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CT-Guided Intervention in the Thorax

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Multidetector-Row CT of the Thorax

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Percutaneous intervention in the thorax has been performed using radiologic guidance since 1966 when Dahlgren and colleagues described fluoroscopic needle biopsy in the lung (Dahlgren Scand J Respir Dis 47(3):187–194, 1966). With the advent of CT, percutaneous access to smaller lesions in more challenging locations became possible (vanSonnenberg et al. Radiology 167(2):457–461, 1988). CT allows for determination of an optimal cutaneous entry point in such a way as to avoid transgression of sensitive structures with greater accuracy and control than conventional fluoroscopy (Ghaye and Dondelinger Eur Respir J 17(3):507–528, 2001). CT-guided thoracic intervention has since grown to comprise pleural and mediastinal drainage, thermal ablation, mediastinal biopsy and drainage, and tumor localization to enable radiation therapy and surgical resection. This chapter describes the pre-procedure planning, techniques, outcomes, and complications of contemporary CT-guided thoracic intervention.

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Authors and Affiliations

  1. Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA

    Stephen B. Solomon

  2. Department of Radiology, Mater Misericordiae University Hospital, Eccles Street, Dublin, Ireland

    Carole A. Ridge

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  1. Stephen B. Solomon
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  2. Carole A. Ridge
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Correspondence to Stephen B. Solomon .

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Editors and Affiliations

  1. Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, South Carolina, USA

    U. Joseph Schoepf

  2. Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital, Munich, Germany

    Felix G. Meinel

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Solomon, S.B., Ridge, C.A. (2016). CT-Guided Intervention in the Thorax. In: Schoepf, U., Meinel, F. (eds) Multidetector-Row CT of the Thorax. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-319-30355-0_26

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  • DOI: https://doi.org/10.1007/978-3-319-30355-0_26

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