ABSTRACT
Introduction 210 The utility of image guidance 210 Training issues211
Users of image guidance: Computed tomography and ultrasound 211
Guidance on training211 Pre-procedural preparation 212
Thoracentesis 213 Pleural drainage 214 Pneumothorax 216 Pleural biopsy216 Conclusion 218 References 218
Imaging guided interventional procedures of the pleura play an increasing role in the diagnosis and management of pleural pathologies including infection, eusions, malignancy, and pneumothorax. Although some patients can be managed conservatively, interventional procedures including pleural uid aspiration, drain catheter placement, or pleural biopsy are frequently performed. e emerging role of radiologic intervention has been driven by concern for patient safety and increased diagnostic yield when compared with non-guided procedures1-3 and their use is now widespread. e two principal imaging modalities are ultrasound (US) and computed tomography (CT). Importantly, increasing access to US beyond the traditional connes of the radiology department has allowed adoption of many of these techniques by clinicians, although use of CT remains a specialist technique.
