The Application Value of Virtual Reality Navigation Combined with Rapid On-Site Evaluation in CT-Guided Lung Biopsy

The purpose is to evaluate the value of Virtual Reality (VR) navigation system-assisted CT-guided percutaneous aspiration biopsy combined with Rapid on-site Evaluation (ROSE) in the accurate diagnosis of pulmonary nodules and pulmonary infections. This study retrospectively analyzed the medical records of CT-guided percutaneous transthoracic needle biopsy (CT-PTNB) patients at the Second Hospital of Qiqihar Medical College from March 2018 to December 2021. The 158 eligible patients who underwent lung aspiration biopsy were divided into an experimental group (81 patients) and a control group (77 patients). In the experimental group, a VR navigation system was used to assist CT-guided percutaneous aspiration biopsy combined with ROSE, and in the control group, patients underwent plain CT-guided pulmonary aspiration biopsy. Basic clinical information including gender, age, lesion location, and puncture length was recorded for all patients. The occurrence of intraoperative complications of lung puncture biopsy and secondary postoperative biopsies between the two groups of patients were also compared. There was no statistically significant difference between the two groups of patients in terms of clinical base information (all P > 0.05). Meanwhile, the incidence of bleeding [13.58% (11/81) vs. 27.27% (21/77), χ2 = 4.582, P = 0.032] and pneumothorax [6.17% (5/81) vs. 15.58% (12/77), χ2 = 4.916, P = 0.027] were significantly lower in the experimental group than in the control patients. In contrast, there was no statistically significant difference in the rate of secondary biopsy between the two groups [0.00% (0/81) vs. 3.90% (3/77), χ2 = 3.217, P = 0.073]. VR navigation system-assisted CT-guided pulmonary aspiration biopsy combined with rapid on-site evaluation (ROSE) is significantly better than conventional CT-guided pulmonary aspiration biopsy in terms of safety and reduction of secondary biopsy rate in patients and has high clinical application value.