形状感应机器人辅助支气管检查的诊断性表现,用于基于膜和基于裂的肺病变
Sebastian Fernandez-Bussy1, Alejandra Yu Lee-Mateus2, Alanna Barrios-Ruiz2
1Division of Pulmonary, Allergy, and Sleep Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA fernandez-bussy.sebastian@mayo.edu.
Thorax
|January 21, 2025
概括
形状感应机器人辅助支气管镜 (ssRAB) 提供了一种安全有效的方法,用于诊断靠近膜的外周肺病变. 诸如移动圆束CT和冷活检等改进进一步提高了这些具有挑战性的病例的诊断准确性.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 医疗机器人 医疗机器人
背景情况:
- 肺附近的外周肺病变 (PPL) 由于肺胸风险较高,造成诊断上的挑战.
- 传统的跨胸部活检方法对这些病变具有固有的风险.
- 形状感应机器人辅助支气管镜 (ssRAB) 成为PPL诊断的一个有希望的替代方案.
研究的目的:
- 评估ssRAB的诊断产量和安全性,以采样基于肺部的PPL.
- 评估移动圆束CT (mCBCT) 和特定活检工具对诊断性能的影响.
- 为了比较ssRAB的结果与传统的方法,为PPL附着在肺.
主要方法:
- 从2020年1月到2023年12月通过ssRAB抽取的PPL的回顾性分析.
- 包括肋骨,隔膜,腹膜和裂纹性膜病变.
- 收集关于临床人口统计,PPL特征和程序细节的数据;主要结果:诊断产量;二次结果:使用mCBCT/活检工具的安全性和产量.
主要成果:
- 总的诊断收益率为80.2% (146/182),对恶性瘤的敏感度为83.2%.
- 对上部位置的PPL,使用mCBCT和冷活检观察到更高的诊断产量.
- 低并发症率: 2.8%的肺胸部需要胸管,0.6%的3级出血.
结论:
- ssRAB显示出高的诊断产量和有利的安全性概况,用于胸腔基和裂基结节.
- 整合mCBCT和冷活检显著提高了这些PPL的诊断性能.
- ssRAB在对外围肺病变的微创诊断方面取得了宝贵的进步.
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