Korean J Radiol.  2019 Nov;20(11):1498-1514. 10.3348/kjr.2019.0155.

Planting Seeds into the Lung: Image-Guided Percutaneous Localization to Guide Minimally Invasive Thoracic Surgery

Affiliations
  • 1Department of Radiology, Pusan National University Hospital, Busan, Korea.
  • 2Department of Radiology and Research Institute of Radiological Science, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 4Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. khuhz@yuhs.ac

Abstract

Image-guided localization materials are constantly evolving, providing options for the localization of small pulmonary nodules to guide minimally invasive thoracic surgery. Several preoperative methods have been developed to localize small pulmonary lesions prior to video-assisted thoracic surgery. These localization techniques can be categorized into 4 groups according to the materials used: localization with metallic materials (hook-wire, microcoil, or spiral coil), localization with dye (methylene blue or indigo carmine), localization with contrast agents (lipiodol, barium, or iodine contrast agents), and radiotracers (technetium-99m). However, the optimal localization method has not yet been established. In this review article, we discuss the various localization techniques and the advantages and disadvantages of localization techniques as well as the available safety and efficacy data on these techniques.

Keyword

Localization; Tomography, X-ray computed; Ultrasonography; Coloring agents; Contrast media; Thoracic surgery, video-assisted

MeSH Terms

Barium
Coloring Agents
Contrast Media
Indigo Carmine
Iodine
Lung*
Methods
Plants*
Thoracic Surgery*
Thoracic Surgery, Video-Assisted
Tomography, X-Ray Computed
Ultrasonography
Barium
Coloring Agents
Contrast Media
Indigo Carmine
Iodine
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