{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T09:10:35Z","timestamp":1748509835525,"version":"3.40.4"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:00:00Z","timestamp":1735257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>CT\u2010guided percutaneous transthoracic needle biopsy is the primary method for diagnosing lung lesions. Widely accepted validated risk prediction models are yet to be developed. A recently published study conducted at Grampians Health Services (GHS) developed two risk prediction models for predicting pneumothorax and intercostal catheter (ICC) insertion. This study aims to validate these models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a single\u2010centre, retrospective cohort study performed at GHS. Patients with a CT\u2010guided lung biopsy between January 2020 and July 2023 were included, alongside target\u2010lesion characteristics, procedural\u2010related factors and complications. Predicted probabilities for pneumothorax and ICC insertion were generated for each patient, and the diagnostic accuracy of the previous risk prediction models was evaluated the area under the receiver operating characteristic. A Youden Index was used to determine the sensitivity and specificity at the optimal probability thresholds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The validation found the model published by GHS demonstrated a diagnostic accuracy of 0.695 (95% CI: 0.601\u20130.695) for predicting pneumothorax following CT\u2010guided percutaneous biopsy. The model for predicting intercostal catheter insertion had a diagnostic accuracy of 0.762 (95% CI: 0.642\u20130.762). The sensitivity for predicting pneumothorax and ICC insertion was 81.97% and 92.86%, respectively, for their optimum probability thresholds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings suggest that the previously published models may be useful in predicting pneumothoraces and ICC insertion following CT\u2010guided percutaneous biopsy. We recommend these models as an adjunctive tool to aid in clinical decision\u2010making during the peri\u2010procedural management of these patients pending further validation with an external cohort.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13827","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T21:33:54Z","timestamp":1735335234000},"page":"162-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Validation of Risk Prediction Models for Pneumothorax and Intercostal Catheter Insertion Following <scp>CT<\/scp>\u2010Guided Lung Biopsy"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9811-1777","authenticated-orcid":false,"given":"Mark","family":"McOwan","sequence":"first","affiliation":[{"name":"Department of Radiology Grampians Health  Ballarat Central Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Kinnersly","sequence":"additional","affiliation":[{"name":"Department of Radiology Grampians Health  Ballarat Central Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirbaanjot","family":"Walia","sequence":"additional","affiliation":[{"name":"Department of Radiology Grampians Health  Ballarat Central Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Dooley","sequence":"additional","affiliation":[{"name":"Department of Radiology Grampians Health  Ballarat Central Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Robson","sequence":"additional","affiliation":[{"name":"Department of Radiology Grampians Health  Ballarat Central Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"volume-title":"StatPearls","year":"2024","author":"Modi P.","key":"e_1_2_10_2_1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-941449"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.75.897.750731"},{"volume-title":"StatPearls","year":"2024","author":"Sajadi\u2010Ernazarova K. R.","key":"e_1_2_10_5_1"},{"volume-title":"StatPearls","year":"2024","author":"Jalota Sahota R.","key":"e_1_2_10_6_1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.09.125"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-3-201108020-00003"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv172"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/7857310"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.212.1.r99jl33165"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/qims-22-176"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.13187"},{"key":"e_1_2_10_14_1","unstructured":"Team RC \u201cA Language and Environment for Statistical Computing.\u201dR 4.3.2. ed: R Foundation for Statistical Computing 2021."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5527"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2015.12.456"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2021.109749"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.172.4.10587145"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2017.09.47"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.09.3224"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.5114\/pjr.2018.79205"},{"key":"e_1_2_10_22_1","first-page":"1145","article-title":"Influence of Sex on Chronic Obstructive Pulmonary Disease Risk and Treatment Outcomes","volume":"9","author":"Aryal S.","year":"2014","journal-title":"International Journal of Chronic Obstructive Pulmonary Disease"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-0684"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2023.08.016"},{"volume-title":"StatPearls","year":"2024","author":"McKnight C. L.","key":"e_1_2_10_25_1"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH09821"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-07449-6"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20190866"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1273939"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.13827","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T08:32:00Z","timestamp":1744619520000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.13827"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,27]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/1754-9485.13827"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.13827","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"type":"print","value":"1754-9477"},{"type":"electronic","value":"1754-9485"}],"subject":[],"published":{"date-parts":[[2024,12,27]]},"assertion":[{"value":"2024-06-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}