Planting Seeds into the Lung: Image-Guided Percutaneous Localization to Guide Minimally Invasive Thoracic Surgery

• Published in: Korean journal of radiology Vol. 20; no. 11; pp. 1498 - 1514
• Main Authors: Lee, Ji Won, Park, Chul Hwan, Lee, Sang Min, Jeong, Miri, Hur, Jin
• Format: Journal Article
• Language: English
• Published: Seoul The Korean Society of Radiology 01.11.2019; 대한영상의학회
• Subjects: Barium; Bronchoscopy; Contrast agents; Iodine; Localization; Medical diagnosis; Methods; Ostomy; Pneumothorax; Skin; Thoracic Imaging; Thoracic surgery; Ultrasonic imaging; Wire; 방사선과학
• ISSN: 1229-6929; 2005-8330; 2005-8330
• DOI: 10.3348/kjr.2019.0155

Image-guided localization materials are constantly evolving, providing options for the localization of small pulmonary nodules to guide minimally invasive thoracic surgery. Several preoperative methods have been developed to localize small pulmonary lesions prior to video-assisted thoracic surgery. These localization techniques can be categorized into 4 groups according to the materials used: localization with metallic materials (hook-wire, microcoil, or spiral coil), localization with dye (methylene blue or indigo carmine), localization with contrast agents (lipiodol, barium, or iodine contrast agents), and radiotracers (technetium-99m). However, the optimal localization method has not yet been established. In this review article, we discuss the various localization techniques and the advantages and disadvantages of localization techniques as well as the available safety and efficacy data on these techniques.