In a phantom and in 37 patients, a simple laser guidance system for co
mputed tomography (CT)-guided procedures used the software program of
the CT scanner and a laser beam mounted on the CT gantry without need
for additional software or components. The skin entry point and angula
tion of the target path were determined. Then the system projected the
desired needle path (including compound angulation), allowing accurat
e needle placement in all cases, even in small lesions.