提高 CT 引导下骨活检的精确度：探索双能 CT 成像的潜力。

IF 9.7 1区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Radiologia Medica Pub Date : 2024-11-21 DOI:10.1007/s11547-024-01935-3

Enrico Boninsegna, Enrico Piovan, Carlo Sozzi, Emilio Simonini, Giacomo Aringhieri, Dania Cioni, Emanuele Neri

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引用次数: 0

摘要

研究目的本研究旨在探讨将双能 CT（DECT）整合到 CT 引导的骨活检手术中，并将其与传统 CT 技术进行比较。重点是技术方面、准确性和辐射剂量暴露：共进行了 51 例骨活检，其中 36 例使用传统 CT，15 例使用 DECT。对患者数据、病变特征和活检技术进行了分析。统计分析包括费雪精确检验和独立样本 t 检验，以比较两种方法的准确性和辐射剂量：结果：DECT引导活检的准确率（93.33%）明显高于传统CT活检的准确率（86.11%）。DECT的辐射剂量与传统CT相当。DECT 对组织的分辨能力，尤其是在骨髓水肿检测方面，提高了精确度：结论：将 DECT 整合到 CT 引导的骨活检中可提高组织分化能力和准确性，而不会明显增加辐射剂量。这一进步有望改善肌肉骨骼介入放射学，带来更精确的诊断、更明智的治疗决策和更好的患者预后。

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Advancing precision in CT-guided bone biopsies: exploring the potential of dual-energy CT imaging.

Objective: This study aimed to investigate the integration of dual-energy CT (DECT) into CT-guided bone biopsy procedures, comparing it with conventional CT techniques. The focus was on technical aspects, accuracy and radiation dose exposure.

Materials and methods: A total of 51 bone biopsies were conducted, with 36 using conventional CT and 15 utilizing DECT. Patient data, lesion characteristics and biopsy techniques were analyzed. Statistical analyses, including Fisher's exact test and independent samples t-test, were performed to compare accuracy and radiation doses between the two methods.

Results: DECT-guided biopsies demonstrated a significantly higher accuracy (93.33%) compared to conventional CT biopsies (86.11%). The radiation dose exposure for DECT was comparable to conventional CT. DECT's ability to differentiate tissues, especially in bone marrow edema detection, led to higher precision.

Conclusion: Integrating DECT into CT-guided bone biopsies enhances tissue differentiation and accuracy without significantly increasing radiation exposure. This advancement holds promise for improving musculoskeletal interventional radiology, leading to more precise diagnoses, informed treatment decisions and improved patient outcomes.

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来源期刊

Radiologia Medica 医学-核医学

CiteScore

14.10

自引率

7.90%

发文量

133

审稿时长

4-8 weeks

期刊介绍： Felice Perussia founded La radiologia medica in 1914. It is a peer-reviewed journal and serves as the official journal of the Italian Society of Medical and Interventional Radiology (SIRM). The primary purpose of the journal is to disseminate information related to Radiology, especially advancements in diagnostic imaging and related disciplines. La radiologia medica welcomes original research on both fundamental and clinical aspects of modern radiology, with a particular focus on diagnostic and interventional imaging techniques. It also covers topics such as radiotherapy, nuclear medicine, radiobiology, health physics, and artificial intelligence in the context of clinical implications. The journal includes various types of contributions such as original articles, review articles, editorials, short reports, and letters to the editor. With an esteemed Editorial Board and a selection of insightful reports, the journal is an indispensable resource for radiologists and professionals in related fields. Ultimately, La radiologia medica aims to serve as a platform for international collaboration and knowledge sharing within the radiological community.