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Yan GW, Bhetuwal A, Yan GW, et al. A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules. Pol J Radiol. 2017;82:152-160doi: 10.12659/PJR.899626.
Yan, G. W., Bhetuwal, A., Yan, G. W., Sun, Q. Q., Niu, X. K., Zhou, Y., Li, L. F., Li, B. Z., Zeng, H., Zhang, C., Li, B., Xu, X. X., Yang, H. F., & Du, Y. (2017). A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules. Polish journal of radiology, 82152-160. https://doi.org/10.12659/PJR.899626
Yan, Gao-Wu, et al. "A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules." Polish journal of radiology vol. 82 (2017): 152-160. doi: https://doi.org/10.12659/PJR.899626
Yan GW, Bhetuwal A, Yan GW, Sun QQ, Niu XK, Zhou Y, Li LF, Li BZ, Zeng H, Zhang C, Li B, Xu XX, Yang HF, Du Y. A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules. Pol J Radiol. 2017 Mar 19;82:152-160. doi: 10.12659/PJR.899626. eCollection 2017. PMID: 28392852; PMCID: PMC5370428.
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Pol J Radiol. 2017 Mar 19;82:152-160. doi: 10.12659/PJR.899626. eCollection 2017.

A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules.

Polish journal of radiology

Gao-Wu Yan, Anup Bhetuwal, Gao-Wen Yan, Qin-Quan Sun, Xiang-Ke Niu, Yu Zhou, Li-Fa Li, Bin-Zhong Li, Hao Zeng, Chuan Zhang, Bing Li, Xiao-Xue Xu, Han-Feng Yang, Yong Du

Affiliations

  1. Sichuan Key Laboratory of Medical Imaging and Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, P.R. China.
  2. Department of Radiology, The First People's Hospital of Suining City, Suining, Sichuan, P.R. China.
  3. Department of Radiology, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, P.R. China.
  4. Department of Cardio-Thoracic Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, P.R. China.
  5. Department of Gastrointestinal of Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, P.R. China.
  6. School of Basic Medical Sciences, North Sichuan Medical College, Nanchong, Sichuan, P.R. China.
  7. Department of Radiology, Suining Central Hospital, Suining, Sichuan, P.R. China.

PMID: 28392852 PMCID: PMC5370428 DOI: 10.12659/PJR.899626

Abstract

BACKGROUND: A systematic review and meta-analysis of all available publications was performed to evaluate the diagnostic accuracy of percutaneous transthoracic needle biopsy (PTNB) using a C-Arm Cone-Beam CT (CBCT) system in patients with lung nodules.

MATERIAL/METHODS: Thedatabases of PUBMED, OVID, EBSCO, EMBASE, and China National Knowledge Infrastructure (CNKI) were systematically searched for relevant original articles on the diagnostic accuracy of CBCT-guided PTNB for the diagnosis of nodules in the lungs. Diagnostic indices including sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR) and diagnostic score (DS) were calculated. Moreover,summary receiver operating characteristic curves (SROC) were constructed with Stata (version 13.0), Rev Man (version 5.3), and Meta-disc (version 1.4) software. Other clinical indices such as incidence of complications were also recorded.

RESULTS: Eight studies met the inclusion and exclusion criteria for the meta-analysis. The pooled sensitivity, specificity, PLR, NLR, DOR, DS, and SROC with 95% confidence intervals were 0.96 (0.93-0.98), 1.00 (0.91-1.00), 711.15 (9.48-53325.89), 0.04 (0.02-0.07), 16585.29 (284.88-9.7e+05), 9.72 (5.65-13.78), and 0.99 (0.97-0.99), respectively. The incidence of pneumothorax and hemorrhage was 10-29.27% and 1.22-47.25%, respectively.

CONCLUSIONS: CBCT-guided PTNB has an acceptable rate of complications and is associated with a reasonable radiation exposure. Moreover, it is a highly accurate and safe technique for the diagnosis of lung nodules and can be recommended to be used in routine clinical practice.

Keywords: Biopsy; Cone-Beam Computed Tomography; Lung; Review

Conflict of interest statement

Conflict of interest The authors declare that there is no conflict of interest.

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