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Transbronchial Biopsy Guided by Low-Dose MDCT: A New Approach for Assessment of Solitary Pulmonary Nodules

Christoph M. Heyer1, Thomas Kagel1, Stefan P. Lemburg1, Joerg W. Walter2, Justus de Zeeuw2, Klaus Junker3, Klaus-Michael Mueller3, Volkmar Nicolas1 and Torsten T. Bauer2

1 Institute of Diagnostic Radiology, Interventional Radiology and Nuclear Medicine, BG Clinics "Bergmannsheil," Buerkle-de-la Camp Platz 1, Ruhr-University of Bochum, Bochum D-44791, Germany.
2 Department of Pneumology, Allergology, and Sleep Medicine, Medical Clinic III, BG Clinics "Bergmannsheil," Ruhr-University of Bochum, Bochum, Germany.
3 Institute of Pathology, BG Clinics "Bergmannsheil," Ruhr-University of Bochum, Bochum, Germany.


Figure 1
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  		Fig. 1 —Fiberoptic tracheobronchoscopy and forceps biopsy are performed after ensuring correct position by acquisition of control CT scans.

 

Figure 2
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  		Fig. 2 —Photograph shows CT and bronchoscopy monitors in examination room during preparation of biopsy procedure.

 

Figure 3
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  		Fig. 3 —CT scan of 73-year-old man (patient 24 in Table 1) shows open biopsy forceps (white arrow) placed within pulmonary lesion in right upper lobe. Bronchoscope is visible within trachea (black arrow). Histologic diagnosis was granuloma in coal workers' pneumoconiosis.

 

Figure 4
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  		Fig. 4 —CT scan of 65-year-old man (patient 4 in Table 1) shows biopsy device (arrow) directed to intrapulmonary target lesion. Histologic diagnosis was small cell lung cancer and severe pulmonary emphysema.

 

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