Prosedur Teknis Biopsi Paru Menggunakan Panduan CT Scan Thorax
DOI:
https://doi.org/10.38215/hqfj9b81Keywords:
CT scan, marker, interventional radiology, thoracic biopsy, lung tumorAbstract
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..
Downloads
References
Azis, M. Z. A. (2023). Karakteristik Gambaran Ct-Scan Pada Pasien Dengan Tumor Paru Di Rumah Sakit Umum Pusat Dr. Wahidin Sudirohusodo Makassar Periode Juli-Desember 2023.
Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/caac.21492
Chairudin, M. R., Marhana, I. A., & Erawati, D. (2020). Profil Pasien Kanker Paru Primer yang Dirawat Inap dan Rawat Jalan di Rumah Sakit Umum Daerah Dr Soetomo Surabaya. Jurnal Respirasi, 5(3), 65. https://doi.org/10.20473/jr.v5-I.3.2019.65-71
Chakrabarty, N., Mahajan, A., Shetty, N., Mummudi, N., Niyogi, D., Hota, F., Dabkara, D., Jebraj, R., Purandare, N., Noronha, V., Bhalla, A., & Prabhash, K. (2024). Imaging patterns and recommendations for diagnosis, staging, and management of lung cancer. BJR|Open, 7(1), tzaf013. https://doi.org/10.1093/bjro/tzaf013
Constantinescu, A., Stoicescu, E. R., Iacob, R., Chira, C. A., Cocolea, D. M., Nicola, A. C., Mladin, R., Oancea, C., & Manolescu, D. (2024). CT-Guided Transthoracic Core-Needle Biopsy of Pulmonary Nodules: Current Practices, Efficacy, and Safety Considerations. Journal of Clinical Medicine, 13(23), 7330. https://doi.org/10.3390/jcm13237330
Heerink, W. J., De Bock, G. H., De Jonge, G. J., Groen, H. J. M., Vliegenthart, R., & Oudkerk, M. (2017). Complication rates of CT-guided transthoracic lung biopsy: Meta-analysis. European Radiology, 27(1), 138–148. https://doi.org/10.1007/s00330-016-4357-8
Kementerian Kesehatan Republik Indonesia. (2023). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1438/2023 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Kanker Paru.
Kurnia, Y., Jeniyanthi, N. P. R., & Mahayani, D. N. (2024). Analisis Pemeriksaan Ct Scan Thorax Pada Kasus Tumor Paru Di Rsup Hasan Sadikin. Prepotif : Jurnal Kesehatan Masyarakat, 8(3), 7963–7969. https://doi.org/10.31004/prepotif.v8i3.35233
Lin, C.-Y., Chang, C.-C., Chu, C.-Y., Huang, L.-T., Chung, T.-J., Liu, Y.-S., & Yen, Y.-T. (2021). Computed Tomography-Guided Transthoracic Needle Biopsy: Predictors for Diagnostic Failure and Tissue Adequacy for Molecular Testing. Frontiers in Medicine, 8, 650381. https://doi.org/10.3389/fmed.2021.650381
Maqsood, A., Din, A. Z. U., Saeed, A., Abdullah, S., & Tahir, M. J. (2022). Diagnostic accuracy and safety of CT-guided Lung and Mediastinal biopsies: A single center study. Pakistan Journal of Medical and Health Sciences, 16(12), 150–152. https://doi.org/10.53350/pjmhs20221612150
Munir, S. M., Aulia, A. F., Simatupang, E. T. M., & Tanlie, V. (2025). Profile of Underdiagnosis Lung Cancer with Pulmonary Tuberculosis at Arifin Achmad General Hospital, Pekanbaru. Indonesian Journal of Cancer, 19(2), 242–246. https://doi.org/10.33371/ijoc.v19i2.1293
Nurjannah, N., Zainura, S., Iswardy, E., & Yusibani, E. (2024). Volume Estimation of Lung Cancer using Image-J For CT-Scan Image. INDONESIAN JOURNAL OF APPLIED PHYSICS, 14(1), 13. https://doi.org/10.13057/ijap.v14i1.67723
Rezki Amalia, Ni Putu Rita Jeniyanthi, & I Made Adhi Mahendrayana. (2023). Thorax CT Scan Examination Procedure In Lung Tumor Cases At Bhayangkara Hospital Makassar. Journal Clinical Pharmacy and Pharmaceutical Science, 2(2), 92–99. https://doi.org/10.61740/jcp2s.v2i2.44
Soewondo, W., Adzhani, F., Hanafi, M., & Firdaus, Z. J. (2024). Lung adenocarcinoma size as a predictor of distant metastasis: A CT scan-based measurement. Narra J, 4(2), e1024. https://doi.org/10.52225/narra.v4i2.1024
Yang, Y., Ma, J., Peng, Z., Zhou, X., Du, N., Zhang, W., & Yan, Z. (2024). Pneumothorax and pulmonary hemorrhage after C-arm cone-beam computed tomography-guided percutaneous transthoracic lung biopsy: Incidence, clinical significance, and correlation. BMC Pulmonary Medicine, 24(1), 33. https://doi.org/10.1186/s12890-023-02822-9
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Jurnal Teras Kesehatan

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish articles in Jurnal Teras Kesehatan agree to the following terms:
- Authors retain copyright of the article and grant the journal the right of first publication with the work simultaneously licensed under a CC-BY-SA or the Creative Commons Attribution–ShareAlike License.
- Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)









