CT guided small Lung nodule biopsy
CT-guided transthoracic needle biopsy is a simple and safe procedure that has a diagnosis accuracy of 64–97 percent for pulmonary lesions. As a result, one of the most common approaches for diagnosing the nature of pulmonary lesions is to use this process. For precise treatment of advanced non-small cell lung cancer, molecular investigation of driver mutations is strongly suggested (NSCLC)
CT-guided lung biopsy is a relatively safe and well-tolerated treatment. Some patients may endure substantial and long-term discomfort as a result of the treatment, and they should be informed about this beforehand. The doctor will put the needle through the skin, advance it to the site of the nodule, and remove tissue samples using imaging guidance. For a comprehensive analysis, several samples may be required. Following the collection of biopsies, a pathologist will rapidly review the samples to ensure that they are in good condition.
When imaging findings indicate stability or when consistent clinical and laboratory findings are provided, lung lesions can be termed benign. Lesions with CT findings that imply malignancy, on the other hand, need to be investigated further. Surveillance CT imaging, CT-guided biopsy, (navigational or non-navigational) bronchoscopic biopsy, and surgical excision are all possibilities for treating such lesions. Depending on the size and location of the lesion, patients were given local anaesthetic, sedation, or general anaesthesia. Biopsies of lower lobe lesions were most usually performed under general anaesthesia, whereas biopsies of big lesions were performed under local anaesthetic. As a result, the type of anaesthetic employed differed depending on the characteristics of the nodule and the professional team. Because sleeping on the side of the lung to be biopsied lowers lung respiratory motion, the patient position was chosen to enable access to the target lesion and avoid target lesion motion. When parenchymal bleeding affected the same lung segment as the nodule, it was classed as mild; moderate when it affected distant segments or when it was associated with small-volume hemoptysis; and severe when it was associated with large-volume hemoptysis or hemodynamic instability. Imaging guidance is used to help find a tumour or abnormality and take a tissue sample for evaluation under a microscope during a needle biopsy of the lung. When imaging tests cannot confirm that a nodule is benign, or when bronchoscopy or other procedures fail to reach the nodule, a biopsy may be required. Needle biopsy is less intrusive than surgical biopsy and does not always necessitate the use of general anaesthesia.
A particularly trained interventional radiologist is most typically used to do imaging-guided, minimally invasive treatments like needle biopsy of lung lesions.
Outpatient needle biopsies are most commonly performed by doctors.
An intravenous line may be inserted into a vein in your hand or arm by a nurse or technologist. They will be able to provide sedative or relaxation drugs intravenously during the treatment as a result of this. Prior to the biopsy, you may be given a light sedative.
Benefits
 Needle biopsy is a safe and effective approach to acquire tissue samples that can be used to determine whether a nodule is benign (non-cancerous) or malignant (cancerous).
 Open and closed surgical biopsies, which both require a wider incision in the skin and local or general anaesthetic, are less intrusive than needle biopsies.
 In most cases, the operation is painless. The results are as precise as when a tissue sample is physically removed.
 Patients can quickly resume their normal activities after a brief recovery period.

Lung biopsy by bronchoscopy
A bronchoscope can be used to biopsy proximal endobronchial lesions, but it cannot reach more peripheral lesions. Some imaging guidance may help with transbronchial biopsy in diffuse lung disease. A respiratory physician is the most common person who performs this procedure. Pneumothorax is substantially less common than with percutaneous biopsy because it does not cross the pleura.
Dr Sandeep Sharma is Best doctor for Acute Stroke Mechanical Thrombectomy.
He is expert in both suction retrieval and stent retrieval and uses both techniques in perfect combination.

свернуть