新的"No-Lo"成像技术可最大限度地减少血管和内血管外科手术中手术期间的辐射暴露
Daniel Jesudason1, Anay Pradhan1, Katarina Foley2
1Faculty of Health & Medical Sciences, The University of Adelaide, Adelaide SA 5000, Australia.
Journal of vascular surgery
|January 30, 2026
概括
新兴的无辐射和低辐射 (No-Lo) 成像技术显示出减少内血管外科手术中的职业辐射暴露的前景. 虽然这些新技术提供了潜在的好处,但需要进一步的临床验证,以解决成本和可访问性的局限性.
科学领域:
- 医疗成像医学成像
- 内血管外科 血管内血管外科
- 辐射安全 辐射安全
背景情况:
- 血管外科医生面临着大量的职业辐射暴露,原因是内血管手术的增加.
- 新的成像技术旨在在内血管干预期间减少这种暴露.
研究的目的:
- 识别和评估血管外科的新兴无辐射和低辐射 (No-Lo) 成像技术.
- 讨论这些新技术的潜在影响和局限性.
主要方法:
- 在PubMed,Embase和Scopus进行系统的文献搜索 (2009年3月至2025年5月).
- 包括专注于血管外科手术新的"No-Lo"血管成像技术的研究.
- 排除了像MRI和静脉内超声波这样的既定模式;遵循PRISMA-ScR指南.
主要成果:
- 审查了87项研究,确定了七种类型的"No-Lo"成像技术.
- 识别的技术包括运动跟踪,电磁导航,图像融合,增强现实,光纤技术,光学连贯断层扫描,磁粒子成像和机器人手术.
- 所有模式都显示出减少辐射的潜力,但在成本,可扩展性,人体工程学和可访问性方面面临限制.
结论:
- 有希望的"No-Lo"技术处于早期阶段,需要临床验证.
- 这些技术可以通过减少对电离辐射的依赖来显著影响内血管外科手术.
- 需要进一步的创新来克服目前的局限性,并将这些技术纳入常规实践.
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