CT-guided biopsies in lung infections in patients with haematological malignancies.
CT-guided transparietal lung biopsy in imaging makes it possible to find the pathogenic agent in half of all fungal infections and most bacterial infections (sensitivity=55%, specificity=100%). Performance is decreased in consolidations (50% of infections) compared to masses. Complications, pneumothorax, alveolar bleeding and hemoptysis are generally benign and rarely (<5%) require specific treatment. On the other hand, the diagnostic performance increases significantly with the calibre of 18G co-axial systems compared to 20G. The risk is not related to the number of samples or platelet levels.
Interventional radiology department, hôpital Saint-Louis, université Paris-7 René-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France. Electronic address: cedric.de-bazelaire@sls.aphp.fr.
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de Bazelaire
Interventional radiology department, hôpital Saint-Louis, université Paris-7 René-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France.
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A
Coffin
Interventional radiology department, hôpital Saint-Louis, université Paris-7 René-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France.
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Cohen-Zarade
Interventional radiology department, hôpital Saint-Louis, université Paris-7 René-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France.
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de Margerie-Mellon
Interventional radiology department, hôpital Saint-Louis, université Paris-7 René-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France.
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Scemama
Interventional radiology department, hôpital Saint-Louis, université Paris-7 René-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France.
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Sabatier
Interventional radiology department, hôpital Saint-Louis, université Paris-7 René-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France.
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Calmon
Interventional radiology department, hôpital Saint-Louis, université Paris-7 René-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France.
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de Kerviler
D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology; D019337:Hematologic Neoplasms / Q000150:complications*; D006801:Humans; D061705:Image-Guided Biopsy / Q000009:adverse effects / Q000379:methods*; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging* / Q000473:pathology; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology; D008875:Middle Aged; D015641:Radiography, Interventional / Q000379:methods; D014057:Tomography, X-Ray Computed
Haematological malignancy; Infections; Interventional radiology; Lung biopsy