[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
IJRR Information::
About the Journal
Editorial Board
Keywords
For Authors::
Aims and Scope
Call for Papers
Submission Instructions
For Reviewers::
Referee page
Subscription::
Subscription Form
News & Events::
Journal News
Web Mail::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
ISSN
Hard Copy 2322-3243
Online 2345-4229
..
Online Submission
Now you can send your articles to IJRR office using the article submission system.
..

AWT IMAGE

AWT IMAGE
:: Volume 21, Issue 3 (6-2023) ::
Int J Radiat Res 2023, 21(3): 377-382 Back to browse issues page
A retrospective study on pre-operative CT-guided hook-wire localization of pulmonary nodules
Z. Xu , Y. Ni , B. Gu , H. Zhou , Y. Luo , N. Li , S. Chen
Department of Thoracic Surgery, The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University, Huai’an223300, China , chenshengnj@outlook.com
Abstract:   (1308 Views)
Background: The Background: Currently, surgical resection of the small and sub-centimeter pulmonary nodules (< 2 cm) is quite challenging via the thoracoscopic procedure. Our retrospective study aimed to evaluate the clinical efficiency of pre-operative CT-guided hook-wire localization of targeted pulmonary nodule patients prior to video-assisted thoracoscopic surgery (VATS) or surgery. Materials and Methods: 60 patients comprising pre-operative computed tomography (CT)-guided hook-wire localization of pulmonary nodules with < 2 cm diameter were retrospectively enrolled. Herein, we evaluated clinical variables, pathological outcomes, hook-wire localization procedure-related features, and complications from targeted pulmonary nodules patients. Results: Pre-operative CT-guided hook-wire localization was carried out successfully in 60 (100%) patients with wedge resection 41 (68%), segmentectomy 10 (16.7%), and lobectomy 9 (15%). Hook-wire localization procedure had mean time of 0.91±0.29 h, and 11 (18.3%) blood loss. All pulmonary nodule patients were positive pathological diagnoses for benign or malignant lesions, such as 5 (8.3%) benign lesions, 29 (48.3%) minimal adenocarcinoma (MIA) or invasive adenocarcinoma (IAC), and 21 (33.3%) adenocarcinoma in situ (AIS) malignant lesions. The majority of patients with hook-wire localization were either asymptomatic 19 (31.7%) or shown to have mild pain 25 (41.7%) and irritable cough 7 (11.7%). Conclusion: Preoperative CT-guided hook-wire localization of pulmonary nodules is safe and effective, which can reduce the operative time of targeted pulmonary nodules, and improvise the safety and outcomes of surgery.
Keywords: Pulmonary nodules, computed tomography, thoracoscopy.
Full-Text [PDF 609 kb]   (742 Downloads)    
Type of Study: Original Research | Subject: Radiation Biology
References
1. Swensen SJ, Jett JR, Hartman TE, et al. (2005) CT screening for lung cancer: five-year prospective experience. Radiology, 235(1): 259-65. [DOI:10.1148/radiol.2351041662] [PMID]
2. Hsu HH, Shen CH, Tsai WC, et al. (2015) Localization of nonpalpable pulmonary nodules using CT-guided needle puncture. World J Surg Oncol, 13: 248. [DOI:10.1186/s12957-015-0664-9] [PMID] []
3. Rivera MP, Mehta AC, Wahidi MM (2013) Establishing the diagnosis of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest, 143(5): e142S-e165S. [DOI:10.1378/chest.12-2353] [PMID]
4. Bernard A (1996) Resection of pulmonary nodules using video-assisted thoracic surgery. The Thorax Group. Ann Thorac Surg, 61(1): 202-4; discussion 204-5. [DOI:10.1016/0003-4975(95)01014-9]
5. Greenfield AL, Steiner RM, Liu JB, et al. (1997) Sonographic guidance for the localization of peripheral pulmonary nodules during thoracoscopy. AJR Am J Roentgenol, 168(4):1057-60. [DOI:10.2214/ajr.168.4.9124115] [PMID]
6. Gould MK, Fletcher J, Iannettoni MD, et al. (2007) Evaluation of patients with pulmonary nodules: when is it lung cancer? ACCP evidence-based clinical practice guidelines (2nd edition). Chest, 132(3): 108S-130S. [DOI:10.1378/chest.07-1353] [PMID]
7. Gould MK, Donington J, Lynch WR, et al. (2013) Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest, 143(5): e93S-e120S. [DOI:10.1378/chest.12-2351] [PMID] []
8. Heerink WJ, de Bock GH, de Jonge GJ, et al. (2017) Complication rates of CT-guided transthoracic lung biopsy: meta-analysis. Eur Radiol, 27(1):138-148. [DOI:10.1007/s00330-016-4357-8] [PMID] []
9. Chen S, Zhou J, Zhang J, et al. (2011) Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization: 43 cases report and literature review. Surg Endosc, 25(6):1723-9. [DOI:10.1007/s00464-010-1502-3] [PMID]
10. Zhou JH, Li WT, Chen HQ, et al. (2009) CT-guided hookwire localization of small solitary pulmonary nodules in video-assisted thoracoscopic surgery. Zhonghua Zhong Liu Za Zhi, 31(7): 546-9.
11. Ichinose J, Kohno T, Fujimori S, et al. (2013) Efficacy and complications of computed tomography-guided hook wire localization. Ann Thorac Surg, 296(4): 1203-1208. [DOI:10.1016/j.athoracsur.2013.05.026] [PMID]
12. Suzuki K, Nagai K, Yoshida J, et al. (1999) Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: indications for preoperative marking. Chest, 115(2): 563-8. [DOI:10.1378/chest.115.2.563] [PMID]
13. Kondo R, Yoshida K, Hamanaka K, et al. (2009) Intraoperative ultrasonographic localization of pulmonary ground-glass opacities. J Thorac Cardiovasc Surg, 138(4): 837-42. [DOI:10.1016/j.jtcvs.2009.02.002] [PMID]
14. Lenglinger FX, Schwarz CD, Artmann W (1994) Localization of pulmonary nodules before thoracoscopic surgery: value of percutaneous staining with methylene blue. AJR Am J Roentgenol, 163(2): 297-300. [DOI:10.2214/ajr.163.2.7518642] [PMID]
15. Mayo JR, Clifton JC, Powell TI, et al. (2009) Lung nodules: CT-guided placement of microcoils to direct video-assisted thoracoscopic surgical resection. Radiology, 250(2): 576-85. [DOI:10.1148/radiol.2502080442] [PMID]
16. Zaman M, Bilal H, Woo CY, et al. (2012) In patients undergoing video-assisted thoracoscopic surgery excision, what is the best way to locate a subcentimetre solitary pulmonary nodule in order to achieve successful excision? Interact Cardiovasc Thorac Surg, 15(2): 266-72. [DOI:10.1093/icvts/ivs068] [PMID] []
17. Chella A, Lucchi M, Ambrogi MC, et al. (2000) A pilot study of the role of TC-99 radionuclide in localization of pulmonary nodular lesions for thoracoscopic resection. Eur J Cardiothorac Surg, 18(1): 17-21. [DOI:10.1016/S1010-7940(00)00411-5]
18. Watanabe K, Nomori H, Ohtsuka T, et al. (2006) Usefulness and complications of computed tomography-guided lipiodol marking for fluoroscopy-assisted thoracoscopic resection of small pulmonary nodules: experience with 174 nodules. J Thorac Cardiovasc Surg, 132(2): 320-4. [DOI:10.1016/j.jtcvs.2006.04.012] [PMID]
19. Jin X, Wang T, Chen L, et al. (2021) Single-stage pulmonary resection via a combination of single hookwire localization and video-assisted thoracoscopic surgery for synchronous multiple pulmonary nodules. Technol Cancer Res Treat, 20:15330338211042511. [DOI:10.1177/15330338211042511] [PMID] []
20. Zhang H, Li Y, Yimin N, et al. (2020) CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery. J Cardiothorac Surg, 15(1): 307. https://doi.org/10.21203/rs.3.rs-21534/v2 https://doi.org/10.21203/rs.3.rs-21534/v1 [DOI:10.1186/s13019-020-01279-9]
21. Wang T, Ma S, Yan T, et al. (2015) Computed tomography guided hook-wire precise localization and minimally invasive resection of pulmonary nodules. Zhongguo Fei Ai Za Zhi, 18(11): 680-5.
22. Hanauer M, Perentes JY, Krueger T, et al. (2016) Pre-operative localization of solitary pulmonary nodules with computed tomography-guided hook wire: report of 181 patients. J Cardiothorac Surg, 11: 5. [DOI:10.1186/s13019-016-0404-4] [PMID] []
23. Au-Yong ITH, Hamilton W, Rawlinson J, et al. (2020) Pulmonary nodules. BMJ, 371:m3673. [DOI:10.1136/bmj.m3673] [PMID]
24. Bueno J, Landeras L, Chung JH. (2018) Updated Fleischner Society Guidelines for Managing Incidental Pulmonary Nodules: Common Questions and Challenging Scenarios. Radiographics, 38(5):1337-1350. [DOI:10.1148/rg.2018180017] [PMID]
25. Mazzone PJ and Lam L. (2022) Evaluating the patient with a pulmonary nodule: A Review. JAMA, 327(3): 264-273. [DOI:10.1001/jama.2021.24287] [PMID]
26. Laurent F, Montaudon M, Latrabe V, et al. (2003) Percutaneous biopsy in lung cancer. Eur J Radiol, 45(1): 60-8. [DOI:10.1016/S0720-048X(02)00286-3]
27. Cheng D, Wang Z, Cui J, et al. (2020) Does percutaneous transthoracic needle biopsy increase the risk of pleural recurrence in patients with stage I lung cancer? Interact Cardiovasc Thorac Surg, 30(6): 834-838. [DOI:10.1093/icvts/ivaa027] [PMID]
28. Azour L, Liu S, Washer SL, et al. (2021) Percutaneous transthoracic lung biopsy: Optimizing yield and mitigating risk. J Comput Assist Tomogr, 45(5):765-775. [DOI:10.1097/RCT.0000000000001192] [PMID]
29. Sakai H and Takeda M (2019) Percutaneous transthoracic needle biopsy of the lung in the era of precision medicine. J Thorac Dis, 11(9): S1213-S1215. [DOI:10.21037/jtd.2019.03.20] [PMID] []
30. Zhou JH, Li WT, Chen HQ, et al. (2009) [CT-guided hookwire localization of small solitary pulmonary nodules in video-assisted thoracoscopic surgery]. Zhonghua Zhong Liu Za Zhi, 31(7): 546-9.
31. Zhang H, Li Y, Yimin N, et al. (2020) CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery. J Cardiothorac Surg, 15(1): 307. https://doi.org/10.21203/rs.3.rs-21534/v2 https://doi.org/10.21203/rs.3.rs-21534/v1 [DOI:10.1186/s13019-020-01279-9]
32. Lv X, Yang Y, Hu J, et al. (2011) [Clinical application of CT-guided preoperative pulmonary nodule localization technique]. Zhongguo Fei Ai Za Zhi, 14(5): 418-20.
33. Schuchert MJ, Abbas G, Awais O, et al. (2012) Anatomic segmentectomy for the solitary pulmonary nodule and early-stage lung cancer. Ann Thorac Surg, 93(6):1780-5; discussion 1786-7. [DOI:10.1016/j.athoracsur.2011.11.074] [PMID]
34. Endoh H, Tanaka S, Yajima T, et al. (2010) Pulmonary function after pulmonary resection by posterior thoracotomy, anterior thoracotomy or video-assisted surgery. Eur J Cardiothorac Surg, 37(5):1209-14. [DOI:10.1016/j.ejcts.2009.11.016] [PMID]
35. Shaw JP, Dembitzer FR, Wisnivesky JP, et al. (2008) Video-assisted thoracoscopic lobectomy: state of the art and future directions. Ann Thorac Surg, 85(2):S705-9. [DOI:10.1016/j.athoracsur.2007.11.048] [PMID]
36. Leshnower BG, Miller DL, Fernandez FG, et al. (2010) Video-assisted thoracoscopic surgery segmentectomy: a safe and effective procedure. Ann Thorac Surg, 89(5):1571-6. [DOI:10.1016/j.athoracsur.2010.01.061] [PMID]
37. Li W, Wang Y, He X, et al. (2012) Combination of CT-guided hookwire localization and video-assisted thoracoscopic surgery for pulmonary nodular lesions: Analysis of 103 patients. Oncol Lett, 4(4): 824-828. [DOI:10.3892/ol.2012.800] [PMID] []
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA

XML     Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Xu Z, Ni Y, Gu B, Zhou H, Luo Y, Li N et al . A retrospective study on pre-operative CT-guided hook-wire localization of pulmonary nodules. Int J Radiat Res 2023; 21 (3) :377-382
URL: http://ijrr.com/article-1-4825-en.html
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 21, Issue 3 (6-2023) Back to browse issues page
International Journal of Radiation Research
Persian site map - English site map - Created in 0.05 seconds with 50 queries by YEKTAWEB 4660