跨鼻X射线导向活检用于断层病变
Romain Bossi Croci1, Eimad Shotar2, Yann Nguyen2
1From the Department of Neuroradiology (R.B.C., E.S., F.C., P.M.C.), Pitié-Salpêtrière Hospital; Institut de la Vision (E.S.), Sorbonne Université; Unité Fonctionnelle Implants Auditifs (Y.N.), ORL, GH Pitié-Salpêtrière, AP-HP Sorbonne Université; and Technologies et Thérapie Génique Pour la Surdité (Y.N.), Institut de L'Audition, Institut Pasteur/Inserm/Université Paris Cité. romain.bossi-croci@aphp.fr.
AJNR. American journal of neuroradiology
|February 12, 2026
概括
这项研究引入了首次用于骨底骨髓炎的跨鼻X射线导向切片活检. 最少侵入性技术实现了精确的组织采样,证实了诊断,并使治疗成功.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 骨底部活检由于复杂的解剖学和接近关键结构而复杂.
- 传统的跨椎和跨口腔方法在进入关节方面存在局限性.
- 通过鼻的技术改善了接入,但X射线指导仍然不够报告的断层活检.
研究的目的:
- 描述第一个跨鼻X射线导向的切片活检程序.
- 评估这种对骨底部病变的微创技术的安全性和有效性.
主要方法:
- 一名中年患者被怀疑患有骨骨质炎,接受了活检.
- 术前成像 (CT,MRI,PET-CT) 引导精确的准和轨迹规划.
- 在血管学套件中使用光学和形光束CT进行过鼻式方法.
主要成果:
- 取得了成功和无并发症的组织样本的高级断层病变.
- 组织病理学证实了 葡萄球菌血溶性骨髓炎.
- 患者的病情通过向性抗生素治疗得到改善.
结论:
- 透鼻X射线导向活检是一种安全有效的微创技术,用于高级断层病变.
- 这种方法提供了准确的访问,并可能扩大挑战骨底部活检的选择.
- 它为诊断诸如骨基础骨髓炎等疾病提供了有价值的替代方案.
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