Eric L. Grogan, MD, MPH, David R. Jones, MD, Benjamin D

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Presentation transcript:

Identification of Small Lung Nodules: Technique of Radiotracer-Guided Thoracoscopic Biopsy Eric L. Grogan, MD, MPH, David R. Jones, MD, Benjamin D. Kozower, MD, Winsor D. Simmons, RN, Thomas M. Daniel, MD The Annals of Thoracic Surgery Volume 85, Issue 2, Pages S772-S777 (February 2008) DOI: 10.1016/j.athoracsur.2007.10.105 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Flow diagram of clinical results from 84 patients selected for radiotracer-guided biopsy. (CT = computed tomography.) The Annals of Thoracic Surgery 2008 85, S772-S777DOI: (10.1016/j.athoracsur.2007.10.105) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Computed tomography (CT)–guided percutaneous placement of technetium 99m macro-aggregated albumin radiotracer near a lung nodule. (A) The arrow on this CT scan points to an 8-mm nodule. (B) The radiologist uses CT fluoroscopy to place the radiotracer near the nodule. (C) The appearance of nodule on prone CT scan, with the long arrow showing track of the needle containing the tracer solution. The Annals of Thoracic Surgery 2008 85, S772-S777DOI: (10.1016/j.athoracsur.2007.10.105) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Radiotracer-guided intraoperative localization. The anesthetized patient is in the lateral decubitus position. The arrow points to the port site used for alternating insertion of the endostapler and the radioprobe. The Annals of Thoracic Surgery 2008 85, S772-S777DOI: (10.1016/j.athoracsur.2007.10.105) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Pathologic results were benign in 50% of study patients (green); lung cancer in 39% (blue); metastatic cancer in 10% (light gray); and lymphoma in 1% (dark gray). The Annals of Thoracic Surgery 2008 85, S772-S777DOI: (10.1016/j.athoracsur.2007.10.105) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions