Imaging-histologic discordance at percutaneous biopsy of the lung
| العنوان: | Imaging-histologic discordance at percutaneous biopsy of the lung |
|---|---|
| المؤلفون: | Oh, AS, Arnold, CW, Vangala, S, Wallace, WD, Genshaft, SJ, Sarma, K, Aberle, DR |
| المصدر: | Academic radiology, vol 22, iss 4 Oh, AS; Arnold, CW; Vangala, S; Wallace, WD; Genshaft, SJ; Sarma, K; et al.(2015). Imaging-Histologic Discordance at Percutaneous Biopsy of the Lung. ACADEMIC RADIOLOGY, 22(4), 481-487. doi: 10.1016/j.acra.2014.11.009. UCLA: Retrieved from: http://www.escholarship.org/uc/item/252483bf |
| بيانات النشر: | eScholarship, University of California, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, Image-Guided Biopsy, Radiologic–pathologic correlation, Lung Neoplasms, Biopsy, Clinical Sciences, Radiologic-pathologic correlation, Bioengineering, and over, standardized reporting, Clinical Research, Needle, 80 and over, Humans, Lung, Tomography, Retrospective Studies, Aged, Cancer, Observer Variation, screening and diagnosis, Interventional, Lung Cancer, Reproducibility of Results, imaging–histologic discordance, Middle Aged, X-Ray Computed, Radiography, Detection, imaging-histologic discordance, Nuclear Medicine & Medical Imaging, Biomedical Imaging, Female, 4.2 Evaluation of markers and technologies |
| الوصف: | Rationale and objectivesThe purpose of this study was to quantify the degree of imaging-histologic discordance in a cohort of patients undergoing computed tomography (CT)-guided lung biopsy for focal lung disease.Materials and methodsA retrospective review was performed of 186 patients who underwent percutaneous lung biopsy of a parenchymal lesion at our institution between January and December 2009. Diagnostic radiology reports of CT or positron emission tomography-CTs performed before biopsy were used to classify the lesion as malignant or benign by five readers. Pathology reports of the biopsied lesions were classified by three readers. Inter-reader agreement and imaging-histologic concordance were quantified using kappa statistics. Discordant benign cases were then revisited to determine downstream effects.ResultsInter-reader agreement on report content was substantial or almost perfect with kappas >0.783. Kappas for concordance were as follows: malignant (0.448), primary lung cancer (0.517), metastatic disease to lung (0.449), benign (0.510), and overall agreement (0.381). Of the twelve discordant benign cases that were revisited, four were found to be false negatives, resulting in a delay in diagnosis.ConclusionsOur study of imaging-histologic discordance in percutaneous biopsy of lung lesions supports the need for imaging report standardization and improved integration and communication between the fields of radiology and pathology. |
| وصف الملف: | application/pdf |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::bbcd37ed8f7222e90b68b86cac621626 https://escholarship.org/uc/item/252483bf |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.dedup.wf.001..bbcd37ed8f7222e90b68b86cac621626 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |