用计算机断层扫描指导的肺结节核心针活检的比较,使用和不使用同轴技术进行
Qun-Qun Zhu1, Li Zhang1, Fengfei Xia2
1Department of Medical Imaging, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
概括
使用同轴技术 (CAT) 的计算机断层扫描 (CT) 引导的核心针活检 (CNB) 提高了通过更少的针传递和更短的诊断肺结节 (PNs) 程序时间的效率. 这种方法也显示出较高的诊断产量,相比传统的CNB没有CAT.
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
- 干预程序 干预程序
背景情况:
- 计算机断层扫描 (CT) 引导的核心针活检 (CNB) 是肺结节 (PNs) 的标准诊断工具.
- 同轴技术 (CAT) 经常被用来提高CT引导CNB的效率.
研究的目的:
- 为了比较CT引导CNB的安全性和诊断性能,使用和不使用同轴技术 (CAT).
主要方法:
- 在2017年1月至2019年12月期间,对患者进行CT指导CNB进行PN的回顾性分析.
- 根据在活检过程中使用CAT的情况来对患者进行分类.
- 在CAT和非CAT组之间比较程序数据,诊断准确度,诊断产量和并发症率.
主要成果:
- 与非CAT组相比,CAT组的平均针道数较低,平均样本数较高,程序持续时间较短.
- 诊断准确度在各组之间是可比的 (98.3%为CAT,而非CAT为96.3%).
- CAT组的诊断收益率显著更高 (81.4%与68.5%相比),肺胸部和肺出血的发病率相似.
结论:
- 带有CT指导的CNC与CAT提供了更好的程序效率,以更少的针道和更短的操作时间为特征.
- 同轴技术提高了CT引导的肺结节CNB的诊断产量.
- 包括并发症率在内的安全概况在CT引导的CNB与CAT和没有CAT之间是相似的.
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