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Related Experiment Video

Updated: Sep 13, 2025

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
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Risk Factors for Pleural Reaction in CT-Guided Percutaneous Lung Nodule Localization: A Single-Center Retrospective

Ning Zhou1, Nan Feng2, Zichen Jiao3

  • 1Department of Thoracic Surgery, Nanjing Drum Tower Clinical College of Nanjing Medical University, Nanjing, People's Republic of China.

Therapeutics and Clinical Risk Management
|July 29, 2025
PubMed
Summary

Younger age, needle adjustments, poor anesthesia, and diabetes increase pleural reactions during CT-guided lung nodule localization. Careful management can reduce these risks.

Keywords:
LASSOlung nodulepleural reactionpuncture localizationrisk factors

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Area of Science:

  • Pulmonary Medicine
  • Interventional Radiology
  • Thoracic Surgery

Background:

  • Pleural reaction (PR) is a common complication during computed tomography (CT)-guided lung procedures.
  • Identifying risk factors for PR in CT-guided percutaneous lung nodule localization (CT-PLNL) is crucial for improving patient safety.

Purpose of the Study:

  • To identify independent risk factors associated with pleural reactions (PR) in CT-guided percutaneous lung nodule localization (CT-PLNL) procedures.

Main Methods:

  • Retrospective study of 467 patients undergoing CT-PLNL before video-assisted thoracic surgery (VATS).
  • Clinical data, imaging, and laboratory results were analyzed using univariate analysis, LASSO regression, and binary logistic regression.
  • Model performance was assessed using Receiver Operating Characteristic (ROC) curves, calibration curves, and decision curve analysis (DCA).

Main Results:

  • The incidence of PR was 5.35%.
  • Independent risk factors for PR included younger age, intrapulmonary needle path adjustment, inadequate anesthesia, and a history of diabetes.
  • The developed model demonstrated excellent discriminative ability and high clinical applicability.

Conclusions:

  • Younger age, intraprocedural needle adjustments, inadequate anesthesia, and diabetes are significant risk factors for PR after CT-PLNL.
  • Strategies such as optimizing anesthesia, minimizing needle manipulations, and managing glucose in diabetic patients may reduce PR risks.