Computed Tomographically Guided Injection of Cyanoacrylate in Association With Preoperative Radioguided Occult Lesion Localization of Ground-Glass Opacities

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Computed Tomographically Guided Injection of Cyanoacrylate in Association With Preoperative Radioguided Occult Lesion Localization of Ground-Glass Opacities Chiang J. Tyng, MD, Victor Hugo V. Nogueira, MD, Almir G.V. Bitencourt, PhD, Luiz Carlos M. Santos, MD, Thiago Vinícius P. Souza, MD, Marcelo B. Zilio, MD, Paula N.V.P. Barbosa, MD, Eduardo N.P. Lima, PhD, Jefferson L. Gross, PhD, Rubens Chojniak, PhD The Annals of Thoracic Surgery Volume 99, Issue 5, Pages 1838-1840 (May 2015) DOI: 10.1016/j.athoracsur.2015.01.043 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Computed tomographic scan of 77-year-old woman presenting with nodular ground-glass opacity (GGO) in posterior segment of right upper lobe. (B) After placement of coaxial needle through computed tomographic guidance into GGO, solution with radiotracer and cyanoacrylate was injected, followed by (C) introduction of metallic clip. (D) Single-photon emission computed tomography/computed tomography (SPECT-CT) confirmed location of radiotracer in GGO after procedure. The Annals of Thoracic Surgery 2015 99, 1838-1840DOI: (10.1016/j.athoracsur.2015.01.043) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Computed tomographic scan of 55-year-old female patient presenting with a nodular ground-glass opacity (GGO) in superior segment of right lower lobe. (B) After placement of coaxial needle through computed tomographic guidance inside the GGO, solution with the radiotracer and cyanoacrylate was injected. Tridimensional reconstructed single-photon emission computed tomography/computed tomography (SPECT-CT) confirmed location of radiotracer in GGO after procedure and demonstrated (C) discrete radiotracer concentration in small intrapulmonary lymph node in great fissure adjacent to target lesion. The Annals of Thoracic Surgery 2015 99, 1838-1840DOI: (10.1016/j.athoracsur.2015.01.043) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions