Preoperative CT-guided lung nodule localization: Comparison of Chiba needle and Trocar needle

IF 3.3 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING European Journal of Radiology Pub Date : 2025-03-14 DOI:10.1016/j.ejrad.2025.112053

Yaqi Zeng , Liyue Xu , Tao Liu , Xizhao Sui , Nan Hong , Libao Hu

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Abstract

Objective

To compare the relative safety and efficacy of the Chiba needle and the Trocar needle in CT-guided microcoil localization of pulmonary nodules.

Methods

A retrospective study was conducted on 118 patients who underwent CT-guided microcoil localization and subsequent video-assisted thoracoscopic surgery (VATS) resection from September to November 2023. Patients were divided into the Chiba needle group (n = 75) and the Trocar needle group (n = 43). Characteristics of patients, lesions, procedures, and surgeries were statistically analyzed. Univariate and multivariate logistic regression analyses were used to determine potential risk factors for technical failure and complications.

Results

The success rate of localization was 97.3 % for the Chiba needle group and 100 % for the Trocar needle group, with no significant difference (p = 0.533). Complications included pneumothorax in 16 % of the Chiba group and 18.6 % of the Trocar group (p = 0.914), and parenchymal hemorrhage in 25.3 % and 41.9 % respectively (p = 0.098). There were no significant differences in puncture depth, procedure duration, or interval between procedure and surgery. Multivariate logistic regression analyses identified longer puncture depth as a risk factor both for pneumothorax (p = 0.027) and parenchymal hemorrhage (p = 0.006), while the Trocar needle was identified as a risk factor for parenchymal hemorrhage (p = 0.035).

Conclusion

This study found no significant difference in the effectiveness of Chiba and Trocar needles for preoperative CT-guided lung nodule localization. Both needles showed high success rates and comparable pneumothorax profiles. However, the Trocar needle was found associated with a higher incidence of parenchymal hemorrhage.

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术前ct引导下肺结节定位：千叶针与Trocar针的比较

目的比较千叶针与Trocar针在ct引导下微线圈定位肺结节的相对安全性和有效性。方法回顾性分析2023年9月至11月行ct引导下微线圈定位及视频胸腔镜手术（VATS）切除术的118例患者。患者分为千叶针组（n = 75）和Trocar针组（n = 43）。对患者、病变、手术和手术的特点进行统计分析。单因素和多因素逻辑回归分析用于确定技术故障和并发症的潜在危险因素。结果千叶针组和Trocar针组的定位成功率分别为97.3%和100%，差异无统计学意义（p = 0.533）。并发症：千叶组气胸发生率为16%，套管针组气胸发生率为18.6% (p = 0.914)，实质出血发生率分别为25.3%和41.9% （p = 0.098）。在穿刺深度、手术时间或手术间隔方面，手术和手术之间没有显著差异。多因素logistic回归分析发现，较长的穿刺深度是气胸（p = 0.027）和实质出血（p = 0.006）的危险因素，而套管针是实质出血的危险因素（p = 0.035）。结论本研究发现千叶针与套管针在术前ct引导下肺结节定位的有效性无显著差异。两种针都显示了高成功率和相似的气胸特征。然而，套管针被发现与高发生率的实质出血有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Radiology 医学-核医学

CiteScore

6.70

自引率

3.00%

发文量

398

审稿时长

42 days

期刊介绍： European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field. Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.