在机器人支气管镜检查过程中,快速现场评估 (ROSE) 的诊断准确性
Muhammad Sajawal Ali1, Nishil Dalsania2, Nina Thomas3
1Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY, USA.
Journal of thoracic disease
|March 12, 2026
概括
机器人支气管透视 (RB) 期间的现场快速评估 (ROSE) 与最终的病理学结果具有很高的一致性. 这支持其用于指导肺病变诊断过程中的程序内决策.
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
- 细胞病理学 细胞病理学
背景情况:
- 机器人支气管镜 (RB) 越来越多地用于外围肺病变采样,提供高诊断产量和低并发症率.
- 快速现场评估 (ROSE) 通过使用精细针吸收 (FNA) 或触摸印记细胞学 (TIC) 为样本充分性提供程序内反.
- 有限的数据存在于ROSE的实用性,特别是在机器人支气管镜手术中.
研究的目的:
- 为了评估快速现场评估 (ROSE) 与机器人支气管透视 (RB) 中的最终细胞学和病理学结果之间的一致性.
主要方法:
- 从2021年5月到2024年12月在科罗拉多大学安舒茨医疗园区进行的机器人支气管镜 (RB) 病例的回顾性审查.
- 对137名患者的FNA-ROSE和最终细胞学以及TIC-ROSE和最终病理学之间的一致性分析.
- 评估ROSE和最终结果之间的整体一致性,包括淋巴结细胞学线性EBUS-ROSE.
主要成果:
- 快速现场评估 (ROSE) 与最终细胞学/病理学之间的整体一致性为88% (皮尔森 χ2=174,P<0.001).
- 对FNA-ROSE与最终细胞学的一致性为83%,对TIC-ROSE与最终病理学的一致性为81%.
- 机器人支气管镜 (RB) 的诊断产量为75%,线性EBUS-ROSE与淋巴结细胞学的一致性为80.1%.
结论:
- 通过FNA和TIC的快速现场评估 (ROSE) 在机器人支气管镜 (RB) 病例中显示出与最终结果的高度一致.
- ROSE促进了关于损伤采样,工具选择和技术优化的程序内决策.
- 罗斯是提高机器人支气管检查诊断过程的宝贵工具.
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