在pectus excavatum患者中临床相关的胸内异常的术前成像
Nicky Janssen1, Jean H T Daemen1, Iris L Michels1
1Department of Surgery, Division of General Thoracic Surgery, Zuyderland Medical Centre, Heerlen, The Netherlands.
Quantitative imaging in medicine and surgery
|June 7, 2023
概括
在接受计算机断层扫描 (CT) 扫描的乳房挖掘患者中,临床相关的胸内异常很少见. 这种较低的发病率表明,3D表面扫描可以取代CT和X线图进行手术前评估.
科学领域:
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
- 医学成像医学成像
背景情况:
- 胸腔挖掘术前成像可能会揭示偶然的胸内异常.
- 调查3D表面扫描作为CT扫描替代品的实用性,用于乳腺挖掘工作.
研究的目的:
- 为了量化临床相关的胸内异常的发生率,在常规CT扫描中偶然发现的胸腔外挖患者.
主要方法:
- 对382名乳腺挖掘患者 (2012-2021) 的回顾性队列研究.
- 放射学报告审查了胸内异常,并根据临床相关性进行分类.
- 小组分析比较了青少年和成年人.
主要成果:
- 11%的患者有偶然的异常,但只有0.5%的患者有临床相关的发现需要进一步的诊断.
- 常见的胸部X射线图在可用时并不能始终识别异常.
- 青少年和成年人之间的异常患病率没有显著差异.
结论:
- 临床上相关的偶发性胸内异常在乳腺挖掘患者中不常见.
- 这些发现支持CT和普通X射线的潜在替换为手术前评估的3D表面扫描.
- 3D表面扫描可以简化手术前的工作,以便修复胸部挖掘器.
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