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Abstract

Medicine

A Stepwise Approach for Performing Ultrasound Guided Transthoracic Lung Biopsy

Published: November 3rd, 2023

DOI:

10.3791/65769

1Department of Respiratory Medicine, Odense University Hospital, 2Odense Respiratory Research Unit (ODIN), Department of Clinical Research, University of Southern Denmark, 3Respiratory Medicine Department, North Bristol NHS Trust, Southmead Hospital, 4Academic Respiratory Unit, University of Bristol

Abstract

Diagnosing patients with radiological lung lesions, especially those suspected of having primary lung cancer, is a common and critical clinical scenario. When selecting the most suitable invasive procedure to establish a diagnosis in these cases, a delicate balance must be struck between achieving a high diagnostic yield, providing staging information, minimizing potential complications, enhancing the patient experience, and controlling costs. The integration of thoracic ultrasound as a routine clinical tool in respiratory medicine has led to increased awareness and utilization of ultrasound-guided invasive techniques in chest procedures, including transthoracic biopsies. By following a systematic and stepwise approach, transthoracic ultrasound-guided lung biopsy emerges as a safe, cost-effective procedure with a remarkable diagnostic accuracy. These attributes collectively position it as an ideal invasive technique when technically feasible. Consequently, in patients presenting subpleural lung lesions suspected of malignancy, transthoracic ultrasound-guided lung biopsy has become a standard procedure in the realm of modern invasive pulmonology.

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Keywords Ultrasound guided

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