Computed Tomography-guided Techniques for Localizing Pulmonary Nodules by Localization Needle versus Methylene Blue

Zhang，Hua1; Kong，Jian2; Guo，Jian Xi2

2023

10.2174/1573405619666221228151252

Current medical imaging   影响因子和分区

1573-4056

1573-4056

OBJECTIVE: The aim of this study was to evaluate the clinical value of computed tomographyguided localization needle (LN) and methylene blue (MB) for pulmonary nodule localization. MATERIALS AND METHODS: Between November 2019 and January 2022, 547 patients underwent computed tomography-guided LN (n=171) or MB (n=376) localization and video-assisted thoracoscopic surgery (VATS) resection. RESULTS: In total, 171 and 376 nodules were localized via LN and MB, respectively, with respective technical localization success rates of 92.98 % and 88.56 % (p = 0.111). The pulmonary nodule localization time was significantly shorter for the MB group than for the LN group (p < 0.05). However, the rates of total complication, chest pain, and cough were significantly lower in the LN group (χ2 = 8.251/25.092/5.127, all p < 0.05). Furthermore, the LN group had a shorter VATS time than the MB group (p < 0.05). The VATS achieved a 100% operation success rate in both groups, and there was no significance between groups with respect to the types of surgery (p > 0.05) or the blood loss (p > 0.05). Moreover, logistic regression analysis showed that the localization technique was an independent risk factor for total complications and chest pain. CONCLUSION: Both techniques can effectively localize pulmonary nodules before VATS. MB had a shorter localization time, but the LN had a shorter VATS time and a lower incidence of complications, especially chest pain.

Computed tomography localization needle methylene blue nodule localization pulmonary nodule video-assisted thoracoscopic surgery

SCI

英语

其他

Radiology, Nuclear Medicine & Medical Imaging

Radiology, Nuclear Medicine & Medical Imaging

WOS:001014374700010

BENTHAM SCIENCE PUBL LTD

2-s2.0-85159759501

Scopus

1.Second Clinical Medical College,Jinan University,Shenzhen,China
2.Department of Interventional Radiology,Shenzhen People's Hospital (The Second Clinical Medical College,Jinan University,First Affiliated Hospital,Southern University of Science and Technology),Shenzhen,China

Zhang，Hua,Kong，Jian,Guo，Jian Xi. Computed Tomography-guided Techniques for Localizing Pulmonary Nodules by Localization Needle versus Methylene Blue[J]. Current medical imaging,2023,19(7):770-779.

Zhang，Hua,Kong，Jian,&Guo，Jian Xi.(2023).Computed Tomography-guided Techniques for Localizing Pulmonary Nodules by Localization Needle versus Methylene Blue.Current medical imaging,19(7),770-779.

Zhang，Hua,et al."Computed Tomography-guided Techniques for Localizing Pulmonary Nodules by Localization Needle versus Methylene Blue".Current medical imaging 19.7(2023):770-779.