In the past several years, CT fluoroscopy has proved a valuable new techniq
ue in guiding the performance of intrathoracic procedures. Several approach
es to using CT fluoroscopy are discussed. We have found an interrupted, rea
l-time technique optimal to facilitate biopsy of percutaneous lung nodules,
particularly small lesions. The technique is also valuable in assisting th
oracic drainage procedures. This article also discusses the use of CT fluor
oscopy to guide transbronchial needle aspiration, which is another potentia
lly important application.