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Xizhao Sui - One of the best experts on this subject based on the ideXlab platform.
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simultaneous preoperative computed tomography guided microcoil localizations of Multiple Pulmonary Nodules
European Radiology, 2021Co-Authors: Jian Gao, Nan Hong, Huixin Liu, Chen Chen, X U Zhi, Xizhao SuiAbstract:To evaluate retrospectively the feasibility and safety of simultaneous Multiple microcoil localizations of Multiple Pulmonary Nodules prior to video-assisted thoracoscopic surgery (VATS). This retrospective cohort study enrolled 288 consecutive patients, who underwent computed tomography (CT)–guided microcoil localization and subsequent VATS at our academic hospital between July 2017 and June 2018. Of these patients, 36 with 79 Pulmonary Nodules undergoing simultaneous Multiple microcoil localizations in the ipsilateral lung were designated the Multiple localization group; the remaining 252 with 252 Pulmonary Nodules undergoing single microcoil localization were designated the single localization group. The main outcomes were the technical success and complication rates of the localization procedures. The Student t test and Mann-Whitney U test were used for continuous variables. The chi-squared test and logistic regression analysis were used to assess dichotomous variables. The localization technical success rates of the Multiple and single localization groups were 96.2% (76/79) and 98.0% (247/252), respectively (p = 0.326). The rate of any complication (pneumothorax or Pulmonary hemorrhage) was significantly higher in the Multiple localization than in the single localization group (55.6% vs 21.8%, respectively; p < 0.001). The incidence of pneumothorax was significantly higher in the Multiple localization than in the single localization group (p < 0.001). The difference between the incidence of Pulmonary hemorrhage in the 2 groups was not significant (p = 0.385). Although preoperative CT-guided simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax, the localizations were clinically feasible and safe. • Simultaneous preoperative CT-guided microcoil localizations of Multiple Pulmonary Nodules are clinically feasible and safe. • Simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax.
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Simultaneous preoperative computed tomography-guided microcoil localizations of Multiple Pulmonary Nodules.
European radiology, 2021Co-Authors: Jian Gao, Nan Hong, Huixin Liu, Chen Chen, Xizhao SuiAbstract:OBJECTIVES To evaluate retrospectively the feasibility and safety of simultaneous Multiple microcoil localizations of Multiple Pulmonary Nodules prior to video-assisted thoracoscopic surgery (VATS). METHODS This retrospective cohort study enrolled 288 consecutive patients, who underwent computed tomography (CT)-guided microcoil localization and subsequent VATS at our academic hospital between July 2017 and June 2018. Of these patients, 36 with 79 Pulmonary Nodules undergoing simultaneous Multiple microcoil localizations in the ipsilateral lung were designated the Multiple localization group; the remaining 252 with 252 Pulmonary Nodules undergoing single microcoil localization were designated the single localization group. The main outcomes were the technical success and complication rates of the localization procedures. The Student t test and Mann-Whitney U test were used for continuous variables. The chi-squared test and logistic regression analysis were used to assess dichotomous variables. RESULTS The localization technical success rates of the Multiple and single localization groups were 96.2% (76/79) and 98.0% (247/252), respectively (p = 0.326). The rate of any complication (pneumothorax or Pulmonary hemorrhage) was significantly higher in the Multiple localization than in the single localization group (55.6% vs 21.8%, respectively; p < 0.001). The incidence of pneumothorax was significantly higher in the Multiple localization than in the single localization group (p < 0.001). The difference between the incidence of Pulmonary hemorrhage in the 2 groups was not significant (p = 0.385). CONCLUSIONS Although preoperative CT-guided simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax, the localizations were clinically feasible and safe. KEY POINTS • Simultaneous preoperative CT-guided microcoil localizations of Multiple Pulmonary Nodules are clinically feasible and safe. • Simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax.
Jian Gao - One of the best experts on this subject based on the ideXlab platform.
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simultaneous preoperative computed tomography guided microcoil localizations of Multiple Pulmonary Nodules
European Radiology, 2021Co-Authors: Jian Gao, Nan Hong, Huixin Liu, Chen Chen, X U Zhi, Xizhao SuiAbstract:To evaluate retrospectively the feasibility and safety of simultaneous Multiple microcoil localizations of Multiple Pulmonary Nodules prior to video-assisted thoracoscopic surgery (VATS). This retrospective cohort study enrolled 288 consecutive patients, who underwent computed tomography (CT)–guided microcoil localization and subsequent VATS at our academic hospital between July 2017 and June 2018. Of these patients, 36 with 79 Pulmonary Nodules undergoing simultaneous Multiple microcoil localizations in the ipsilateral lung were designated the Multiple localization group; the remaining 252 with 252 Pulmonary Nodules undergoing single microcoil localization were designated the single localization group. The main outcomes were the technical success and complication rates of the localization procedures. The Student t test and Mann-Whitney U test were used for continuous variables. The chi-squared test and logistic regression analysis were used to assess dichotomous variables. The localization technical success rates of the Multiple and single localization groups were 96.2% (76/79) and 98.0% (247/252), respectively (p = 0.326). The rate of any complication (pneumothorax or Pulmonary hemorrhage) was significantly higher in the Multiple localization than in the single localization group (55.6% vs 21.8%, respectively; p < 0.001). The incidence of pneumothorax was significantly higher in the Multiple localization than in the single localization group (p < 0.001). The difference between the incidence of Pulmonary hemorrhage in the 2 groups was not significant (p = 0.385). Although preoperative CT-guided simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax, the localizations were clinically feasible and safe. • Simultaneous preoperative CT-guided microcoil localizations of Multiple Pulmonary Nodules are clinically feasible and safe. • Simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax.
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Simultaneous preoperative computed tomography-guided microcoil localizations of Multiple Pulmonary Nodules.
European radiology, 2021Co-Authors: Jian Gao, Nan Hong, Huixin Liu, Chen Chen, Xizhao SuiAbstract:OBJECTIVES To evaluate retrospectively the feasibility and safety of simultaneous Multiple microcoil localizations of Multiple Pulmonary Nodules prior to video-assisted thoracoscopic surgery (VATS). METHODS This retrospective cohort study enrolled 288 consecutive patients, who underwent computed tomography (CT)-guided microcoil localization and subsequent VATS at our academic hospital between July 2017 and June 2018. Of these patients, 36 with 79 Pulmonary Nodules undergoing simultaneous Multiple microcoil localizations in the ipsilateral lung were designated the Multiple localization group; the remaining 252 with 252 Pulmonary Nodules undergoing single microcoil localization were designated the single localization group. The main outcomes were the technical success and complication rates of the localization procedures. The Student t test and Mann-Whitney U test were used for continuous variables. The chi-squared test and logistic regression analysis were used to assess dichotomous variables. RESULTS The localization technical success rates of the Multiple and single localization groups were 96.2% (76/79) and 98.0% (247/252), respectively (p = 0.326). The rate of any complication (pneumothorax or Pulmonary hemorrhage) was significantly higher in the Multiple localization than in the single localization group (55.6% vs 21.8%, respectively; p < 0.001). The incidence of pneumothorax was significantly higher in the Multiple localization than in the single localization group (p < 0.001). The difference between the incidence of Pulmonary hemorrhage in the 2 groups was not significant (p = 0.385). CONCLUSIONS Although preoperative CT-guided simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax, the localizations were clinically feasible and safe. KEY POINTS • Simultaneous preoperative CT-guided microcoil localizations of Multiple Pulmonary Nodules are clinically feasible and safe. • Simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax.
Sheng Xie - One of the best experts on this subject based on the ideXlab platform.
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The utility of simultaneous CT-guided localization for Multiple Pulmonary Nodules using microcoil before Video-Assisted Thoracic Surgery
BMC pulmonary medicine, 2021Co-Authors: Hongliang Sun, Zhenguo Huang, Zhenrong Zhang, Fei Xiao, Jie Lin, Sheng XieAbstract:BACKGROUND To evaluate the feasibility and safety of microcoil in simultaneous localization for Multiple Pulmonary Nodules before video-assisted thoracic surgery (VATS). METHODS Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; 58 Nodules in total; Group A) underwent simultaneous CT-guided localization of Multiple Pulmonary Nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image which was obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the Nodules and procedure-related complications in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). RESULTS Similar rates of successful targeting, localization and VATS were observed in group A and B (96.6% vs. 98.2%; 91.4% vs. 91.0%; 100% vs. 99.1%). Although the rate of overall complications (including localized pneumothorax and intraPulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs. 30.8%, p = 0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization (24 ± 7.5 vs.13 ± 6 min, p
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The utility of simultaneous CT-guided localization for Multiple Pulmonary Nodules using microcoil before Video-Assisted Thoracic Surgery
2021Co-Authors: Hongliang Sun, Zhenguo Huang, Zhenrong Zhang, Fei Xiao, Jie Lin, Sheng XieAbstract:Abstract Background: To evaluate the feasibility and safety of microcoil in simultaneous localization for Multiple Pulmonary Nodules before video-assisted thoracic surgery (VATS).Methods: Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; 58 Nodules in total; Group A) underwent simultaneous CT-guided localization of Multiple Pulmonary Nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image which was obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the Nodules and procedure-related complications in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). Results: Similar rates of successful targeting, localization and VATS were observed in group A and B (96.6% vs 98.2%; 91.4% vs 91.0%; 100% vs 99.1%). Although the rate of overall complications (including localized pneumothorax and intraPulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs 30.8%, p=0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization (24±7.5 vs 13±6 min, p<0.001).Conclusions: CT-guided simultaneous microcoil localization for Multiple Pulmonary Nodules before VATS was clinically feasible and safe with acceptable increase in the procedure time. Compared with localization for a single Pulmonary nodule, simultaneous microcoil localizations for Multiple Nodules were prone to pneumothorax and hemorrhage. However, no statistically significant differences were observed between the two groups.
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The utility of simultaneous CT-guided localization for Multiple Pulmonary Nodules using microcoil before Video-Assisted Thoracic Surgery
2020Co-Authors: Hongliang Sun, Zhenguo Huang, Zhenrong Zhang, Fei Xiao, Jie Lin, Sheng XieAbstract:Abstract Background: To evaluate the feasibility and safety of microcoil in simultaneous localization for Multiple Pulmonary Nodules before video-assisted thoracic surgery (VATS). Methods: Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; totally 58 Nodules; Group A) underwent simultaneous CT-guided localization for Multiple Pulmonary Nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the Nodules and procedure-related complication in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). Results: The similar rates of success targeting, localization and VATS were observed in group A and B (96.6% vs 98.2%; 91.4% vs 91.0%; 100% vs 99.1%). Although the rate of overall complications (including localized pneumothorax and intraPulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs 30.8%, p =0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization ones (24±7.5 vs 13±6 min, p <0.001). Conclusions: CT-guided simultaneous microcoil localization for Multiple Pulmonary Nodules before VATS was clinical feasible and safe with acceptable increasing the procedure time. Compared with localization for a single Pulmonary nodule, simultaneous microcoil localizations for Multiple Nodules were prone to the occurrence of pneumothorax and hemorrhage. However, no statistically significant differences were observed between the two groups.
Chang Chen - One of the best experts on this subject based on the ideXlab platform.
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Progress in Basic Research and Clinical Treatment of Multiple Pulmonary Nodules
Chinese Anti-Cancer Association; Chinese Antituberculosis Association, 2019Co-Authors: Donglai Chen, Rongying Zhu, Yifei Wang, Chang Chen, Yongbing Chen, Wentao YangAbstract:Lung cancer leads to the highest cancer-related morbidity and mortality worldwide. With the development of multi-slice spiral computed tomography technology and the implement of lung cancer screening, more and more lung Nodules have been discovered, many of which are Multiple Pulmonary Nodules. These Pulmonary Nodules are usually diagnosed as Multiple primary lung adenocarcinomas from a pathological perspective. For Multiple Nodules with different imaging features, the preferred treatment methods are different, and the treatment of each lung nodule is still controversial. In recent years, the interactions between Multiple lesions and the evolution of the lesions as well as the inter-tumoral and intratumoral homogeneity and heterogeneity of the genomics also arouse attention. Our review gathered the research progress in Multiple Pulmonary Nodules from the points of histopathology, genomics and surgical management
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modified hook wire placement technique for localizing Multiple Pulmonary Nodules
Journal of Surgical Oncology, 2018Co-Authors: Xiermaimaiti Kadeer, Lei Zhang, Weirong Shi, Long Wang, Chang ChenAbstract:BACKGROUND The localization of Multiple Pulmonary Nodules is challenging due to a high incidence of pneumothorax after each needle insertion into lung parenchyma. The aim of the current study is to verify the safety and effectiveness of a modified technique utilizing simultaneous Hookwire placement to localize Multiple lesions. METHODS The proposed method comprises a row of metal wires, perpendicular insertion, simultaneous release of Hookwire, and a lateral position to modify a conventional localizing technique. From January 2015 to August 2016, 23 patients were subjected to the modified technique group (Group A), while 53 patients in the conventional group (Group B). Success rates, procedural parameters, and complications were recorded and analyzed. RESULTS Compared with Group B, Group A had higher success rate of lesion (96.7% vs 83.5%, P = 0.009), lower numbers of CT scans (2.91 vs 5.59, P < 0.001), shorter procedure duration (13.83 minutes vs 22.68 minutes, P < 0.001), and shorter distance between localizers and lesions (4.88 vs 6.29, P = 0.006). The incidence of pneumothorax in Group A was lower (21.8% vs 54.7%, P = 0.008), while lung hemorrhage was not significantly different ( P = 0.735). Lesion number and pneumothorax were risk factors for failure in Multiple localizations. CONCLUSIONS The modified Hookwire placement technique was feasible and successful, which was associated with fewer computed tomography scans, shorter procedure duration, and a lower incidence of pneumothorax.
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Modified hook-wire placement technique for localizing Multiple Pulmonary Nodules.
Journal of surgical oncology, 2018Co-Authors: Xiermaimaiti Kadeer, Wang Long, Lei Zhang, Weirong Shi, Chang ChenAbstract:BACKGROUND The localization of Multiple Pulmonary Nodules is challenging due to a high incidence of pneumothorax after each needle insertion into lung parenchyma. The aim of the current study is to verify the safety and effectiveness of a modified technique utilizing simultaneous Hookwire placement to localize Multiple lesions. METHODS The proposed method comprises a row of metal wires, perpendicular insertion, simultaneous release of Hookwire, and a lateral position to modify a conventional localizing technique. From January 2015 to August 2016, 23 patients were subjected to the modified technique group (Group A), while 53 patients in the conventional group (Group B). Success rates, procedural parameters, and complications were recorded and analyzed. RESULTS Compared with Group B, Group A had higher success rate of lesion (96.7% vs 83.5%, P = 0.009), lower numbers of CT scans (2.91 vs 5.59, P
Nan Hong - One of the best experts on this subject based on the ideXlab platform.
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simultaneous preoperative computed tomography guided microcoil localizations of Multiple Pulmonary Nodules
European Radiology, 2021Co-Authors: Jian Gao, Nan Hong, Huixin Liu, Chen Chen, X U Zhi, Xizhao SuiAbstract:To evaluate retrospectively the feasibility and safety of simultaneous Multiple microcoil localizations of Multiple Pulmonary Nodules prior to video-assisted thoracoscopic surgery (VATS). This retrospective cohort study enrolled 288 consecutive patients, who underwent computed tomography (CT)–guided microcoil localization and subsequent VATS at our academic hospital between July 2017 and June 2018. Of these patients, 36 with 79 Pulmonary Nodules undergoing simultaneous Multiple microcoil localizations in the ipsilateral lung were designated the Multiple localization group; the remaining 252 with 252 Pulmonary Nodules undergoing single microcoil localization were designated the single localization group. The main outcomes were the technical success and complication rates of the localization procedures. The Student t test and Mann-Whitney U test were used for continuous variables. The chi-squared test and logistic regression analysis were used to assess dichotomous variables. The localization technical success rates of the Multiple and single localization groups were 96.2% (76/79) and 98.0% (247/252), respectively (p = 0.326). The rate of any complication (pneumothorax or Pulmonary hemorrhage) was significantly higher in the Multiple localization than in the single localization group (55.6% vs 21.8%, respectively; p < 0.001). The incidence of pneumothorax was significantly higher in the Multiple localization than in the single localization group (p < 0.001). The difference between the incidence of Pulmonary hemorrhage in the 2 groups was not significant (p = 0.385). Although preoperative CT-guided simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax, the localizations were clinically feasible and safe. • Simultaneous preoperative CT-guided microcoil localizations of Multiple Pulmonary Nodules are clinically feasible and safe. • Simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax.
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Simultaneous preoperative computed tomography-guided microcoil localizations of Multiple Pulmonary Nodules.
European radiology, 2021Co-Authors: Jian Gao, Nan Hong, Huixin Liu, Chen Chen, Xizhao SuiAbstract:OBJECTIVES To evaluate retrospectively the feasibility and safety of simultaneous Multiple microcoil localizations of Multiple Pulmonary Nodules prior to video-assisted thoracoscopic surgery (VATS). METHODS This retrospective cohort study enrolled 288 consecutive patients, who underwent computed tomography (CT)-guided microcoil localization and subsequent VATS at our academic hospital between July 2017 and June 2018. Of these patients, 36 with 79 Pulmonary Nodules undergoing simultaneous Multiple microcoil localizations in the ipsilateral lung were designated the Multiple localization group; the remaining 252 with 252 Pulmonary Nodules undergoing single microcoil localization were designated the single localization group. The main outcomes were the technical success and complication rates of the localization procedures. The Student t test and Mann-Whitney U test were used for continuous variables. The chi-squared test and logistic regression analysis were used to assess dichotomous variables. RESULTS The localization technical success rates of the Multiple and single localization groups were 96.2% (76/79) and 98.0% (247/252), respectively (p = 0.326). The rate of any complication (pneumothorax or Pulmonary hemorrhage) was significantly higher in the Multiple localization than in the single localization group (55.6% vs 21.8%, respectively; p < 0.001). The incidence of pneumothorax was significantly higher in the Multiple localization than in the single localization group (p < 0.001). The difference between the incidence of Pulmonary hemorrhage in the 2 groups was not significant (p = 0.385). CONCLUSIONS Although preoperative CT-guided simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax, the localizations were clinically feasible and safe. KEY POINTS • Simultaneous preoperative CT-guided microcoil localizations of Multiple Pulmonary Nodules are clinically feasible and safe. • Simultaneous microcoil localizations of Multiple Pulmonary Nodules produced a significantly higher incidence of pneumothorax.
