{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:40:01Z","timestamp":1784032801884,"version":"3.55.0"},"reference-count":34,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100015406","name":"Tianjin Municipal Science and Technology Bureau","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100015406","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010104","name":"Tianjin Medical University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010104","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019065","name":"Tianjin Municipal Science and Technology Program","doi-asserted-by":"publisher","award":["24ZXYXSY00210"],"award-info":[{"award-number":["24ZXYXSY00210"]}],"id":[{"id":"10.13039\/501100019065","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["academicradiology.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Academic Radiology"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.acra.2025.04.055","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T07:45:58Z","timestamp":1747122358000},"page":"5533-5544","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["CT-Guided Lung Biopsy with Needle Embolization Using Gelatin Sponge Slurry to Prevent Pneumothorax and Pulmonary Hemorrhage: A Propensity Score Matching Controlled Study"],"prefix":"10.1016","volume":"32","author":[{"given":"Xiao-hui","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi-Bo","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-min","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia-xin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-ge","family":"Xing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"10","key":"10.1016\/j.acra.2025.04.055_bib1","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1007\/s00270-017-1658-5","article-title":"CIRSE Guidelines on percutaneous needle biopsy (PNB)","volume":"40","author":"Veltri","year":"2017","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"3","key":"10.1016\/j.acra.2025.04.055_bib2","doi-asserted-by":"crossref","first-page":"131S","DOI":"10.1378\/chest.07-1357","article-title":"Initial diagnosis of lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition)","volume":"132","author":"Rivera","year":"2007","journal-title":"Chest"},{"key":"10.1016\/j.acra.2025.04.055_bib3","doi-asserted-by":"crossref","DOI":"10.1177\/1758834017752269","article-title":"A prospective study on the diagnosis of peripheral lung cancer using endobronchial ultrasonography with a guide sheath and computed tomography-guided transthoracic needle aspiration","volume":"10","author":"Zhu","year":"2018","journal-title":"Ther Adv Med Oncol"},{"issue":"10","key":"10.1016\/j.acra.2025.04.055_bib4","doi-asserted-by":"crossref","first-page":"2758","DOI":"10.21037\/jtd.2016.09.52","article-title":"Endobronchial ultrasonography with guide sheath versus computed tomography guided transthoracic needle biopsy for peripheral pulmonary lesions: a propensity score matched analysis","volume":"8","author":"Wang","year":"2016","journal-title":"J Thorac Dis"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib5","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/crj.13275","article-title":"Endobronchial ultrasound-guided versus computed tomography-guided biopsy for peripheral pulmonary lesions: A meta-analysis","volume":"15","author":"Fu","year":"2021","journal-title":"Clin Respir J"},{"issue":"3","key":"10.1016\/j.acra.2025.04.055_bib6","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1007\/s00330-017-5058-7","article-title":"Time-dependent analysis of incidence, risk factors and clinical significance of pneumothorax after percutaneous lung biopsy","volume":"28","author":"Lim","year":"2018","journal-title":"Eur Radiol"},{"issue":"6","key":"10.1016\/j.acra.2025.04.055_bib7","doi-asserted-by":"crossref","first-page":"W678","DOI":"10.2214\/AJR.10.4659","article-title":"Complications of CT-guided percutaneous needle biopsy of the chest: prevention and management","volume":"196","author":"Wu","year":"2011","journal-title":"AJR Am J Roentgenol"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib8","first-page":"S99","article-title":"Pneumothorax after transthoracic needle biopsy of lung lesions under CT guidance","volume":"6 1","author":"Boskovic","year":"2014","journal-title":"J Thorac Dis"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib9","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1148\/radiol.13131265","article-title":"C-arm cone-beam CT-guided percutaneous transthoracic needle biopsy of lung nodules: clinical experience in 1108 patients","volume":"271","author":"Lee","year":"2014","journal-title":"Radiology"},{"issue":"2","key":"10.1016\/j.acra.2025.04.055_bib10","first-page":"336","article-title":"Computed tomography-guided lung biopsy: Association between biopsy needle angle and pneumothorax development","volume":"8","author":"Kuriyama","year":"2018","journal-title":"Mol Clin Oncol"},{"issue":"2","key":"10.1016\/j.acra.2025.04.055_bib11","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1055\/s-0033-1342952","article-title":"Percutaneous lung biopsy: technique, efficacy, and complications","volume":"30","author":"Winokur","year":"2013","journal-title":"Semin Intervent Radiol"},{"issue":"3","key":"10.1016\/j.acra.2025.04.055_bib12","doi-asserted-by":"crossref","first-page":"809","DOI":"10.2214\/AJR.09.3224","article-title":"Incidence of and risk factors for pneumothorax and chest tube placement after CT fluoroscopy-guided percutaneous lung biopsy: retrospective analysis of the procedures conducted over a 9-year period","volume":"194","author":"Hiraki","year":"2010","journal-title":"AJR Am J Roentgenol"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib13","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1186\/2193-1801-2-196","article-title":"Is emphysema a risk factor for pneumothorax in CT-guided lung biopsy?","volume":"2","author":"Asai","year":"2013","journal-title":"Springerplus"},{"issue":"2","key":"10.1016\/j.acra.2025.04.055_bib14","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1055\/s-0033-1342952","article-title":"Percutaneous lung biopsy: technique, efficacy, and complications","volume":"30","author":"Winokur","year":"2013","journal-title":"Semin Intervent Radiol"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib15","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1007\/s11547-020-01211-0","article-title":"Pneumothorax and pulmonary hemorrhage after CT-guided lung biopsy: incidence, clinical significance and correlation","volume":"126","author":"Sabatino","year":"2021","journal-title":"Radiol Med"},{"issue":"5","key":"10.1016\/j.acra.2025.04.055_bib16","doi-asserted-by":"crossref","first-page":"421","DOI":"10.5152\/dir.2014.14019","article-title":"CT-guided biopsy of pulmonary nodules: is pulmonary hemorrhage a complication or an advantage?","volume":"20","author":"Filippo","year":"2014","journal-title":"Diagn Interv Radiol"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib17","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1148\/radiology.216.1.r00jl3293","article-title":"Autologous blood clot seal to prevent pneumothorax at CT-guided lung biopsy","volume":"216","author":"Lang","year":"2000","journal-title":"Radiology"},{"issue":"6","key":"10.1016\/j.acra.2025.04.055_bib18","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1007\/s00330-008-0872-6","article-title":"CT-guided lung biopsy: incidence of pneumothorax after instillation of NaCl into the biopsy track","volume":"18","author":"Billich","year":"2008","journal-title":"Eur Radiol"},{"issue":"8","key":"10.1016\/j.acra.2025.04.055_bib19","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1016\/j.jvir.2010.04.021","article-title":"A lung biopsy tract plug for reduction of postbiopsy pneumothorax and other complications: results of a prospective, multicenter, randomized, controlled clinical study","volume":"21","author":"Zaetta","year":"2010","journal-title":"J Vasc Interv Radiol"},{"issue":"3","key":"10.1016\/j.acra.2025.04.055_bib20","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1148\/radiology.184.3.1509068","article-title":"Pneumothorax after lung biopsy: prevention with transpleural placement of compressed collagen foam plugs","volume":"184","author":"Engeler","year":"1992","journal-title":"Radiology"},{"issue":"4","key":"10.1016\/j.acra.2025.04.055_bib21","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1007\/s00270-019-02387-3","article-title":"Efficacy of the tract embolization technique with gelatin sponge slurry to reduce pneumothorax and chest tube placement after percutaneous CT-guided lung biopsy","volume":"43","author":"Renier","year":"2020","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"6","key":"10.1016\/j.acra.2025.04.055_bib22","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1007\/s00270-013-0823-8","article-title":"Tract embolization with gelatin sponge slurry for prevention of pneumothorax after percutaneous computed tomography-guided lung biopsy","volume":"37","author":"Tran","year":"2014","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1133","key":"10.1016\/j.acra.2025.04.055_bib23","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20210869","article-title":"Preventive tract embolization with gelatin sponge slurry is safe and considerably reduces pneumothorax after CT-guided lung biopsy with use of large 16-18 coaxial needles","volume":"95","author":"Grange","year":"2022","journal-title":"Br J Radiol"},{"issue":"12","key":"10.1016\/j.acra.2025.04.055_bib24","doi-asserted-by":"crossref","first-page":"2128","DOI":"10.1016\/j.jvir.2023.08.034","article-title":"Decreased bleeding-related adverse events using track embolization with gelatin sponge slurry after percutaneous liver biopsy: A propensity score-matched study","volume":"34","author":"Koh","year":"2023","journal-title":"J Vasc Interv Radiol"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib25","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-021-04155-1","article-title":"Bleeding management in computed tomography-guided liver biopsies by biopsy tract plugging with gelatin sponge slurry","volume":"11","author":"Handke","year":"2021","journal-title":"Sci Rep"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib26","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0033-8389(03)00107-6","article-title":"CT of emphysema","volume":"40","author":"Newell","year":"2002","journal-title":"Radiol Clin North Am"},{"issue":"2","key":"10.1016\/j.acra.2025.04.055_bib27","first-page":"ii18","article-title":"Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010","volume":"65","author":"MacDuff","year":"2010","journal-title":"Thorax"},{"issue":"6","key":"10.1016\/j.acra.2025.04.055_bib28","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1111\/1754-9485.13256","article-title":"Gelfoam slurry tract occlusion after computed tomography-guided percutaneous lung biopsy: Does it prevent major pneumothorax?","volume":"65","author":"Sum","year":"2021","journal-title":"J Med Imaging Radiat Oncol"},{"key":"10.1016\/j.acra.2025.04.055_bib29","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejrad.2023.110691","article-title":"Combined autologous blood patch-immediate patient rollover does not reduce the pneumothorax or chest drain rate following CT-guided lung biopsy compared to immediate patient rollover alone","volume":"160","author":"Duignan","year":"2023","journal-title":"Eur J Radiol"},{"issue":"10","key":"10.1016\/j.acra.2025.04.055_bib30","doi-asserted-by":"crossref","first-page":"1945","DOI":"10.1016\/j.ejrad.2014.06.023","article-title":"Risk factor analysis of pulmonary hemorrhage complicating CT-guided lung biopsy in coaxial and non-coaxial core biopsy techniques in 650 patients","volume":"83","author":"Nour-Eldin","year":"2014","journal-title":"Eur J Radiol"},{"issue":"5","key":"10.1016\/j.acra.2025.04.055_bib31","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.21037\/qims-19-1024","article-title":"Risk factors associated with pulmonary hemorrhage and hemoptysis following percutaneous CT-guided transthoracic lung core needle biopsy: a retrospective study of 1,090 cases","volume":"10","author":"Zhu","year":"2020","journal-title":"Quant Imaging Med Surg"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib32","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1186\/s12890-020-01282-9","article-title":"Development of a hemoptysis risk prediction model for patients following CT-guided transthoracic lung biopsy","volume":"20","author":"Wang","year":"2020","journal-title":"BMC Pulm Med"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib33","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0191590","article-title":"Diagnosis of small pulmonary lesions by transbronchial lung biopsy with radial endobronchial ultrasound and virtual bronchoscopic navigation versus CT-guided transthoracic needle biopsy: A systematic review and meta-analysis","volume":"13","author":"Han","year":"2018","journal-title":"PLoS One"},{"issue":"1","key":"10.1016\/j.acra.2025.04.055_bib34","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/s00330-016-4357-8","article-title":"Complication rates of CT-guided transthoracic lung biopsy: meta-analysis","volume":"27","author":"Heerink","year":"2017","journal-title":"Eur Radiol"}],"container-title":["Academic Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633225004064?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633225004064?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T17:30:23Z","timestamp":1762363823000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1076633225004064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":34,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S1076633225004064"],"URL":"https:\/\/doi.org\/10.1016\/j.acra.2025.04.055","relation":{},"ISSN":["1076-6332"],"issn-type":[{"value":"1076-6332","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"CT-Guided Lung Biopsy with Needle Embolization Using Gelatin Sponge Slurry to Prevent Pneumothorax and Pulmonary Hemorrhage: A Propensity Score Matching Controlled Study","name":"articletitle","label":"Article Title"},{"value":"Academic Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acra.2025.04.055","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Association of Academic Radiology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}