it.
⁶ Department of Diagnostic and Interventional Radiology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200, 00128 Roma, Italy. Electronic address: b.zobel@unicampus.it.
⁷ Department of Diagnostic and Interventional Radiology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200, 00128 Roma, Italy. Electronic address: r.grasso@unicampus.it.

PMID: 29207301
DOI: 10.1016/j.clinimag.2017.11.013

Abstract

Purpose: To validate a CT-navigation system during percutaneous lung biopsy (PLB).

Methods: Four hundred-ninety-six patients underwent low-dose CT-guided PLB. Lesion diameter (LD), procedural time (PT), histologic validity, lesion distance from pleural surface (DPS), needle distance travelled during procedure (DTP), complications and radiation exposure were recorded.

Results: Hysto-patological diagnosis was obtained in 96.2% cases. Mean PT, DPS, DTP, LD were respectively 29.5min, 12.4mm, 17.9mm, 20.7mm. In cases of major complications (4.6%), higher values of DTP were measured.

Conclusions: CT-navigation system allowed a good success in terms of diagnosis in small lesions and when a long DTP is required.

Keywords: Complications; Computed tomography imaging; Low-dose protocol; Navigation system; Percutaneous lung biopsy.

MeSH terms

Aged
Female
Humans
Image-Guided Biopsy / methods*
Lung / diagnostic imaging
Lung / pathology*
Lung Neoplasms / diagnostic imaging
Lung Neoplasms / pathology*
Male
Middle Aged
Tomography, X-Ray Computed / methods*