CT Fluoroscopy-assisted Puncture of Thoracic and Abdominal Masses: A Randomized Trial
PURPOSE: We investigated the benefit of real-time guidance of interventional punctures by means of computed tomography fluoroscopy (CTF) compared with the conventional sequential acquisition guidance. MATERIAL AND METHODS: In a prospective randomized trial, 75 patients underwent either CTF-guided (g...
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| Veröffentlicht in: | Clinical radiology 2002-03, Vol.57 (3), p.188-192 |
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| creator | Kirchner, Johannes Kickuth, Ralph Laufer, Ulf Schilling, Esther Maria Adams, Stephan Liermann, Dieter |
| description | PURPOSE: We investigated the benefit of real-time guidance of interventional punctures by means of computed tomography fluoroscopy (CTF) compared with the conventional sequential acquisition guidance. MATERIAL AND METHODS: In a prospective randomized trial, 75 patients underwent either CTF-guided (group A,n=50) or sequential CT-guided (group B,n=25) punctures of thoracic (n=29) or abdominal (n=46) masses. CTF was performed on the CT machine (Somatom Plus 4 Power, Siemens Corp., Forchheim, Germany) equipped with the C.A.R.E. Vision application (tube voltage 120kV, tube current 50mA, rotational time 0.75s, slice thickness 10mm, 8 frames/s). RESULTS: The average procedure time showed a statistically significant difference between the two study groups (group A: 564s, group B 795s,P=0.0032). The mean total mAs was 7089mAs for the CTF and 4856mAs for the sequential image-guided intervention, respectively. The sensitivity was 71% specificity 100% positive predictive value 100% and negative predictive value 60% for the CTF-guided puncture, and 68, 100, 100 and 50% for sequential CT, respectively. CONCLUSION: CTF guidance realizes a time-saving but increases the radiation exposure dosage .
Kirchner, J. et al. (2002) Clinical Radiology57, 188–192 |
| doi_str_mv | 10.1053/crad.2001.0716 |
| format | Article |
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Kirchner, J. et al. (2002) Clinical Radiology57, 188–192</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1053/crad.2001.0716</identifier><identifier>PMID: 11952312</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Abdominal Neoplasms - diagnostic imaging ; Abdominal Neoplasms - pathology ; Adult ; Aged ; Aged, 80 and over ; Biopsy, Needle - methods ; computed tomography ; CT fluoroscopy ; Female ; Fluoroscopy - methods ; guidance ; Humans ; intervention ; Male ; Middle Aged ; Prospective Studies ; Radiography, Interventional - methods ; real-time imaging ; Thoracic Neoplasms - diagnostic imaging ; Thoracic Neoplasms - pathology ; Tomography, X-Ray Computed - methods</subject><ispartof>Clinical radiology, 2002-03, Vol.57 (3), p.188-192</ispartof><rights>2002 The Royal College of Radiologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-bb51beb87f53c65a171ce6f00b75e72d36b8718eed1e827575a14ae7cac604e3</citedby><cites>FETCH-LOGICAL-c406t-bb51beb87f53c65a171ce6f00b75e72d36b8718eed1e827575a14ae7cac604e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0009926001907160$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11952312$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kirchner, Johannes</creatorcontrib><creatorcontrib>Kickuth, Ralph</creatorcontrib><creatorcontrib>Laufer, Ulf</creatorcontrib><creatorcontrib>Schilling, Esther Maria</creatorcontrib><creatorcontrib>Adams, Stephan</creatorcontrib><creatorcontrib>Liermann, Dieter</creatorcontrib><title>CT Fluoroscopy-assisted Puncture of Thoracic and Abdominal Masses: A Randomized Trial</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>PURPOSE: We investigated the benefit of real-time guidance of interventional punctures by means of computed tomography fluoroscopy (CTF) compared with the conventional sequential acquisition guidance. MATERIAL AND METHODS: In a prospective randomized trial, 75 patients underwent either CTF-guided (group A,n=50) or sequential CT-guided (group B,n=25) punctures of thoracic (n=29) or abdominal (n=46) masses. CTF was performed on the CT machine (Somatom Plus 4 Power, Siemens Corp., Forchheim, Germany) equipped with the C.A.R.E. Vision application (tube voltage 120kV, tube current 50mA, rotational time 0.75s, slice thickness 10mm, 8 frames/s). RESULTS: The average procedure time showed a statistically significant difference between the two study groups (group A: 564s, group B 795s,P=0.0032). The mean total mAs was 7089mAs for the CTF and 4856mAs for the sequential image-guided intervention, respectively. The sensitivity was 71% specificity 100% positive predictive value 100% and negative predictive value 60% for the CTF-guided puncture, and 68, 100, 100 and 50% for sequential CT, respectively. CONCLUSION: CTF guidance realizes a time-saving but increases the radiation exposure dosage .
Kirchner, J. et al. (2002) Clinical Radiology57, 188–192</description><subject>Abdominal Neoplasms - diagnostic imaging</subject><subject>Abdominal Neoplasms - pathology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biopsy, Needle - methods</subject><subject>computed tomography</subject><subject>CT fluoroscopy</subject><subject>Female</subject><subject>Fluoroscopy - methods</subject><subject>guidance</subject><subject>Humans</subject><subject>intervention</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Radiography, Interventional - methods</subject><subject>real-time imaging</subject><subject>Thoracic Neoplasms - diagnostic imaging</subject><subject>Thoracic Neoplasms - pathology</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFL7DAQh4Moz1Xf1aPk5K1rJm2a1tuyuO8JPp5IhXcLaTLFSLdZk1bQv_6l7IInT8PMfPOD-Qi5BLYEJvIbE7RdcsZgySSUR2QBeSkyzut_x2TBGKuzmpfslJzF-Dq3BS9-kFOAWvAc-II8rxu66ScffDR-95HpGF0c0dLHaTDjFJD6jjYvPmjjDNWDpavW-q0bdE__JBjjLV3Rp7RIw8901wSn-wty0uk-4s9DPSfN5q5Z_84e_v66X68eMlOwcszaVkCLbSU7kZtSaJBgsOwYa6VAyW1eph1UiBaw4lLIhBQapdGmZAXm5-R6H7sL_m3COKqtiwb7Xg_op6gkiLqqARK43IMm_RkDdmoX3FaHDwVMzR7V7FHNHtXsMR1cHZKndov2Cz-IS0C1BzC99-4wqGgcDgatC2hGZb37Lvs_px2Bqw</recordid><startdate>20020301</startdate><enddate>20020301</enddate><creator>Kirchner, Johannes</creator><creator>Kickuth, Ralph</creator><creator>Laufer, Ulf</creator><creator>Schilling, Esther Maria</creator><creator>Adams, Stephan</creator><creator>Liermann, Dieter</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020301</creationdate><title>CT Fluoroscopy-assisted Puncture of Thoracic and Abdominal Masses: A Randomized Trial</title><author>Kirchner, Johannes ; Kickuth, Ralph ; Laufer, Ulf ; Schilling, Esther Maria ; Adams, Stephan ; Liermann, Dieter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-bb51beb87f53c65a171ce6f00b75e72d36b8718eed1e827575a14ae7cac604e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Abdominal Neoplasms - diagnostic imaging</topic><topic>Abdominal Neoplasms - pathology</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biopsy, Needle - methods</topic><topic>computed tomography</topic><topic>CT fluoroscopy</topic><topic>Female</topic><topic>Fluoroscopy - methods</topic><topic>guidance</topic><topic>Humans</topic><topic>intervention</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Radiography, Interventional - methods</topic><topic>real-time imaging</topic><topic>Thoracic Neoplasms - diagnostic imaging</topic><topic>Thoracic Neoplasms - pathology</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kirchner, Johannes</creatorcontrib><creatorcontrib>Kickuth, Ralph</creatorcontrib><creatorcontrib>Laufer, Ulf</creatorcontrib><creatorcontrib>Schilling, Esther Maria</creatorcontrib><creatorcontrib>Adams, Stephan</creatorcontrib><creatorcontrib>Liermann, Dieter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kirchner, Johannes</au><au>Kickuth, Ralph</au><au>Laufer, Ulf</au><au>Schilling, Esther Maria</au><au>Adams, Stephan</au><au>Liermann, Dieter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CT Fluoroscopy-assisted Puncture of Thoracic and Abdominal Masses: A Randomized Trial</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>2002-03-01</date><risdate>2002</risdate><volume>57</volume><issue>3</issue><spage>188</spage><epage>192</epage><pages>188-192</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><abstract>PURPOSE: We investigated the benefit of real-time guidance of interventional punctures by means of computed tomography fluoroscopy (CTF) compared with the conventional sequential acquisition guidance. MATERIAL AND METHODS: In a prospective randomized trial, 75 patients underwent either CTF-guided (group A,n=50) or sequential CT-guided (group B,n=25) punctures of thoracic (n=29) or abdominal (n=46) masses. CTF was performed on the CT machine (Somatom Plus 4 Power, Siemens Corp., Forchheim, Germany) equipped with the C.A.R.E. Vision application (tube voltage 120kV, tube current 50mA, rotational time 0.75s, slice thickness 10mm, 8 frames/s). RESULTS: The average procedure time showed a statistically significant difference between the two study groups (group A: 564s, group B 795s,P=0.0032). The mean total mAs was 7089mAs for the CTF and 4856mAs for the sequential image-guided intervention, respectively. The sensitivity was 71% specificity 100% positive predictive value 100% and negative predictive value 60% for the CTF-guided puncture, and 68, 100, 100 and 50% for sequential CT, respectively. CONCLUSION: CTF guidance realizes a time-saving but increases the radiation exposure dosage .
Kirchner, J. et al. (2002) Clinical Radiology57, 188–192</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>11952312</pmid><doi>10.1053/crad.2001.0716</doi><tpages>5</tpages></addata></record> |
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| subjects | Abdominal Neoplasms - diagnostic imaging Abdominal Neoplasms - pathology Adult Aged Aged, 80 and over Biopsy, Needle - methods computed tomography CT fluoroscopy Female Fluoroscopy - methods guidance Humans intervention Male Middle Aged Prospective Studies Radiography, Interventional - methods real-time imaging Thoracic Neoplasms - diagnostic imaging Thoracic Neoplasms - pathology Tomography, X-Ray Computed - methods |
| title | CT Fluoroscopy-assisted Puncture of Thoracic and Abdominal Masses: A Randomized Trial |
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