Lung Lesions Biopsy in Children by Computed Tomography (CT) Fluoroscopy Guided Versus Conventional CT Scan Guided

BackgroundComputed tomography (CT)-guided biopsy of the lung is a well-established method of diagnosis. The aim of this study is to determine the success rate of fluoroscopic CT (FCT) and conventional CT (CCT) in needle navigation biopsies from the lung lesions.Materials and MethodsA total of 78 patients were prospectively enrolled to receive CT-guided biopsy with (group I, n=23) or without (group II, n=55) fluoroscopic guidance. The mean age was 13.5, and the outcome measurements were success and complication rate of procedure.ResultsThe success rate was increased in the FCT group (87%) as compared with that of CCT group (80%, p=0.012). The complications (pneumothorax and bleeding) were not significantly different between the two groups (0 versus 8 cases, p=0.097).ConclusionThe obtained results revealed that the FCT facilitates the CT-guided biopsy procedures and it will reduce the complications by allowing real-time visualization of the needle tip from skin entrance to the target point.