与囊性空气空间相关的肺病变的CT指导核心针检查:一个病例对照研究
Maurizio Balbi1,2, Serena Capelli3, Anna Caroli3
1Radiology Unit, San Luigi Gonzaga Hospital, Regione Gonzole 10, 10043, Orbassano, Italy.
AJR. American journal of roentgenology
|May 8, 2024
概括
CT引导的核心针活检 (CNB) 是一种安全而准确的方法,用于诊断患有囊性空气空间的肺病变. 这种程序有效地评估这些具有挑战性的病变,防止癌症诊断的潜在延迟.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是指放射学
- 在瘤学瘤学.
背景情况:
- 带有囊性空气空间的肺病变带来了活检的挑战,引发了对安全性和准确性的担忧.
- 向与囊性空气空间相邻或内部的组织可能会增加活检并发症或降低诊断产量.
研究的目的:
- 评估CT指导核心针活检 (CNB) 对与囊性空气空间相关的肺病变的安全性和诊断性能.
- 为了比较CNB结局的病变与囊性空气空间与非囊性,非洞腔性病变.
主要方法:
- 90名CT指导的肺病变与囊性空气空间的肺病变CNB患者的回顾性研究 (2010-2022年).
- 180名患有非囊性,非腔性病变的CNB患者的匹配对照组.
- 对并发症率,活检诊断产量和恶性瘤检测准确性的比较.
主要成果:
- 两组之间整体,重大或轻微并发症率没有显著差异 (40%对38%).
- 类似的非诊断活检率 (12%对9%) 和高诊断性能 (准确率94%对97%),用于恶性瘤检测.
- 切除恶性病变中的囊性空气空间通常代表瘤退化 (71%).
结论:
- CT指导的CNB是一种安全而准确的肺病变诊断工具.
- 这种活检技术可以帮助避免在这些具有挑战性的肺病变中错过或延迟癌症诊断.
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