CT-guided fine-needle localization of ground-glass nodules in re-aerated lung specimens: localization of solitary small nodules or multiple nodules within the same lobe

Diagn Interv Radiol 2015;21(5):391-396

DOI: 10.5152/dir.2015.14516

1. Department of Radiology, Huadong Hospital Fudan University, Shanghai, China; Department of Diagnostic and Treatment Center of Small Lung Nodules, Huadong Hospital Fudan University, Shanghai, China

2. Department of Radiology, Huadong Hospital Fudan University, Shanghai, China.

3. Department of Diagnostic and Treatment Center of Small Lung Nodules, Huadong Hospital Fudan University, Shanghai, China; Department of Radiation Oncology, Huadong Hospital Fudan University, Shanghai, China

4. Department of Pathology, Huadong Hospital Fudan University, Shanghai, China

No information available.

No information available

Received Date: 29.12.2014

Accepted Date: 03.04.2015

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ABSTRACT

PURPOSE

We aimed to explore the value of localizing small ground-glass nodules (GGNs; <10 mm) or multiple GGNs within the same lobe in re-aerated lung specimens using CT-guided fine-needle localization.

METHODS

Thirty-five lung specimens containing single small GGNs (<10 mm) and eight specimens containing two or more GGNs in the same lobe were re-aerated with an inflatable aerator. All lesions were localized via CT-guided fine-needle localization following re-aeration. The specimens were then sent for pathologic sampling and qualitative diagnosis.

RESULTS

All 69 nodules from 43 cases were successfully localized using CT-guided fine-needle localization following re-aeration.

CONCLUSIONS

CT-guided fine-needle localization of lesions in surgical specimens under constant, moderate mechanical aeration allows for the rapid and accurate localization of lesions and helps avoid damage from preoperative localization.