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What Constitutes Effective Management of Pneumothorax After CT-Guided Needle Biopsy of the Lung?

Linda B. Haramati, MD, FCCP; Galit Aviram, MD
Author and Funding Information

Affiliations: Bronx, NY
 ,  Tel-Aviv, Israel
 ,  Dr. Haramati is Associate Professor of Radiology, Albert Einstein College of Medicine, and Director of Thoracic Imaging, Montefiore Medical Center, Bronx, NY; Dr. Aviram is Clinical Instructor of Radiology, Tel Aviv University, and Director of Thoracic Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Correspondence to: Linda B. Haramati, MD, FCCP, Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467; e-mail: lharamati@aecom.yu.edu



Chest. 2002;121(4):1013-1015. doi:10.1378/chest.121.4.1013
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Transthoracic fine-needle aspiration biopsy of pulmonary lesions is a well-established technique for the diagnosis of malignancy, obviating the need for surgical biopsy in the majority of patients. Although the procedure was originally done under fluoroscopic guidance,1 the widespread availability of CT has made it the leading modality for guiding lung biopsies. The use of CT guidance permits small, previously inaccessible or even undetectable nodules to be amenable to transthoracic needle biopsy.23 Reported accuracy for the diagnosis of benign and malignant disease is in the range of 64 to 97%.2,45 Automated core needle biopsy confers a diagnostic advantage over fine-needle aspiration if a cytologist is not available, or in the diagnosis of lymphoma, or in obtaining a specific benign diagnosis.6

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