{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:58:49Z","timestamp":1777658329081,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:00:00Z","timestamp":1548288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["T32HL007534"],"award-info":[{"award-number":["T32HL007534"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>Percutaneous lung biopsy for diagnostic sampling of peripheral lung nodules has been widely performed by interventional radiologists under computed tomography (CT) guidance. New technology allows pulmonologists to perform percutaneous lung biopsies using electromagnetic (EM) guided technology. With the adoption of this new technique, the safety, feasibility and diagnostic yield need to be explored. The goal of this study was to determine the safety, feasibility and diagnostic yield of EM\u2010guided percutaneous lung biopsy performed by pulmonologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective, multicentre study of 129 EM\u2010guided percutaneous lung biopsies that occurred between November 2013 and March 2017. The study consisted of seven academic and three community medical centres.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average age of participants was 65.6\u2009years, BMI was 26.3 and 50.4% were females. The majority of lesions were in the right upper lobe (37.2%) and left upper lobe (31.8%). The mean size of the lesions was 27.31\u2009mm and the average distance from the pleura was 13.2\u2009mm. Practitioners averaged two fine\u2010needle aspirates and five core biopsies per procedure. There were 23 (17.8%) pneumothoraces, of which 16 (12.4%) received small\u2010bore chest tube placement. The diagnostic yield of percutaneous lung biopsy was 73.7%. When EM\u2010guided bronchoscopic sampling was also performed during the same procedural encounter, the overall diagnostic yield increased to 81.1%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this large multicentred series, the use of EM guidance for percutaneous lung biopsies was safe and feasible, with acceptable diagnostic yield in the hands of pulmonologists. A prospective multicentre trial to validate these findings is currently underway (NCT03338049).<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.13471","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T21:36:00Z","timestamp":1548365760000},"page":"453-458","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Safety and diagnostic performance of pulmonologists performing electromagnetic guided percutaneous lung biopsy (SPiNperc)"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8211-7629","authenticated-orcid":false,"given":"Christopher","family":"Mallow","sequence":"first","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"Lee","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Oberg","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine Ichan School of Medicine at Mount Sinai  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Thiboutot","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Akulian","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine University of North Carolina School of Medicine  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0208-3335","authenticated-orcid":false,"given":"Allen C.","family":"Burks","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine Washington University in St. Louis School of Medicine  St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branden","family":"Luna","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine Medical University of South Carolina  Charleston SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadia","family":"Benzaquen","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine University of Cincinnati College of Medicine  Cincinnati OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitesh","family":"Batra","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine University of Alabama at Birmingham School of Medicine  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"Cardenas\u2010Garcia","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine University of Michigan School  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Toth","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine Penn State Health Milton S. Hershey Medical Center  Hershey PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Heidecker","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Medicine Birmingham Pulmonary Group  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Belanger","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine University of North Carolina School of Medicine  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"McClune","sequence":"additional","affiliation":[{"name":"Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine Penn State Health Milton S. 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