Andi Nur Intan Wulandari, Zulkifli Tri Darmawan

Prosedur Teknis Biopsi Paru Menggunakan Panduan CT Scan Thorax

Introduction

Prosedur teknis biopsi paru menggunakan panduan ct scan thorax. Pelajari prosedur teknis biopsi paru terpandu CT scan thorax untuk tumor. Fokus pada peran radiografer, akurasi penargetan, dan minimalisir risiko komplikasi.

Abstract

This study explores the technical aspects of CT-scan–guided thoracic biopsy performed on lung tumor cases at the Radiology Department of Ibnu Sina YW-UMI Hospital, Makassar. Using a qualitative case-study approach, the research focuses on a radiographer who was directly involved in the procedure. Observations covered the entire workflow of the examination, beginning with patient preparation, positioning within the gantry, placement of external markers to identify the biopsy target, selection of technical parameters, and the execution of the biopsy under CT guidance. Each stage was reviewed to assess how closely the routine practices aligned with established standards for CT-guided biopsy. The findings show that most technical steps followed the recommended guidelines, including patient positioning, scanning technique, slice thickness selection, sterilization procedures, and the insertion of a spinal needle. A notable finding of this study is the use of lead-based markers, which produced clearer visualization compared to commonly used catheter-residual markers, thereby improving the accuracy of target localization. The study further highlights that technical precision plays a crucial role in obtaining adequate tissue samples while reducing the likelihood of complications such as pneumothorax. Overall, this research provides an empirical overview of how CT-guided thoracic biopsy is carried out in practice..

Review

This paper, titled "Prosedur Teknis Biopsi Paru Menggunakan Panduan CT Scan Thorax," presents a qualitative case study investigating the technical aspects of CT-scan–guided thoracic biopsies for lung tumor cases. Conducted at the Radiology Department of Ibnu Sina YW-UMI Hospital in Makassar, the research offers a detailed examination of the entire workflow, from patient preparation and positioning to the execution of the biopsy under CT guidance. By focusing on a radiographer directly involved in the procedure, the study aims to assess how closely routine practices align with established standards for CT-guided biopsies. The findings indicate a commendable adherence to recommended guidelines across most technical steps, including patient positioning, scanning techniques, slice thickness selection, sterilization procedures, and the precise insertion of the spinal needle. A particularly notable finding is the reported use of lead-based markers, which demonstrated clearer visualization and improved accuracy in target localization when compared to commonly used catheter-residual markers. This suggests a practical enhancement to existing protocols. The study further emphasizes that meticulous technical precision is paramount not only for obtaining adequate tissue samples but also for significantly reducing the likelihood of complications, such as pneumothorax. Overall, this research provides a valuable empirical overview of CT-guided thoracic biopsy procedures as implemented in a specific clinical environment. Its strength lies in the detailed qualitative analysis and the identification of a potentially superior marking technique that could enhance procedural accuracy. While the case-study approach offers deep insight into a single institution's practices, which inherently limits generalizability, it effectively highlights the critical role of standardized protocols and technical skill in ensuring patient safety and diagnostic success. This work serves as a useful contribution for interventional radiologists and radiographers seeking to refine their techniques and improve patient outcomes.

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