Multi-Dimensional Display of Wang's Lymph Node Map Using Virtual Bronchoscopic Navigation System.

Multi-Dimensional Display of Wang's Lymph Node Map Using Virtual Bronchoscopic Navigation System.
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利用虚拟支气管镜导航系统多维显示王氏淋巴结图

DOI:
10.3389/fmolb.2021.679442
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发表时间:
2021
影响因子:
5
通讯作者:
Xia Y
Xia Y
中科院分区:
生物学3区
文献类型:
--
作者:
Lan F;Yue Y;Shen H;Shen H;Wang Q;Yu X;Chen L;Li Q;Wang K;Liu Q;Xia Y

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背景:经支气管针吸活检(TBNA)是诊断纵隔肺门淋巴结肿大的经典技术。然而,常规TBNA(cTBNA)的诊断价值仅限于小淋巴结。 研究方法:在这里,我们使用Lungpoint虚拟支气管镜导航系统在Wang的淋巴结图上生成了一个创新的多维虚拟淋巴结图。 结果如下:虚拟支气管镜导航(VBN)系统与计算机断层扫描(CT)图像相结合,以生成11个胸内淋巴结站及其邻近组织和血管的支气管外、支气管内、矢状、冠状和水平视图。我们显示了每个淋巴结站的特定穿刺部位。将11个纵膈站分为四组:右纵膈站、左纵膈站、中央纵膈站和肺门站。 结论:VBN系统提供了支气管内标志的精确视图,这可能会提高胸内淋巴结腺病的诊断准确性,并帮助支气管镜医师练习TBNA。
Background: Transbronchial needle aspiration (TBNA) is a classical technique for diagnosing mediastinal-hilar lymph node enlargement. However, the diagnostic value of conventional TBNA (cTBNA) is limited in small lymph nodes. Methods: Here, we generated an innovative multi-dimensional virtual lymph node map on top of Wang’s lymph node map using a Lungpoint Virtual Bronchoscopic Navigation System. Results: The virtual bronchoscopic navigation (VBN) system was combined with computed tomography (CT) images to generate extrabronchial, endobronchial, sagittal, coronal as well as horizontal views of the 11 intrathoracic lymph node stations and their adjacent tissues and blood vessels. We displayed the specific puncture site of each lymph node station. The 11 stations were divided into four groups: right mediastinal stations, left mediastinal stations, central mediastinal stations and hilar stations. Conclusion: The VBN system provides a precise view of the intrabronchial landmarks, which may increase the diagnostic accuracy of intrathoracic lymph node adenopathy and assist bronchoscopists with practicing TBNA.
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