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CT-Guided Transthoracic Needle Aspiration Biopsy of Small (<= 20 mm) Solitary Pulmonary Nodules

Yoshiharu Ohno1, Hiroto Hatabu2, Daisuke Takenaka1, Takanori Higashino1, Hirokazu Watanabe1, Chiho Ohbayashi3 and Kazuro Sugimura1

1 Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan.
2 Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02115.
3 Division of Pathology, Kobe University Hospital, 7-5-2 Kusanoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan.



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Fig. 1A. 78-year-old woman with adenocarcinoma in right upper lobe diagnosed at conventional CT-guided biopsy (conventional method). CT images were obtained with radiopaque grid. Puncture point was determined after measuring distance from skin surface to pleura (distance between a and b), needle path length (distance between b and c), and smallest angle between pleura and needle ({alpha}) on cathode-ray tube monitor of imager.

 


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Fig. 1B. 78-year-old woman with adenocarcinoma in right upper lobe diagnosed at conventional CT-guided biopsy (conventional method). CT images were obtained with radiopaque grid. Initial puncture was performed without penetrating pleura. CT images were obtained to check course of biopsy needle.

 


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Fig. 1C. 78-year-old woman with adenocarcinoma in right upper lobe diagnosed at conventional CT-guided biopsy (conventional method). CT images were obtained with radiopaque grid. When solitary pulmonary nodule was penetrated, needle tip was checked and aspiration or histologic specimen was obtained.

 

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