AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kinoshita, F.
Right arrow Articles by Ogawa, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kinoshita, F.
Right arrow Articles by Ogawa, T.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Hotlight (NEW!)
Right arrow
What's Hotlight?

CT-Guided Transthoracic Needle Biopsy Using a Puncture Site-Down Positioning Technique

Fumiko Kinoshita1,2, Takashi Kato3, Kimihiko Sugiura1, Masamichi Nishimura4, Toshibumi Kinoshita1, Masayuki Hashimoto1, Toshio Kaminoh1 and Toshihide Ogawa1

1 Division of Radiology, Department of Pathophysiological and Therapeutic Science, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori 683-8506, Japan.
2 Department of Radiology, Matsue National Hospital, Matsue, Shimane, Japan.
3 Kato Clinic, Yonago, Tottori, Japan.
4 Clinical Laboratory, Hamada Medical Center, Hamada, Shimane, Japan.


Figure 1
View larger version (110K):

[in a new window]
  		Fig. 1A —Equipment for puncture site-down technique. Photograph shows supporting bed constructed for puncture site-down technique.

 

Figure 2
View larger version (23K):

[in a new window]
  		Fig. 1B —Equipment for puncture site-down technique. Drawing shows supporting bed with patient in position for biopsy, Velcro straps, biopsy needle, and needle holder.

 

Figure 3
View larger version (87K):

[in a new window]
  		Fig. 1C —Equipment for puncture site-down technique. Photograph shows 10 cm by 10 cm puncture window (PW) and biopsy needle in needle holder attached under puncture window, which slides horizontally in all directions and its angle can also be changed (arrows).

 

Figure 4
View larger version (190K):

[in a new window]
  		Fig. 2A —74-year-old man with primary lung cancer. Transverse high-resolution CT scan obtained before biopsy with patient in spine position shows right upper lobe mass at depth of 3 cm from pleura surface.

 

Figure 5
View larger version (127K):

[in a new window]
  		Fig. 2B —74-year-old man with primary lung cancer. CT scan obtained before biopsy with patient in right lateral decubitus position shows mass has shifted to puncture site and is at depth of 2 cm from pleura surface. Skin and subcutaneous tissue are fixed in puncture window due to patient's body weight.

 

Figure 6
View larger version (126K):

[in a new window]
  		Fig. 2C —74-year-old man with primary lung cancer. Biopsy gun was advanced to margin of lesion and fired. Note that needle holder keeps automated cutting needle in place.

 

Figure 7
View larger version (167K):

[in a new window]
  		Fig. 2D —74-year-old man with primary lung cancer. No pneumothorax was observed on CT scan obtained after biopsy. Minimal parenchymal bleeding after biopsy was visible surrounding needle track.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2006 by the American Roentgen Ray Society.