Casamassima F, Di Lollo S, Arganini L, Ruggiero C, Cellerini A, Fargnoli R
Dipartimento di Fisiopatologia Clinica, Università Firenze.
Radiol Med. 1988 Nov;76(5):438-42.
CT-guided percutaneous fine-needle biopsy (FNB) is the method of choice in the histological characterization of mediastinum and lung lesions in which a diagnosis could not be reached through noninvasive methods such as cytology of the sputum, or biopsy during bronchoscopy. FNB represents an alternative to diagnostic thoracotomy: it is, in fact, less invasive, it can be carried out with no need for hospitalization, and has a low incidence of complications. FNB diagnostic accuracy is very high, as our results prove: accuracy 89.6%, sensitivity 87.6% and specificity 98%. Our series includes 419 percutaneous fine-needle biopsies.
CT引导下经皮细针穿刺活检（FNB）是纵隔和肺部病变组织学特征诊断的首选方法，对于那些无法通过痰液细胞学检查或支气管镜检查活检等非侵入性方法确诊的病变尤为适用。FNB是诊断性开胸手术的一种替代方法：实际上，它的侵入性较小，无需住院即可进行，且并发症发生率较低。正如我们的结果所示，FNB的诊断准确性非常高：准确率89.6%，敏感性87.6%，特异性98%。我们的系列研究包括419例经皮细针穿刺活检。
