Abstract:
OBJECTIVES:To determine the incidence, risk factors, and prognostic indicators of symptomatic air embolism after percutaneous transthoracic lung biopsy (PTLB) by conducting a systematic review and pooled analysis. METHODS:We searched the EMBASE and OVID-MEDLINE databases to identify studies that dealt with air embolism after PTLB and had extractable outcomes. The incidence of air embolism was pooled using a random effects model, and the causes of heterogeneity were investigated. To analyze risk factors for symptomatic embolism and unfavorable outcomes, multivariate logistic regression analysis was performed. RESULTS:The pooled incidence of symptomatic air embolism after PTLB was 0.08% (95% confidence interval [CI], 0.048-0.128%; I2 = 45%). In the subgroup analysis and meta-regression, guidance modality and study size were found to explain the heterogeneity. Of the patients with symptomatic air embolism, 32.7% had unfavorable outcomes. The presence of an underlying disease (odds ratio [OR], 5.939; 95% CI, 1.029-34.279; p = 0.046), the use of a ≥ 19-gauge needle (OR, 10.046; 95% CI, 1.103-91.469; p = 0.041), and coronary or intracranial air embolism (OR, 19.871; 95% CI, 2.725-14.925; p = 0.003) were independent risk factors for symptomatic embolism. Unfavorable outcomes were independently associated with the use of aspiration biopsy rather than core biopsy (OR, 3.302; 95% CI, 1.149-9.492; p = 0.027) and location of the air embolism in the coronary arteries or intracranial spaces (OR = 5.173; 95% CI = 1.309-20.447; p = 0.019). CONCLUSION:The pooled incidence of symptomatic air embolism after PTLB was 0.08%, and one-third of cases had sequelae or died. Identifying whether coronary or intracranial emboli exist is crucial in suspected cases of air embolism after PTLB. KEY POINTS:• The pooled incidence of symptomatic air embolism after percutaneous transthoracic lung biopsy was 0.08%, and one-third of patients with symptomatic air embolism had sequelae or died. • The risk factors for symptomatic air embolism were the presence of an underlying disease, the use of a ≥ 19-gauge needle, and coronary or intracranial air embolism. • Sequelae and death in patients with symptomatic air embolism were associated with the use of aspiration biopsy and coronary or intracranial locations of the air embolism.
journal_name
Eur Radioljournal_title
European radiologyauthors
Lee JH,Yoon SH,Hong H,Rho JY,Goo JMdoi
10.1007/s00330-020-07372-wsubject
Has Abstractpub_date
2020-10-13 00:00:00eissn
0938-7994issn
1432-1084pii
10.1007/s00330-020-07372-wpub_type
杂志文章abstract::The objective of this study was to compare screen-film mammography (SFM) to full-field digital mammography (FFDM) regarding image quality as well as detectability and characterization of lesions using equivalent images of the same patient acquired with both systems. Two mammography units were used, one with a screen-f...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-001-1269-y
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVES:This prospective trial was performed to verify whether microwave ablation (MWA) in combination with chemotherapy could provide superior survival benefit compared with chemotherapy alone. MATERIALS AND METHODS:From March 1, 2015, to June 20, 2017, treatment-naïve patients with pathologically verified advance...
journal_title:European radiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00330-019-06613-x
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abstract:OBJECTIVES:To evaluate the changes in mammographic density after tamoxifen discontinuation in premenopausal women with oestrogen receptor-positive breast cancers and the underlying factors METHODS: A total of 213 consecutive premenopausal women with breast cancer who received tamoxifen treatment after curative surgery ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-5293-y
更新日期:2018-08-01 00:00:00
abstract::The purpose of this paper is to define and evaluate a classification category for contrast-enhanced (CE) MR imaging of the breast based on the BI-RADS mammographic categories of the American College of Radiology. Using five evaluation criteria for MR findings (initial signal increase, post-initial signal behavior, sha...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-001-1213-1
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abstract:OBJECTIVES:At a European Society of Neuroradiology (ESNR) Annual Meeting 2015 workshop, commonalities in practice, current controversies and technical hurdles in glioma MRI were discussed. We aimed to formulate guidance on MRI of glioma and determine its feasibility, by seeking information on glioma imaging practices f...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-018-5314-5
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abstract::Non-enhanced two-dimensional (2D) time-of-flight (TOF) MRA is well established for imaging of the deep venous system. However, based on the acquisition of multiple axial images, it can be time-consuming and often fails to delineate small superficial and perforating veins. The presented low-dose, direct-contrast-inject...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s003300000586
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abstract:OBJECTIVES:To assess epiphyseal growth plate closure of the knee for forensic age estimation using an ultrasound (US)-based method and to compare the findings with MRI. METHODS:Thirty-three healthy male individuals (age, 14.4-19.3 years) were prospectively evaluated for epiphyseal growth plate closure of the right kne...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07343-1
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abstract:BACKGROUND:Juvenile idiopathic arthritis (JIA) can cause structural damage. However, data on conventional radiography (CR) in JIA are scant. OBJECTIVE:To provide pragmatic guidelines on CR in each non-systemic JIA subtype. METHODS:A multidisciplinary task force of 16 French experts (rheumatologists, paediatricians, r...
journal_title:European radiology
pub_type: 杂志文章,实务指引,评审
doi:10.1007/s00330-018-5304-7
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abstract::Since improvement in the material, true aneurysms and pseudoaneurysm formations have become relatively rare complications after femoro-popliteal reconstruction with polytetrafluoroethylene (PTFE) grafts. We report a case of late graft rupture and pseudoaneurysm formation within the straight femoral part of a femoro-po...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050909
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journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s003300000543
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pub_type: 杂志文章
doi:10.1007/s00330-016-4697-4
更新日期:2017-09-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07515-z
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abstract:PURPOSE:To determine the utility of stretched exponential diffusion model in characterisation of the water diffusion heterogeneity in different tumour stages of nasopharyngeal carcinoma (NPC). MATERIALS AND METHODS:Fifty patients with newly diagnosed NPC were prospectively recruited. Diffusion-weighted MR imaging was ...
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doi:10.1007/s00330-014-3535-9
更新日期:2015-06-01 00:00:00
abstract::There is little published long-term survival data for patients with colorectal liver metastases treated with radiofrequency ablation (RFA). We present a multivariate analysis of 5-year survival in 309 patients (198 male, aged 64 (24-92)) treated at 617 sessions. Our standard protocol used internally cooled electrodes ...
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pub_type: 杂志文章
doi:10.1007/s00330-008-1258-5
更新日期:2009-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00330-018-5718-2
更新日期:2019-06-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050057
更新日期:2000-01-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-4142-0
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To assess reduced volumes of contrast agent on image quality for coronary computed tomography angiography (CCTA) by using single-beat cardiac imaging with 320-slice CT.
MATERIALS AND METHODS:Forty consecutive male patients (mean age: 55.8 years) undergoing CCTA with body weight journal_title:European radiology pub_type: 杂志文章 doi:10.1007/s00330-009-1692-z 更新日期:2010-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s003300000466
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050140
更新日期:1997-01-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章,评审
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更新日期:2018-02-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07587-x
更新日期:2021-01-06 00:00:00
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journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s003300050485
更新日期:1998-01-01 00:00:00
abstract::Ankle impingement syndromes are categorised according to their anatomical site around the tibiotalar joint. Anterolateral, anterior and posterior ankle impingement has been extensively described in the orthopaedic and radiology literature with more recent studies describing posteromedial and anteromedial impingement. ...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-007-0675-1
更新日期:2007-12-01 00:00:00
abstract::Computed tomography with rectal air insufflation was compared with transrectal ultrasonography (TRUS) in 63 patients. The CT protocol involved pre- and postcontrast scans with 5 mm slice thickness following air insufflation in IV antiperistaltic agent. Of the patients, 79 % were scanned in the prone position. Results ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050102
更新日期:1997-01-01 00:00:00
abstract::The purpose of this study was to correlate the effectiveness of preoperative embolization with the blood loss and transfusion requirement during surgery for bone metastases from renal cell carcinoma. Twenty-eight preoperative embolizations in 26 patients with renal cell carcinoma metastatic to bone were retrospectivel...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050969
更新日期:2000-01-01 00:00:00
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journal_title:European radiology
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更新日期:2019-12-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-002-1662-1
更新日期:2003-06-01 00:00:00