Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy

Area of Science:

• Thoracic Oncology
• Interventional Radiology
• Diagnostic Pathology

Background:

• Percutaneous needle biopsy has a long history in diagnosing thoracic diseases.
• Image-guided percutaneous transthoracic needle biopsy (PTNB) is vital for lung, thoracic wall, hilum, and mediastinal tumor diagnosis, staging, and treatment.
• Expanding applications necessitate standardized procedures and perioperative management.

Purpose of the Study:

• To establish the first Chinese multidisciplinary expert consensus on PTNB.
• To standardize PTNB operating procedures and perioperative management for Chinese professionals.
• To provide systematic guidance for clinical practice.

Main Methods:

• Development of a Chinese multidisciplinary expert consensus.
• Inclusion of image-guided methods, indications, contraindications, and multidisciplinary team recommendations.
• Detailed protocols for biopsy procedures, outpatient settings, complication management, pathological examination, and handling of negative results.

Main Results:

• A comprehensive expert consensus addressing key aspects of PTNB.
• Standardized guidelines for image-guided biopsy, patient selection, and procedural techniques.
• Recommendations for pathology and management of diagnostic challenges.

Conclusions:

• The consensus aims to improve the quality and safety of PTNB in China.
• Standardization of PTNB will enhance diagnostic accuracy and patient care for thoracic diseases.
• This document serves as a crucial reference for clinicians and technicians involved in PTNB.