Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions
INTRODUCTION: Pulmonary lesions in peripheral lung are considered as Peripheral pulmonary lesions(PPL).Diagnosis of PPL is important because it can be malignant nature.Diagnosis of PPL has limited sensitivity in the absence of a target-guiding tool in the bronchial labyrinth.Multiplanar reconstructi...
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| Format: | Article |
| Language: | English |
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Van Yuzuncu Yil University, School of Medicine
2022-07-01
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| Series: | Van Tıp Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-26443 |
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| author | Esma Gezer Pekyen Bünyamin Sertoğullarından |
| author_facet | Esma Gezer Pekyen Bünyamin Sertoğullarından |
| author_sort | Esma Gezer Pekyen |
| collection | DOAJ |
| description | INTRODUCTION: Pulmonary lesions in peripheral lung are considered as Peripheral pulmonary lesions(PPL).Diagnosis of PPL is important because it can be malignant nature.Diagnosis of PPL has limited sensitivity in the absence of a target-guiding tool in the bronchial labyrinth.Multiplanar reconstruction images created with thin multi-slice imaging of computed tomography(CT) have started to be used as an alternative guide for bronchoscopy of PPL.In this study, we aimed to examine the diagnostic efficiency of the guidance of multiplanar reconstruction images for PPL diagnosis. METHODS: Patients have PPL who underwent a bronchoscopic brush biopsy by gidance of multiplanar reconstruction thin images on thorax CT scans were retrospectively analyzed.The distance of the lesion to the distal bronchus,presence of bronchial association and location and size of PPL were recorded from hospital image archive system.The diagnostic rate was recorded from the procedure record unit. RESULTS: The study was conducted with 92 cases.The mean size of PPL was 40+-21 mm, and the average distal bronchial lesion distance was 27+-19 mm.Bronchial association was found in 49(53.3%) patients. The diagnostic yield of the method was 48.9%.Diagnostic rate in patients with bronchial association(67.3%) was found to be significantly higher than those without(26.7%)(p=0.001).In logistic regression analysis, the factors affecting the diagnosis were distal bronchial lesion distance, presence of bronchial association and localization of the lesion. DISCUSSION AND CONCLUSION: The guidance of thin multi-slice CT reconstruction images for PPL diagnosis can be easily performed in patients with PPL that over 20 mm and have bronchial association in centers where there is no interventional radiology unit and other guidance tools. |
| first_indexed | 2024-03-09T07:14:56Z |
| format | Article |
| id | doaj.art-1222765c2d5249cc86a146a37e257a06 |
| institution | Directory Open Access Journal |
| issn | 2587-0351 |
| language | English |
| last_indexed | 2024-03-09T07:14:56Z |
| publishDate | 2022-07-01 |
| publisher | Van Yuzuncu Yil University, School of Medicine |
| record_format | Article |
| series | Van Tıp Dergisi |
| spelling | doaj.art-1222765c2d5249cc86a146a37e257a062023-12-03T08:30:56ZengVan Yuzuncu Yil University, School of MedicineVan Tıp Dergisi2587-03512022-07-0129332032610.5505/vtd.2022.26443VTD-26443Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary LesionsEsma Gezer Pekyen0Bünyamin Sertoğullarından1Islahiye State Hospital, Chest Diseases, GaziantepKatip Celebi University Medical Faculty Department of Pulmonary Critical Care and Sleep Medicine, IzmirINTRODUCTION: Pulmonary lesions in peripheral lung are considered as Peripheral pulmonary lesions(PPL).Diagnosis of PPL is important because it can be malignant nature.Diagnosis of PPL has limited sensitivity in the absence of a target-guiding tool in the bronchial labyrinth.Multiplanar reconstruction images created with thin multi-slice imaging of computed tomography(CT) have started to be used as an alternative guide for bronchoscopy of PPL.In this study, we aimed to examine the diagnostic efficiency of the guidance of multiplanar reconstruction images for PPL diagnosis. METHODS: Patients have PPL who underwent a bronchoscopic brush biopsy by gidance of multiplanar reconstruction thin images on thorax CT scans were retrospectively analyzed.The distance of the lesion to the distal bronchus,presence of bronchial association and location and size of PPL were recorded from hospital image archive system.The diagnostic rate was recorded from the procedure record unit. RESULTS: The study was conducted with 92 cases.The mean size of PPL was 40+-21 mm, and the average distal bronchial lesion distance was 27+-19 mm.Bronchial association was found in 49(53.3%) patients. The diagnostic yield of the method was 48.9%.Diagnostic rate in patients with bronchial association(67.3%) was found to be significantly higher than those without(26.7%)(p=0.001).In logistic regression analysis, the factors affecting the diagnosis were distal bronchial lesion distance, presence of bronchial association and localization of the lesion. DISCUSSION AND CONCLUSION: The guidance of thin multi-slice CT reconstruction images for PPL diagnosis can be easily performed in patients with PPL that over 20 mm and have bronchial association in centers where there is no interventional radiology unit and other guidance tools.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-26443computed tomographylung cancerperipheral pulmonary lesion |
| spellingShingle | Esma Gezer Pekyen Bünyamin Sertoğullarından Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions Van Tıp Dergisi computed tomography lung cancer peripheral pulmonary lesion |
| title | Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions |
| title_full | Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions |
| title_fullStr | Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions |
| title_full_unstemmed | Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions |
| title_short | Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions |
| title_sort | diagnostic role of bronchoscopic brush biopsy guided by thin section computed tomography in peripheral pulmonary lesions |
| topic | computed tomography lung cancer peripheral pulmonary lesion |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-26443 |
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