外围肺病变的成像指导活检的诊断准确性:一个系统的审查
Andrea Magnini1, Armitha Fissi1, Lorenzo Cinci1
1Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence - Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Acta radiologica (Stockholm, Sweden : 1987)
|August 2, 2024
概括
计算机断层扫描 (CT) 引导的活检在非侵入性技术中为外周肺病变 (PPL) 诊断提供了最高的准确性. 然而,胸内超声波 (EBUS) 和电磁导航支气管镜检查 (ENB) 的并发症率较低.
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
- 诊断的准确性 诊断的准确性
背景情况:
- 周边肺病变 (PPL) 的精确组织学诊断对于患者的管理至关重要.
- 非侵入性活检技术,包括内支气管超声波 (EBUS),计算机断层扫描 (CT) 和电磁导航支气管镜检查 (ENB),用于PPL诊断.
结论:
- CT导向活检是PPL诊断最准确的方法,尽管其并发症率更高.
- 不确定的活检结果应根据准确报告的"诊断意图"原则被视为虚假阴性.
- 进一步的研究可能将重点放在优化技术上,以平衡准确性和安全性.
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