外周支气管镜成像。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-01-01 Epub Date: 2023-11-07 DOI:10.1097/MCP.0000000000001028
Brian D Shaller, Sonali Sethi, Joseph Cicenia
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引用次数: 0

摘要

综述目的:从历史上看,与经胸穿刺相比,通过支气管镜对周围肺部病变进行采样的诊断结果较差,无论是成功的支气管镜导航还是有希望的目标病变的径向超声图像都不能保证活检成功。幸运的是,外周支气管镜检查的许多缺点——包括无法检测和补偿计算机断层扫描(CT)、身体发散以及缺乏病变确认工具——都可以通过使用改进的术中成像技术来弥补。最新发现:术中成像的最新进展,包括锥束CT、数字断层合成和增强荧光镜检查在支气管镜检查中的集成,已经产生了有希望的结果。这些先进的成像模式可以通过检测和纠正导航错误、CT身体发散和活检仪器错位来改善外周支气管镜检查的结果。摘要:结合先进的影像学是改善外周支气管镜检查程序的重要步骤。
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Imaging in peripheral bronchoscopy.

Purpose of review: Historically the sampling of peripheral lung lesions via bronchoscopy has suffered from inferior diagnostic outcomes relative to transthoracic needle aspiration, and neither a successful bronchoscopic navigation nor a promising radial ultrasonographic image of one's target lesion guarantees a successful biopsy. Fortunately, many of peripheral bronchoscopy's shortcomings - including an inability to detect and compensate for computed tomography (CT)-body divergence, and the absence of tool-in-lesion confirmation - are potentially remediable through the use of improved intraprocedural imaging techniques.

Recent findings: Recent advances in intraprocedural imaging, including the integration of cone beam CT, digital tomosynthesis, and augmented fluoroscopy into bronchoscopic procedures have yielded promising results. These advanced imaging modalities may improve the outcomes of peripheral bronchoscopy through the detection and correction of navigational errors, CT-body divergence, and malpositioned biopsy instruments.

Summary: The incorporation of advanced imaging is an essential step in the improvement of peripheral bronchoscopic procedures.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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