Guidelines for radiologically guided lung biopsy

• Published in: Thorax Vol. 58; no. 11; pp. 920 - 936
• Main Authors: Manhire, A, Charig, M, Clelland, C, Gleeson, F, Miller, R, Moss, H, Pointon, K, Richardson, C, Sawicka, E
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Thoracic Society 01.11.2003; BMJ; BMJ Publishing Group LTD; BMJ Group
• Subjects: Ambulatory Surgical Procedures; Biological and medical sciences; Biopsy; Biopsy - adverse effects; Biopsy - methods; Biopsy - standards; BTS Guidelines; CNB; computed tomography; Conscious Sedation; core needle biopsy; fine needle aspiration biopsy; FNA; FNAB; Hospitals; Humans; Investigative techniques, diagnostic techniques (general aspects); Lung - pathology; lung biopsy; Lung diseases; Lung Diseases - mortality; Lung Diseases - pathology; magnetic resonance imaging; Medical imaging; Medical sciences; Medical Staff, Hospital; Methods; Morbidity; Mortality; MRI; Needles; NMR; non-small cell lung cancer; NSCLC; Nuclear magnetic resonance; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques; Patient Education as Topic; Patients; percutaneous transthoracic lung biopsy; PET; Pneumothorax - etiology; Pneumothorax - therapy; positron emission tomography; Postoperative Hemorrhage - etiology; Postoperative Hemorrhage - therapy; Preoperative Care - methods; PTLB; Radiography, Interventional; radiologically guided lung biopsy; Referral and Consultation; Respiratory system; SCLC; small cell lung cancer; Studies; Tomography, X-Ray Computed; Ultrasonic imaging; Guidance; Human; Radiography; Radiodiagnosis; Biopsy; Indication; Lung; Complication; Exploration
• ISSN: 0040-6376; 1468-3296
• DOI: 10.1136/thorax.58.11.920

Table 1 Categories of evidence 185 Level Type of evidence Ia Evidence obtained from meta-analysis of randomised controlled trials Ib Evidence obtained from at least one randomised controlled trial IIa Evidence obtained from at least one well designed controlled study without randomisation IIb Evidence obtained from at least one other type of well designed quasi-experimental study III Evidence obtained from well designed non-experimental descriptive studies such as comparative studies, correlation studies, and case controlled studies IV Evidence obtained from expert committee reports and/or clinical experiences of respected authorities Table 2 Grading of recommendations Grade Type of recommendations A (levels Ia, Ib) Requires at least one randomised controlled trial as part of a body of literature of overall good quality and consistency addressing the specific recommendation B (levels IIa, IIb, III) Requires availability of well conducted clinical studies but no randomised clinical trials on the topic of recommendation C (level IV) Requires evidence from expert committee reports or opinions and/or clinical experience of respected authorities. Because it does not cross the pleura, pneumothorax is much less common than in percutaneous biopsy.