RecruitingNot ApplicableNCT06923098

PET/CT GUIDED BIOPSY VERSUS CT GUIDED BIOPSY IN EVALUATION OF SUSPECTED LUNG NEOPLASMS

Sponsor

All India Institute of Medical Sciences, Bhubaneswar

Enrollment

108 participants

Start Date

Jul 1, 2023

Study Type

INTERVENTIONAL

Conditions

Lung Diseases

Summary

Percutaneous CT guided biopsy is a well-established, standard sampling technique for suspected neoplastic lesions located in peripheral region in lung parenchyma. Inconclusive results on CT guided biopsy is substantially higher in large lung lesions which are prone to cause peripheral pneumonia, atelectasis and even regional necrosis, which are hard to be distinguished from tumor on CT images. Functional imaging guided biopsy like PET/CT guided biopsy identifies areas of highest concentration of neoplastic cells and provides accurate results. Only a few studies have been done regarding PET/CT guided biopsy and studies omparing PET/CT guided and CT guided percutaneous transthoracic lung biopsy are very few and this study would be a randomized trial comparing these diagnostic modalities in terms of diagnostic yield, diagnostic accuracy of sample and complications.

Eligibility

Min Age: 18 Years

Inclusion Criteria4

Age above 18 years
INR \< 1.2 and platelet counts \> 80,000/mm3
CT thorax with lung lesion more than 10 mm.
Accessible lesions for CT-guided biopsy.

Exclusion Criteria8

Participants with pre-existing bleeding diathesis like hemophilia, coagulopathy defined by -INR ≥1.2 and Platelet counts ≤ 80,000/mm3
Participants who refuse to provide consent
Signs of hypoperfusion like hypotension, cyanosis etc.
Presence of hypoxemia with SpO2 \< 94 %- measured in a pulse oximeter)
Pregnant/Lactating female subjects
Non-cooperative subjects
Lesions that are inaccessible (decision made on pre-biopsy planning)
Serum creatinine level more than 2mg/dl.