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Percutaneous lung biopsy: comparison between an augmented reality CT navigation system and standard CT-guided technique

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Percutaneous lung biopsies (PLBs) performed for the evaluation of pulmonary masses require image guidance to avoid critical structures. A new CT navigation system (SIRIO, “Sistema robotizzato assistito per il puntamento intraoperatorio”) for PLBs was validated.

Methods

The local Institutional Review Board approved this retrospective study. Image-guided PLBs in 197 patients were performed with a CT navigation system (SIRIO). The procedures were reviewed based on the number of CT scans, patients’ radiation exposure and procedural time recorded. Comparison was performed with a group of 72 patients undergoing standard CT-guided PLBs. Sensitivity, specificity and overall diagnostic accuracy were assessed in both groups.

Results

SIRIO-guided PLBs showed a significant reduction in procedure time, number of required CT scans and the radiation dose administered to patients (\(p<0.001\)). In terms of diagnostic accuracy, SIRIO proved to be more accurate for small-sized lesions (\(<\)20 mm) than standard CT-guidance.

Conclusion

SIRIO proved to be a reliable and effective tool when performing CT-guided PLBs and was especially useful for sampling small (\(<\)20 mm) lesions.

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Conflict of interest

Authors have no conflict of interest to disclose.

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Authors and Affiliations

  1. Department of Radiology, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 , Rome, Italy

    R. F. Grasso, E. Faiella, G. Luppi, F. Giurazza, R. Del Vescovo, F. D’Agostino, R. L. Cazzato & B. Beomonte Zobel

  2. Department of Biomedical Engineering, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 , Rome, Italy

    E. Schena

Authors
  1. R. F. Grasso
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  2. E. Faiella
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  3. G. Luppi
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  4. E. Schena
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  5. F. Giurazza
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  6. R. Del Vescovo
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  7. F. D’Agostino
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  8. R. L. Cazzato
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  9. B. Beomonte Zobel
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Corresponding author

Correspondence to R. L. Cazzato.

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Grasso, R.F., Faiella, E., Luppi, G. et al. Percutaneous lung biopsy: comparison between an augmented reality CT navigation system and standard CT-guided technique. Int J CARS 8, 837–848 (2013). https://doi.org/10.1007/s11548-013-0816-8

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  • DOI: https://doi.org/10.1007/s11548-013-0816-8

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