{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:06:04Z","timestamp":1753884364692,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"1140","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJR"],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p> To investigate the diagnostic accuracy of using 3D polylines (3DPs) to improve cone-beam CT (CBCT) virtual navigation (VN)-guided percutaneous transthoracic needle biopsies (PTNB) of pulmonary lesions. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> From May 2021 to November 2021, patients (81 males and 41 females; age, 65 \u00b1 12 years) who underwent CBCT VN with 3DPs for PTNB of pulmonary lesions were retrospectively reviewed. Fluoroscopic visibility of target lesions was evaluated using captured images from a Bull\u2019s eye view. Diagnostic accuracy was calculated, and complications were assessed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The mean size of biopsied lesions was 23 \u00b1 13\u2009mm (range: 6\u201375\u2009mm). Overall, 13.9% (17\/122) were small pulmonary nodules (diameter \u22641\u2009cm), and 68.0% (83\/122) of biopsied lesions were fluoroscopic visible. The overall diagnostic accuracy was 94.3%. The diagnostic accuracy for visible and invisible lesions was 94.0 and 94.9%, respectively (p = 0.843), and 100% for small pulmonary nodules. Major complications occurred in 8.2% (10\/122; eight pneumothorax with chest tube insertion, one hemoptysis with transfusion, and one air embolism) of patients. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> CBCT VN with 3DP guidance provide a real-time outline of pulmonary lesions, thus enabling a reliable and accurate PTNB. <\/jats:p><\/jats:sec><jats:sec><jats:title>Advances in knowledge:<\/jats:title><jats:p> 3DP guidance could be useful technique for CBCT-guided PTNB, especially in small pulmonary nodules. <\/jats:p><\/jats:sec>","DOI":"10.1259\/bjr.20220406","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:58:09Z","timestamp":1664373489000},"source":"Crossref","is-referenced-by-count":1,"title":["Using 3D polylines to improve cone-beam CT-guided percutaneous transthoracic needle biopsy"],"prefix":"10.1093","volume":"95","author":[{"given":"Young-Min","family":"Han","sequence":"first","affiliation":[{"name":"Departments of Radiology, College of Medicine, Jeonbuk National University, Jeollabuk-do, South Korea"},{"name":"Research Institute of Clinical Medicine of Jeonbuk National University\u2013Biomedical Research Institute of Jeonbuk National University Hospital, Jeollabuk-do, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2018-8130","authenticated-orcid":false,"given":"Kun Yung","family":"Kim","sequence":"additional","affiliation":[{"name":"Departments of Radiology, College of Medicine, Jeonbuk National University, Jeollabuk-do, South Korea"},{"name":"Research Institute of Clinical Medicine of Jeonbuk National University\u2013Biomedical Research Institute of Jeonbuk National University Hospital, Jeollabuk-do, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","reference":[{"issue":"12","key":"b1","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics10121068","volume":"10","author":"Gulias-Soidan D","year":"2020","journal-title":"Diagnostics (Basel)"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2016.05.034"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.13131265"},{"issue":"1","key":"b4","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics12010115","volume":"12","author":"Yang L","year":"2022","journal-title":"Diagnostics (Basel)"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-018-4296-4"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-019-02163-3"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1080\/07357907.2018.1498877"},{"issue":"1087","key":"b8","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20170805","volume":"91","author":"Hwang EJ","year":"2018","journal-title":"Br J Radiol"},{"key":"b9","first-page":"1","volume":"37","year":"2007","journal-title":"Ann ICRP"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20130310"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.5152\/dir.2014.13463"}],"container-title":["The British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.birpublications.org\/doi\/pdf\/10.1259\/bjr.20220406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T16:44:53Z","timestamp":1705077893000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/7477437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,1]]},"references-count":11,"journal-issue":{"issue":"1140","published-print":{"date-parts":[[2022,12,1]]}},"alternative-id":["10.1259\/bjr.20220406"],"URL":"https:\/\/doi.org\/10.1259\/bjr.20220406","relation":{},"ISSN":["0007-1285","1748-880X"],"issn-type":[{"type":"print","value":"0007-1285"},{"type":"electronic","value":"1748-880X"}],"subject":[],"published":{"date-parts":[[2022,12,1]]},"article-number":"20220406"}}