Feasibility and safety of fine positioning needle-mediated breathing control in CT-guided percutaneous puncture of small lung/liver nodules adjacent to diaphragm.
Feasibility and safety of fine positioning needle-mediated breathing control in CT-guided percutaneous puncture of small lung/liver nodules adjacent to diaphragm.
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DOI：
10.1038/s41598-021-83036-z
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发表时间：
2021-02-09
影响因子：
4.6
通讯作者：
Zhang Z
中科院分区：
文献类型：
--
作者：
Wu Q;Cao B;Zheng Y;Liang B;Liu M;Wang L;Zhang J;Meng L;Luo S;He X;Zhang Z
评估单独插入定位细针介导的呼吸控制技术应用于计算机断层扫描（CT）引导下经皮穿刺活检或微波消融（MWA）膈附近肺/肝小结节的有效性、安全性和可行性。在CT引导下，46例肺/肝小结节（≤3cm）靠近膈（结节距膈1cm以内）患者行经皮穿刺活检（n = 15）或MWA (n = 31)，采用单独定位细针介导呼吸控制技术进行精确穿刺。术后行CT平扫监测并发症。记录并分析患者基线资料、手术细节、成功率、主要并发症及术中放射剂量。在精细定位针插入控制呼吸的辅助下，穿刺活检或MWA成功率达91.30%（42/46）。活检时，CT扫描时平均结节直径为2.27 cm±0.74，结节距膈肌的距离为0.61 cm±0.24，穿刺时间为18.67 min±6.23，放射剂量为28.84 mSv±6.99；MWA的平均结节直径为2.35 cm±0.64，结节距横膈膜的距离为0.69 cm±0.23，穿刺时间为38.71 min±13.65，CT辐射剂量为33.02 mSv±8.77。总共有3例和4例发现轻微的穿刺性咯血和气胸不需要额外治疗。我们最近开发并验证了一种可行、安全、高效、辐射剂量合理的ct引导下小结节邻近膈肌活检或MWA穿刺技术，值得在类似临床情况下广泛应用。
To assess the efficacy, safety, and feasibility of a separate inserted positioning fine needle-mediated breathing-control technique applied to computed tomography (CT)-guided percutaneous puncture for biopsy or microwave ablation (MWA) of small lung/liver nodules near diaphragm. Total 46 patients with pulmonary/liver small nodules (≤ 3 cm in size) near diaphragm(nodule within 1 cm distance to the diaphragm)were undergone percutaneous biopsy ( n = 15) or MWA (n = 31) under the guidance of CT, and a separate positioning fine needle-mediated breathing-control technique was applied for the precise punctures. CT plain scan was performed to monitor the complications after the procedure. The patient baseline data, operation details, successful rate, major complications as well as radiation dose during the procedure were recorded and analyzed. With the assistance of a fine positioning needle insertion for controlling the breathing, the puncture success rate for biopsy or MWA reached 91.30% (42/46). For biopsy, the mean nodule diameter, nodule distance to the diaphragm, puncture time and radiation dose during CT scan were 2.27 cm ± 0.74, 0.61 cm ± 0.24, 18.67 min ± 6.23, 28.84 mSv ± 6.99, respectively; For MWA, the mean nodule diameter, nodule distance to the diaphragm, puncture time and CT radiation dose were 2.35 cm ± 0.64, 0.69 cm ± 0.23, 38.71 min ± 13.65, 33.02 mSv ± 8.77, respectively. Totally, there were three and four cases found minimal puncture-related hemoptysis and pneumothorax needed no additional treatments, respectively. We recently developed and verified a feasible, safe and highly effective puncture technique with reasonable radiation dose for CT-guided biopsy or MWA for small nodules abutting diaphragm, therefore worthy of extensive application to similar clinical situations.
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DOI：
10.1590/s1807-59322010000900006
发表时间：
2010
期刊：
Clinics (Sao Paulo, Brazil)
影响因子：
--
作者：
Guimarães MD;Andrade MQ;Fonte AC;Benevides G;Chojniak R;Gross JL
通讯作者：
Gross JL
DOI：
10.1089/lap.2015.0380
发表时间：
2016-03-01
影响因子：
1.3
作者：
Tanaka, Kimitaka;Kojima, Tetsufumi;Hirano, Satoshi
通讯作者：
Hirano, Satoshi
影响因子：
5
作者：
Tsai, I-Chen;Tsai, Wei-Lin;Chen, Clayton Chi-Chang
通讯作者：
Chen, Clayton Chi-Chang
影响因子：
19.7
作者：
Ko, JP;Shepard, JAO;McLoud, TC
通讯作者：
McLoud, TC
影响因子：
3.6
作者：
Kothary, Nishita;Lock, Laura;Hofmann, Lawrence V.
通讯作者：
Hofmann, Lawrence V.