PET-CT-guided versus CT-guided biopsy in suspected malignant pleural thickening: a randomised trial.
Duneesha de FonsekaDavid T ArnoldHelena J M SmarttLucy CullifordLouise StadonEmma TuckerAnna MorleyNatalie Zahan-EvansAnna C BibbyGeraldine A LynchEleanor MishraShahul KhanMohammed HarisHenry SteerLeon LewisAlina IonescuJohn HarveyKevin G BlythNajib M RahmanAnthony E EdeyChris A RogersNick A MaskellPublished in: The European respiratory journal (2024)
The results do not support the practice of PET-CT to guide pleural biopsies in patients with a previous non-diagnostic biopsy. The diagnostic sensitivity in the CT-only group was higher than anticipated and supports the practice of repeating a CT-guided biopsy following an inconclusive result if clinical suspicion of malignancy persists.