{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T17:19:54Z","timestamp":1763572794456,"version":"3.44.0"},"reference-count":49,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Radiol Imaging"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tissue diagnosis plays a major role in the management of patients with lung lesions, especially if malignancy is suspected. Computed tomography-guided biopsy of lung lesions is a well-established procedure. We share a few \u201ctips and tricks\u201d to keep the procedure safe and comfortable to the patient with optimal yield.<\/jats:p>","DOI":"10.1055\/s-0045-1804925","type":"journal-article","created":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T22:56:34Z","timestamp":1743116194000},"page":"516-528","source":"Crossref","is-referenced-by-count":1,"title":["CT-Guided Percutaneous Lung Biopsy: Important Steps with \u201cTips and Tricks\u201d for Optimal Yield"],"prefix":"10.1055","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4678-0183","authenticated-orcid":false,"given":"Ch Jagadeesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0935-6279","authenticated-orcid":false,"given":"Anurima","family":"Patra","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8334-501X","authenticated-orcid":false,"given":"Geethu","family":"Punnen","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8556-6518","authenticated-orcid":false,"given":"Santhosh Babu K.","family":"B.","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4290-496X","authenticated-orcid":false,"given":"Shyamkumar N.","family":"Keshava","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,3,27]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1148\/118.3.603","article-title":"Precise biopsy localization by computer tomography","volume":"118","author":"J R Haaga","year":"1976","journal-title":"Radiology"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.lungcan.2013.07.010","article-title":"Adequacy of CT-guided biopsies with histomolecular subtyping of pulmonary adenocarcinomas: influence of ATS\/ERS\/IASLC guidelines","volume":"82","author":"G R Ferretti","year":"2013","journal-title":"Lung Cancer"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1136\/thorax.58.11.920","article-title":"Guidelines for radiologically guided lung biopsy","volume":"58","author":"A Manhire","year":"2003","journal-title":"Thorax"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1016\/j.jvir.2017.10.021","article-title":"Best practice guidelines for CT-guided interventional procedures","volume":"29","author":"A K Jones","year":"2018","journal-title":"J Vasc Interv Radiol"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.jvir.2010.01.011","article-title":"Quality improvement guidelines for percutaneous needle biopsy","volume":"21","author":"S Gupta","year":"2010","journal-title":"J Vasc Interv Radiol"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1007\/s00270-020-02763-4","article-title":"CIRSE standards of practice on peri-operative anticoagulation management during interventional radiology procedures","volume":"44","author":"M Hadi","year":"2021","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"10","key":"ref8","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":"A Veltri","year":"2017","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"10","key":"ref9","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.diii.2016.06.016","article-title":"Image-guided biopsy in primary lung cancer: why, when and how","volume":"97","author":"C de Margerie-Mellon","year":"2016","journal-title":"Diagn Interv Imaging"},{"issue":"05","key":"ref10","first-page":"W511-4","article-title":"CT-guided percutaneous needle biopsy of the chest: preprocedural evaluation and technique","volume":"196","author":"C C Wu","year":"2011","journal-title":"AJR Am J Roentgenol"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1159\/000487957","article-title":"PET and neck ultrasound for the detection of cervical lymphadenopathy in patients with lung cancer and mediastinal lymphadenopathy","volume":"96","author":"M Ahmed","year":"2018","journal-title":"Respiration"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1148\/rg.325115159","article-title":"Image-guided biopsy: what the interventional radiologist needs to know about PET\/CT","volume":"32","author":"K Kobayashi","year":"2012","journal-title":"Radiographics"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/s13244-023-01436-3","article-title":"Comparison between percutaneous transthoracic co-axial needle CT-guided biopsy and transbronchial lung biopsy for the diagnosis of persistent pulmonary consolidation","volume":"14","author":"J Wang","year":"2023","journal-title":"Insights Imaging"},{"issue":"08","key":"ref14","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1016\/j.jvir.2019.04.016","article-title":"Society of Interventional Radiology consensus guidelines for the periprocedural management of thrombotic and bleeding risk in patients undergoing percutaneous image-guided interventions-part I: review of anticoagulation agents and clinical considerations: endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe","volume":"30","author":"J C Davidson","year":"2019","journal-title":"J Vasc Interv Radiol"},{"issue":"08","key":"ref15","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1016\/j.jvir.2019.04.017","article-title":"Society of Interventional Radiology consensus guidelines for the periprocedural management of thrombotic and bleeding risk in patients undergoing percutaneous image-guided interventions-part II: recommendations: endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe","volume":"30","author":"I J Patel","year":"2019","journal-title":"J Vasc Interv Radiol"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"1766","DOI":"10.1148\/rg.2015150038","article-title":"Periprocedural patient care","volume":"35","author":"M P Kohi","year":"2015","journal-title":"Radiographics"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/j.ejrad.2015.12.007","article-title":"Percutaneous CT guided lung biopsy in patients with pulmonary hypertension: assessment of complications","volume":"85","author":"S R Digumarthy","year":"2016","journal-title":"Eur J Radiol"},{"issue":"05","key":"ref19","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.2214\/AJR.08.2113","article-title":"CT-guided core biopsy of lung lesions: a primer","volume":"193","author":"I C Tsai","year":"2009","journal-title":"AJR Am J Roentgenol"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1055\/s-0036-1582124","article-title":"Update on anticoagulation: what the interventional radiologist needs to know","volume":"33","author":"S D Kamath","year":"2016","journal-title":"Semin Intervent Radiol"},{"volume-title":"Preliminary results in paediatric percutaneous transthoracic procedures","author":"A Pittaro","key":"ref21"},{"issue":"02","key":"ref22","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":"R S Winokur","year":"2013","journal-title":"Semin Intervent Radiol"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"E47","DOI":"10.1148\/rg.332125012","article-title":"Sedation, analgesia, and local anesthesia: a review for general and interventional radiologists","volume":"33","author":"T C Moran","year":"2013","journal-title":"Radiographics"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.tranon.2015.04.006","article-title":"Percutaneous transthoracic lung biopsy: comparison between C-arm cone-beam CT and conventional CT guidance","volume":"8","author":"Y C Cheng","year":"2015","journal-title":"Transl Oncol"},{"issue":"01","key":"ref27","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1148\/radiol.2019182321","article-title":"CT-guided lung biopsy: effect of biopsy-side down position on pneumothorax and chest tube placement","volume":"292","author":"O Drumm","year":"2019","journal-title":"Radiology"},{"issue":"04","key":"ref28","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1148\/rg.324115072","article-title":"Low-dose techniques in CT-guided interventions","volume":"32","author":"M Sarti","year":"2012","journal-title":"Radiographics"},{"issue":"06","key":"ref29","first-page":"W678-82","article-title":"Complications of CT-guided percutaneous needle biopsy of the chest: prevention and management","volume":"196","author":"C C Wu","year":"2011","journal-title":"AJR Am J Roentgenol"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"S263","DOI":"10.1016\/j.jvir.2009.04.037","article-title":"Guidelines for patient radiation dose management","volume":"20","author":"M S Stecker","year":"2009","journal-title":"J Vasc Interv Radiol"},{"issue":"08","key":"ref31","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1016\/j.jvir.2008.03.027","article-title":"Quality improvement guidelines for preventing wrong site, wrong procedure, and wrong person errors: application of the joint commission \u201cUniversal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery\u201d to the practice of interventional radiology","volume":"19","author":"J F Angle","year":"2008","journal-title":"J Vasc Interv Radiol"},{"issue":"11","key":"ref32","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1016\/j.jvir.2018.06.007","article-title":"Adult and pediatric antibiotic prophylaxis during vascular and IR procedures: a Society of Interventional Radiology practice parameter update endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology","volume":"29","author":"M A Chehab","year":"2018","journal-title":"J Vasc Interv Radiol"},{"issue":"1108","key":"ref33","doi-asserted-by":"crossref","first-page":"20190866","DOI":"10.1259\/bjr.20190866","article-title":"Pneumothorax rates in CT-Guided lung biopsies: a comprehensive systematic review and meta-analysis of risk factors","volume":"93","author":"Y R Huo","year":"2020","journal-title":"Br J Radiol"},{"issue":"03","key":"ref35","doi-asserted-by":"crossref","first-page":"e488","DOI":"10.1016\/j.ejrad.2010.09.038","article-title":"CT-guided cutting needle biopsy of lung lesions\u2013an effective procedure for adequate material and specific diagnose","volume":"80","author":"M D Guimaraes","year":"2011","journal-title":"Eur J Radiol"},{"issue":"02","key":"ref37","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1148\/radiol.2291020499","article-title":"CT-guided transthoracic needle aspiration biopsy of pulmonary nodules: needle size and pneumothorax rate","volume":"229","author":"P R Geraghty","year":"2003","journal-title":"Radiology"},{"issue":"1011","key":"ref38","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1259\/bjr\/15132704","article-title":"Comparison of fully automated and semi-automated biopsy needles for lung biopsy under CT fluoroscopic guidance","volume":"85","author":"R Yoshimatsu","year":"2012","journal-title":"Br J Radiol"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.07.1799","article-title":"COMPARISON OF FULLY VS SEMI-AUTOMATED CORE BIOPSY NEEDLE IN PULMONOLOGIST-LED PERIPHERAL THORACIC LESION SAMPLING UNDER ULTRASOUND GUIDANCE","author":"Sze Kho","journal-title":"Chest"},{"issue":"10","key":"ref40","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/S0009-9260(03)00221-6","article-title":"CT-guided lung biopsy: factors influencing diagnostic yield and complication rate","volume":"58","author":"J M Anderson","year":"2003","journal-title":"Clin Radiol"},{"issue":"03","key":"ref42","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.carj.2015.10.005","article-title":"Transthoracic computed tomography-guided lung nodule biopsy: comparison of core needle and fine needle aspiration techniques","volume":"67","author":"B S Sangha","year":"2016","journal-title":"Can Assoc Radiol J"},{"issue":"12","key":"ref43","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1053\/crad.2000.0964","article-title":"CT-guided cutting needle biopsy of lung lesions\u2013safety and efficacy of an out-patient service","volume":"55","author":"M J Charig","year":"2000","journal-title":"Clin Radiol"},{"issue":"05","key":"ref45","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1111\/j.1365-2303.2010.00802.x","article-title":"Role and accuracy of rapid on-site evaluation of CT-guided fine needle aspiration cytology of lung nodules","volume":"22","author":"A Fassina","year":"2011","journal-title":"Cytopathology"},{"issue":"01","key":"ref47","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.jradnu.2017.12.002","article-title":"An overview of percutaneous CT-guided lung biopsies","volume":"37","author":"S Lehmann","year":"2018","journal-title":"J Radiol Nurs"},{"issue":"01","key":"ref49","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":"W J Heerink","year":"2017","journal-title":"Eur Radiol"},{"issue":"09","key":"ref50","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/j.crad.2018.05.009","article-title":"A survey of UK percutaneous lung biopsy practice: current practices in the era of early detection, oncogenetic profiling, and targeted treatments","volume":"73","author":"A N Tavare","year":"2018","journal-title":"Clin Radiol"},{"issue":"05","key":"ref53","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1097\/JTO.0b013e31824abd9c","article-title":"Radiographic and clinical characterization of false negative results from CT-guided needle biopsies of lung nodules","volume":"7","author":"B D Gelbman","year":"2012","journal-title":"J Thorac Oncol"},{"issue":"03","key":"ref54","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1055\/s-0043-1764293","article-title":"Pneumothorax after CT-guided lung biopsy: What next?","volume":"33","author":"F A Shera","year":"2023","journal-title":"Indian J Radiol Imaging"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1007\/s00508-018-1317-0","article-title":"Complications of CT-guided transthoracic lung biopsy: a short report on current literature and a case of systemic air embolism","volume":"130","author":"D Lang","year":"2018","journal-title":"Wien Klin Wochenschr"},{"issue":"01","key":"ref56","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1186\/s12890-018-0713-6","article-title":"Clinical updates of approaches for biopsy of pulmonary lesions based on systematic review","volume":"18","author":"C J Deng","year":"2018","journal-title":"BMC Pulm Med"},{"issue":"03","key":"ref57","doi-asserted-by":"crossref","first-page":"e0213990","DOI":"10.1371\/journal.pone.0213990","article-title":"Complications of CT-guided lung biopsy with a non-coaxial semi-automated 18 gauge biopsy system: frequency, severity and risk factors","volume":"14","author":"A S Elshafee","year":"2019","journal-title":"PLoS One"},{"issue":"01","key":"ref58","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.ejrad.2008.01.006","article-title":"CT-guided cutting needle lung biopsy using modified coaxial technique: factors effecting risk of complications","volume":"70","author":"E Yildirim","year":"2009","journal-title":"Eur J Radiol"},{"issue":"02","key":"ref59","first-page":"336","article-title":"Computed tomography-guided lung biopsy: association between biopsy needle angle and pneumothorax development","volume":"8","author":"T Kuriyama","year":"2018","journal-title":"Mol Clin Oncol"},{"issue":"05","key":"ref60","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1111\/j.1440-1673.2006.01619.x","article-title":"Duration of pneumothorax as a complication of CT-guided lung biopsy","volume":"50","author":"T Yamagami","year":"2006","journal-title":"Australas Radiol"},{"issue":"03","key":"ref61","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1055\/s-0041-1740456","article-title":"Optimization of the lung biopsy procedure: a primer","volume":"06","author":"D Lingegowda","year":"2022","journal-title":"J Clin Interv Radiol ISVIR"}],"container-title":["Indian Journal of Radiology and Imaging"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1804925.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T22:46:03Z","timestamp":1758062763000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1804925"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,27]]},"references-count":49,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,9,16]]},"published-print":{"date-parts":[[2025,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1804925","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0971-3026","1998-3808"],"issn-type":[{"type":"print","value":"0971-3026"},{"type":"electronic","value":"1998-3808"}],"subject":[],"published":{"date-parts":[[2025,3,27]]}}}