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CT-guided procedures: an initial experience.

Andrei Roman1, Patriciu Achimas-Cadariu2, Bogdan Fetica3

  • 1Radiology Department, "Prof. Dr. Ion Chiricuţă" Oncology Institute, Cluj-Napoca, Romania.

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Summary
This summary is machine-generated.

This study introduces computed tomography (CT)-guided procedures in Romania, demonstrating their safety and efficacy for biopsies and drainage. CT guidance provides crucial access for lesions otherwise unreachable by other methods.

Keywords:
RomaniaX-Raybiopsycomputed tomographydrainage

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Area of Science:

  • Interventional Radiology
  • Medical Imaging
  • Oncology

Background:

  • Computed tomography (CT)-guided procedures are underutilized in Romania.
  • This study details the initial implementation and experience with these minimally invasive techniques.

Purpose of the Study:

  • To describe the first experience of performing CT-guided procedures in Romania.
  • To evaluate the safety and efficacy of CT guidance for biopsies and drainage.

Main Methods:

  • Procedures were performed on tumors and fluid collections inaccessible by ultrasound or endoscopic guidance.
  • Utilized a 64-slice CT scanner, coaxial technique for biopsies (18 G needle), and Seldinger technique for drainage (10 F pig-tail drains).
  • Collected data on lesion characteristics, technique, success rates, and complications.

Main Results:

  • 30 procedures completed (26 biopsies, 4 drainages) between May 2017 and April 2018.
  • Achieved a 92.3% conclusive histopathological diagnosis rate for biopsies.
  • Reported a low complication rate (3/30), including minor hemothorax/hematoma and one severe tension pneumothorax.

Conclusions:

  • CT guidance offers a safe and effective method for accessing lesions.
  • Enables biopsies and drainage when ultrasound or endoscopic methods are not feasible.
  • Establishes CT-guided interventions as a valuable tool in Romanian medical practice.