影响诊断产量和并发症风险的因素 计算机断层扫描 光学引导的肺活检:为期10年的单中心研究
Nabeel Mansour1, Hannah Gildein1, Frederik F Strobl2
1LMU University Hospital, LMU Munich, Department of Radiology, Munich, Germany.
Diagnostic and interventional radiology (Ankara, Turkey)
|September 11, 2025
概括
计算机断层扫描光学 (CTF) 引导的肺活检是安全有效的,成功率高. 风险因素,如小的病变大小和较大的肺到病变的距离增加肺胸风险,需要仔细的程序规划.
科学领域:
- 肺部医学 肺部医学
- 干预性放射学是干预性的放射学.
- 诊断成像诊断成像的使用
背景情况:
- 计算机断层扫描光学 (CTF) 导向的活检对于肺病变采样至关重要,特别是在升的肺结节查时.
- 了解影响CTF导向肺活检成功和并发症的因素对于患者护理至关重要.
研究的目的:
- 调查影响CTF指导肺核针活检成功率和并发症率的程序性和病变相关因素.
- 在第三级中心环境中识别并发症和活检失败的预测因素.
主要方法:
- 对641名接受皮肤CTF指导肺活检的患者 (2007-2016) 的回顾性分析.
- 数据收集包括病变特征,程序细节和结果 (技术/临床成功,并发症).
- 多变量后勤回归确定了并发症和活检失败的预测因素.
主要成果:
- 观察到高的技术 (99%) 和临床 (93%) 成功率.
- 主要并发症 (11%),主要是肺胸部,与较长的针道,较长的膜到损伤距离,较小的损伤,裂穿越和肺有关.
- 有关并发症的独立风险因素包括较小的病变尺寸和较大的肺至病变距离.
结论:
- 用CTF指导的肺活检是一种安全有效的诊断工具.
- 具有风险意识的程序规划是必不可少的,考虑诸如小病变大小和肺气等因素,以最大限度地降低肺胸风险.
相关概念视频
Radiological Investigation I: X-ray and CT
1.1K
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
1.1K
Radiological Investigation III: Pulmonary Angiogram and PET Scan
411
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
411
Radiological Investigation II: MRI and Ventilation Perfusion Scan
540
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
540
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
541
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
541
Endoscopic Studies II: Thoracocentesis
1.3K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.3K
Imaging Studies for Cardiovascular System III: X-Ray
466
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
466

