虚拟支气管导航与手术内形光束CT用于诊断周围肺结节
Jisong Zhang1, Enguo Chen1, Shan Xu1
1Department of Pulmonary and Critical Care Medicine, Regional Medical Center for National Institute of Respiratory Disease, Sir Run Run Shaw hospital of Zhejiang University, 310016, Hangzhou, China.
BMC pulmonary medicine
|March 21, 2024
概括
虚拟支气管导航 (VBN) 和束CT (CBCT) 引导的横支气管活检为诊断肺病变提供了一种安全有效的方法. 损伤大小和支气管征兆的存在显著提高了诊断产量.
科学领域:
- 肺部病理学 肺部病理学
- 干预性放射学 干预性放射学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 跨支气管活检是诊断肺部异常的常见程序.
- 目前通过支气管活检的诊断产量需要改进.
- 皮肤穿越甲状腺针活检的并发症率高于横支气管活检.
研究的目的:
- 为了评估虚拟支气管导航 (VBN) 与形光束CT (CBCT) 结合用于横支气管活检的诊断产量.
- 确定影响VBN-CBCT引导的横支气管活检诊断敏感性的因素.
主要方法:
- 对255名接受VBN-CBCT引导的横支气管活检的患者进行了回顾性分析.
- 228名最终诊断的患者被纳入分析.
- 收集的数据包括病变大小,位置,支气管征兆,病变类型和成像工具;分析诊断产量和灵敏度.
主要成果:
- 总的诊断收益率为82.1%,对恶性瘤的敏感性为66.3%.
- 大于2厘米的病变和带有支气管征兆的病变显示出显著更高的诊断产量.
- 这项手术是安全的,有四例出血,没有肺胸.
结论:
- 由VBN和CBCT指导的支气管镜是肺病变的有效和安全的诊断工具.
- 损伤大小和支气管征兆的存在是成功支气管镜诊断的重要预测因素.
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