Computed Tomography Fluoroscopy–Guided Versus Conventional Computed Tomography–Guided Lung Biopsy: A Systematic Review and Meta-analysis

This study aimed to compare the feasibility, safety, diagnostic accuracy, and radiation dose between computed tomography (CT) fluoroscopy (CTF)–guided and conventional CT (CCT)–guided lung biopsy. Methods Relevant articles up until February 2020 were identified within the PubMed, Embase, and Cochrane Library databases. Diagnostic accuracy rate, pneumothorax, and pneumothorax requiring chest tube served as primary end points, with technical success, hemoptysis, operative time, and radiation dose serving as secondary end points. Pooled odds ratios (ORs) were calculated for the dichotomous variables. Pooled estimates of the mean difference (MD) were measured for the continuous variables. Results This meta-analysis included 9 studies. Seven studies were retrospective, and 2 studies were randomized controlled trials. A total of 6998 patients underwent either CTF-guided (n = 3858) or CCT-guided (n = 3154) lung biopsy. The diagnostic accuracy rate was significantly higher in the CTF group compared with the CCT group (OR, 0.32; P
Source: Journal of Computer Assisted Tomography - Category: Radiology Tags: CARDIOTHORACIC AND BREAST IMAGING Source Type: research