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Ultrasonic elastography-guided pleural biopsy for the diagnosis of pleural effusion: a multicenter prospective study of diagnostic test performance

Rationale: The diagnostic yield of traditional ultrasound-guided pleural biopsy remains unsatisfactory, particularly when the pleural thickness is ⩽5 mm and/or no pleural nodules are detected. Pleural ultrasound elastography (UE) has a better diagnostic yield than traditional ultrasound for malignan...

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Hauptverfasser: Deng, Mingming (VerfasserIn) , Ye, Xianwei (VerfasserIn) , Ma, Jiangwei (VerfasserIn) , Xia, Yang (VerfasserIn) , Zhang, Qin (VerfasserIn) , Jiang, Bin (VerfasserIn) , Wu, Jie (VerfasserIn) , Wen, Qing (VerfasserIn) , Zheng, Yujin (VerfasserIn) , Yin, Yan (VerfasserIn) , Tong, Run (VerfasserIn) , Zhou, Guowu (VerfasserIn) , Yao, Hongmei (VerfasserIn) , Li, Xuelian (VerfasserIn) , Herth, Felix (VerfasserIn) , Hou, Gang (VerfasserIn) , Wang, Chen (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2023
In: Annals of the American Thoracic Society
Year: 2023, Jahrgang: 20, Heft: 9, Pages: 1242-1249
ISSN:2325-6621
DOI:10.1513/AnnalsATS.202212-1047OC
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1513/AnnalsATS.202212-1047OC
Verlag, lizenzpflichtig, Volltext: https://www.atsjournals.org/doi/epdf/10.1513/AnnalsATS.202212-1047OC?role=tab#aff1
Volltext
Verfasserangaben:Mingming Deng, Xianwei Ye, Jiangwei Ma, Yang Xia, Qin Zhang, Bin Jiang, Jie Wu, Qing Wen, Yujin Zheng, Yan Yin, Run Tong, Guowu Zhou, Hongmei Yao, Xuelian Li, Felix J.F. Herth, Gang Hou, Chen Wang
Beschreibung
Zusammenfassung:Rationale: The diagnostic yield of traditional ultrasound-guided pleural biopsy remains unsatisfactory, particularly when the pleural thickness is ⩽5 mm and/or no pleural nodules are detected. Pleural ultrasound elastography (UE) has a better diagnostic yield than traditional ultrasound for malignant pleural effusion (MPE). However, studies on UE-guided pleural biopsies are lacking. Objectives: To evaluate the feasibility and safety of UE-guided pleural biopsy. Methods: In this multicenter prospective single-arm trial, patients with pleural effusion whose pleural thickness was ⩽5 mm with no pleural nodules were enrolled between July 2019 and August 2021. The diagnostic yield of UE-guided pleural biopsy for pleural effusion and its sensitivity for detecting MPE were evaluated. Results: Ninety-eight patients (mean age, 62.4 ± 13.2 yr; 65 men) were prospectively enrolled. The diagnostic yield of UE-guided pleural biopsy for making any diagnosis was 92.9% (91/98), and its sensitivity for MPE was 88.7% (55/62). In addition, its sensitivity for pleural tuberculosis was 69.6% (16/23). The rate of postoperative chest pain was acceptable, and there was no pneumothorax. Conclusions: UE-guided pleural biopsy is a novel technique for diagnosing MPE with good diagnostic yield and sensitivity.
Beschreibung:Gesehen am 05.12.2023
Beschreibung:Online Resource
ISSN:2325-6621
DOI:10.1513/AnnalsATS.202212-1047OC

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