%0 Journal Article
%T Diagnostic Accuracy and Complication Rates of Fusion Images Created Using Real-Time Ultrasound with CT for Identification of Peripheral Lung Lesions in Patients Undergoing Biopsy
%A Rinpei Imamine
%A Hisato Kobayashi
%A Keizo Akuta
%A Mitsuru Matsuki
%A Hiroyoshi Isoda
%A Kaori Togashi
%J Open Journal of Radiology
%P 36-47
%@ 2164-3032
%D 2019
%I Scientific Research Publishing
%R 10.4236/ojrad.2019.91004
%X <em>Background:</em> Fusion image improves lesion detectability and can be an effective tool for percutaneous ultrasound (US)-guide procedure. We describe the clinical benefit of US-guided lung biopsy using fusion image. <em>Purpose:</em> To retrospectively compare the diagnostic accuracy and complication rates of US-guided lung biopsy with B-mode alone and those of a fusion image created using real-time US and computed tomography (CT). <em>Materials and Methods:</em> Between September, 2013 and September, 2016, 50 peripheral lung lesions in 50 patients (40 males, 10 females; median, 74 years old) were performed by US-guided percutaneous cutting needle biopsy using the B-mode alone or fusion image. Final diagnoses were based on surgical outcomes or clinical follow-up results for at least 12 months after biopsy. To assess prebiopsy characteristics, all lesions were divided into two groups: group 1 (identification on B-mode) and group 2 (identification on fusion image). <em>Results:</em> Of 50 peripheral lesions, 40 lesions (80%) were detected by means of B-mode alone (group 1), and 10 lesions (20%) were identified by fusion image (group 2). The diagnostic accuracy of group 1 was 90% (36/40 lesions), and the diagnostic accuracy of group 2 was 100% (10/10 lesions). Nodule type and the size of the lesions showed significant group wise differences (p &lt; 0.001 and p = 0.02, respectively). Pneumothorax occurred immediately after the first puncture in five of 50 (10%) lesions, with no symptom development in all patients. <em>Conclusion:</em> Fusion images created using real-time US and CT may be useful for identification of the minimal size of potential target lung lesions and may be more suitable for improved yields with US-guided lung biopsy.
%K Ultrasound
%K Fusion Image
%K US-Guided Lung Biopsy
%K Diagnostic Accuracy
%K Safety
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=90188