基于目标结节大小的皮肤肺活检诊断性能和并发症率的评估
1Department of Radiology, Mayo Clinic, Jacksonville, FL, USA. bowman.andrew@mayo.edu.
Abdominal radiology (New York)
|October 28, 2024
概括
较小的肺结节更难通过皮肤肺活检诊断,并增加肺胸风险. 然而,结节的大小并不影响需要胸腔管或住院治疗的需要.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
背景情况:
- 穿皮肺活检是一种常见的程序,具有固有的风险.
- 先进的成像技术使得较小的肺结节的活检成为可能.
- 了解结核大小与活检结果之间的关系至关重要.
研究的目的:
- 评估肺结节大小如何影响皮肤透皮活检中的诊断产量.
- 为了确定目标大小对肺活检后并发症率的影响.
主要方法:
- 从2019年1月到2020年6月,对门诊肺部活检的回顾性审查.
- 收集的数据包括目标结节的大小,位置,诊断性能和并发症.
- 使用接收器操作特征 (ROC) 分析来确定最佳尺寸值.
主要成果:
- 诊断产量随着结节大小的增加而增加,诊断样品的门为1.4厘米.
- 随着目标结节大小的减少,肺胸部发病率显著增加.
- 没有发现目标尺寸和胸管放置或入院之间有显著的关联.
结论:
- 较小的肺结节在获取诊断样本方面具有更大的挑战.
- 通过皮肤进行的肺活检中目标尺寸的减少与肺胸部风险的增加有关.
- 肺结节的大小似乎不会影响需要胸管干预或住院的可能性.
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