Clinical Value of an Electromagnetic Navigation System for CT-guided Percutaneous Lung Biopsy of Peripheral Lung Lesions

Overview

Journal J Thorac Dis

Publisher AME Publishing Company

Specialty Pulmonary Medicine

Date 2021 Sep 16

PMID 34527327

Citations 2

Authors

Yao Zhang

Haozhe Huang

Shuhui Cao

Jiajun Teng

Yue Wang

Xuxinyi Ling

Yan Zhou

Jianlin Xu

Wentao Li

Hua Zhong

Affiliations

Soon will be listed here.

Abstract

Background: The purpose of this study was to retrospectively evaluate the clinical value of an electromagnetic navigation system for CT-guided percutaneous lung biopsy of peripheral lung lesions.

Methods: This was a retrospective study. Patients with peripheral lung lesions in our institution between January 2019 and December 2020, who underwent lung biopsy assisted by the electromagnetic navigation system were included in Group A, and those who underwent lung biopsy using conventional CT-guided percutaneous lung biopsy were included in Group B. The general features and clinical and technical information of each patient were collected and evaluated in both groups.

Results: A total of 141 patients were included in Group A (78 males and 63 females; median age, 65 years; range, 32-79 years), and 96 patients were included in group B (57 males and 39 females; median age, 65 years; range, 34-80 years). The technical success rate was 100% in both groups. The technical efficacy rate was 92.9% and 90.6% in Groups A and B (P=0.525), respectively. There was no significant difference in surgical time and the number of CT scans between the two groups, and only grade 1-2 complications occurred in the patients.

Conclusions: The electromagnetic navigation system is an effective and safe auxiliary tool for CT-guided percutaneous lung biopsy of peripheral lung lesions.

Citing Articles

Deep-learning based electromagnetic navigation system for transthoracic percutaneous puncture of small pulmonary nodules.

Peng M, Fan X, Hu Q, Mei X, Wang B, Wu Z Sci Rep. 2025; 15(1):2547.

PMID: 39833245 PMC: 11747146. DOI: 10.1038/s41598-025-85209-6.

Navigation of video-assisted thoracoscopic surgery using electromagnetic versus CT-guided localization (NOVEL): a study protocol for comparing procedural success and complication rates in a prospective, multicenter, randomized controlled,....

Xie J, Han D, Zhou Y, Huang B, Ge C, Seguin-Givelet A Transl Lung Cancer Res. 2024; 13(10):2838-2846.

PMID: 39507042 PMC: 11535833. DOI: 10.21037/tlcr-24-641.

Optical navigation robot-assisted puncture system for accurate lung nodule biopsy: an animal study.

Li J, Su L, Liu J, Peng Q, Xu R, Cui W Quant Imaging Med Surg. 2023; 13(12):7789-7801.

PMID: 38106300 PMC: 10722077. DOI: 10.21037/qims-23-576.

References

Yarmus L, Arias S, Feller-Kopman D, Semaan R, Wang K, Frimpong B . Electromagnetic navigation transthoracic needle aspiration for the diagnosis of pulmonary nodules: a safety and feasibility pilot study. J Thorac Dis. 2016; 8(1):186-94. PMC: 4740165. DOI: 10.3978/j.issn.2072-1439.2016.01.47. View

Wu C, Maher M, Shepard J . Complications of CT-guided percutaneous needle biopsy of the chest: prevention and management. AJR Am J Roentgenol. 2011; 196(6):W678-82. DOI: 10.2214/AJR.10.4659. View

Nakatani M, Tanigawa N, Kariya S, Komemushi A, Yagi R, Sawada S . Analysis of factors influencing accuracy and complications in CT-guided lung biopsy. Minim Invasive Ther Allied Technol. 2012; 21(6):415-22. DOI: 10.3109/13645706.2012.662155. View

Grand D, Atalay M, Cronan J, Mayo-Smith W, Dupuy D . CT-guided percutaneous lung biopsy: comparison of conventional CT fluoroscopy to CT fluoroscopy with electromagnetic navigation system in 60 consecutive patients. Eur J Radiol. 2011; 79(2):e133-6. DOI: 10.1016/j.ejrad.2011.05.030. View

Wood B, Locklin J, Viswanathan A, Kruecker J, Haemmerich D, Cebral J . Technologies for guidance of radiofrequency ablation in the multimodality interventional suite of the future. J Vasc Interv Radiol. 2007; 18(1 Pt 1):9-24. PMC: 2555973. DOI: 10.1016/j.jvir.2006.10.013. View

Kauczor H, Baird A, Blum T, Bonomo L, Bostantzoglou C, Burghuber O . ESR/ERS statement paper on lung cancer screening. Eur Radiol. 2020; 30(6):3277-3294. DOI: 10.1007/s00330-020-06727-7. View

Santos R, Gupta A, Ebright M, Desimone M, Steiner G, Estrada M . Electromagnetic navigation to aid radiofrequency ablation and biopsy of lung tumors. Ann Thorac Surg. 2010; 89(1):265-8. DOI: 10.1016/j.athoracsur.2009.06.006. View

Hirsch F, Scagliotti G, Mulshine J, Kwon R, Curran Jr W, Wu Y . Lung cancer: current therapies and new targeted treatments. Lancet. 2016; 389(10066):299-311. DOI: 10.1016/S0140-6736(16)30958-8. View

Wiener R, Schwartz L, Woloshin S, Welch H . Population-based risk for complications after transthoracic needle lung biopsy of a pulmonary nodule: an analysis of discharge records. Ann Intern Med. 2011; 155(3):137-44. PMC: 3150964. DOI: 10.7326/0003-4819-155-3-201108020-00003. View

10.

Tuna T, Ozkaya S, Dirican A, Findik S, Atici A, Erkan L . Diagnostic efficacy of computed tomography-guided transthoracic needle aspiration and biopsy in patients with pulmonary disease. Onco Targets Ther. 2013; 6:1553-7. PMC: 3821791. DOI: 10.2147/OTT.S45013. View

11.

Andersen F, Degn K, Rasmussen T . Electromagnetic navigation bronchoscopy for lung nodule evaluation. Patient selection, diagnostic variables and safety. Clin Respir J. 2020; 14(6):557-563. DOI: 10.1111/crj.13168. View

12.

Attivissimo F, Lanzolla A, Carlone S, Larizza P, Brunetti G . A novel electromagnetic tracking system for surgery navigation. Comput Assist Surg (Abingdon). 2018; 23(1):42-52. DOI: 10.1080/24699322.2018.1529199. View

13.

Drumm O, Joyce E, de Blacam C, Gleeson T, Kavanagh J, Mccarthy E . CT-guided Lung Biopsy: Effect of Biopsy-side Down Position on Pneumothorax and Chest Tube Placement. Radiology. 2019; 292(1):190-196. DOI: 10.1148/radiol.2019182321. View

14.

Gupta S, Wallace M, Cardella J, Kundu S, Miller D, Rose S . Quality improvement guidelines for percutaneous needle biopsy. J Vasc Interv Radiol. 2010; 21(7):969-75. DOI: 10.1016/j.jvir.2010.01.011. View

15.

Hiraki T, Mimura H, Gobara H, Shibamoto K, Inoue D, Matsui Y . Incidence of and risk factors for pneumothorax and chest tube placement after CT fluoroscopy-guided percutaneous lung biopsy: retrospective analysis of the procedures conducted over a 9-year period. AJR Am J Roentgenol. 2010; 194(3):809-14. DOI: 10.2214/AJR.09.3224. View

16.

Heerink W, de Bock G, de Jonge G, Groen H, Vliegenthart R, Oudkerk M . Complication rates of CT-guided transthoracic lung biopsy: meta-analysis. Eur Radiol. 2016; 27(1):138-148. PMC: 5127875. DOI: 10.1007/s00330-016-4357-8. View

17.

Grasso R, Faiella E, Luppi G, Schena E, Giurazza F, Del Vescovo R . Percutaneous lung biopsy: comparison between an augmented reality CT navigation system and standard CT-guided technique. Int J Comput Assist Radiol Surg. 2013; 8(5):837-48. DOI: 10.1007/s11548-013-0816-8. View

18.

Folch E, Bowling M, Gildea T, Hood K, Murgu S, Toloza E . Design of a prospective, multicenter, global, cohort study of electromagnetic navigation bronchoscopy. BMC Pulm Med. 2016; 16(1):60. PMC: 4845335. DOI: 10.1186/s12890-016-0228-y. View

19.

Bray F, Ferlay J, Soerjomataram I, Siegel R, Torre L, Jemal A . Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018; 68(6):394-424. DOI: 10.3322/caac.21492. View

20.

Mehta A, Hood K, Schwarz Y, Solomon S . The Evolutional History of Electromagnetic Navigation Bronchoscopy: State of the Art. Chest. 2018; 154(4):935-947. DOI: 10.1016/j.chest.2018.04.029. View