计算机断层扫描血管造影在计划胸脊动脉穿孔片在乳房和软组织重建:一个系统的审查
Mahmoud Soliman1,2, Islam H Metwally2, Adel Denewer2
1North Manchester General Hospital, Manchester University NHS Foundation Trust, Manchester, M8 5RB, United Kingdom.
The British journal of radiology
|October 8, 2024
概括
胸腔背动脉穿孔器 (TDAP) 的术前计算机断层扫描血管学 (CTA) 板规划表明证据有限和协议不一致. 需要进一步的研究来确定其在重建性手术中的实际价值.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 胸背动脉穿孔器 (TDAP) 板对于乳房和软组织重建至关重要.
- 手持多普勒仪通常用于穿孔器定位,但由于错误的结果,准确性可能受到限制.
研究的目的:
- 系统地审查有关手术前计算机断层扫描血管学 (CTA) 在TDAP片中的价值的文献.
- 检查CTA扫描协议,映射技术,与操作发现的一致性,以及缺点.
主要方法:
- 在2023年11月的Medline,Embase,Cochrane图书馆和CINAHL数据库中进行了符合PRISMA的文献搜索.
- 包括评估评估CTA映射TDAP在乳腺或软组织重建中的研究.
- 乔安娜·布里格斯研究所 (JBI) 批判性评估工具被用于研究评估.
主要成果:
- 包括五项涉及72名患者的研究,发现存在高偏差风险.
- 只有两项研究报告了CT发现与多普勒或手术可视化之间的一致性.
- 所有审查的报告中都没有标准化的扫描协议和患者定位.
结论:
- 关于CTA在TDAP穿孔器映射中的价值的证据很少,结果不一致,协议不标准化.
- 尽管在成像采集和解释方面存在挑战,3D重建和CTA的详细血管解剖学可能有助于手术规划.
- 需要进一步的研究来确定CTA在TDAP规划中的实用性,并将协议标准化.
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