Chest Computed Tomography (CT) Immediately After CT-guided Transthoracic Needle Aspiration Biopsy As a Predictor of Overt Pneumothorax

Overview

Journal Korean J Intern Med

Specialty General Medicine

Date 2009 Dec 2

PMID 19949733

Citations 8

Authors

Tae June Noh

Chang Hoon Lee

Young Ae Kang

Sung-Youn Kwon

Ho-Il Yoon

Tae Jung Kim

Kyung Won Lee

Jae Ho Lee

Choon-Taek Lee

Affiliations

Soon will be listed here.

Abstract

Background/aims: This study examined the correlation between pneumothorax detected by immediate post-transthoracic needle aspiration-biopsy (TTNB) chest computed tomography (CT) and overt pneumothorax detected by chest PA, and investigated factors that might influence the correlation.

Methods: Adult patients who had undergone CT-guided TTNB for lung lesions from May 2003 to June 2007 at Seoul National University Bundang Hospital were included. Immediate post-TTNB CT and chest PA follow-up at 4 and 16 hours after CT-guided TTNB were performed in 934 patients.

Results: Pneumothorax detected by immediate chest CT (CT-pneumothorax) was found in 237 (25%) and overt pneumothorax was detected by chest PA follow-up in 92 (38.8%) of the 237 patients. However, overt pneumothorax was found in 18 (2.6%) of the 697 patients without CT-pneumothorax. The width and depth of CT-pneumothorax were predictive risk factors for overt pneumothorax.

Conclusions: CT-pneumothorax is very sensitive for predicting overt pneumothorax, and the width and depth on CT-pneumothorax are reliable risk factors for predicting overt pneumothorax.

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