[1]金光鑫,张芳琴,张 杰,等.开放式MR引导下经皮胰腺占位性病变粗针穿刺活检的临床应用[J].介入放射学杂志,2022,31(11):1065-1068.
 JIN Guangxin,ZHANG Fangqin,ZHANG Jie,et al.Clinical application of open-type MR-guided percutaneous coaxial cutting needle biopsy in diagnosing pancreatic space-occupying lesions[J].journal interventional radiology,2022,31(11):1065-1068.
点击复制

开放式MR引导下经皮胰腺占位性病变粗针穿刺活检的临床应用()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年11
页码:
1065-1068
栏目:
非血管介入
出版日期:
2022-12-13

文章信息/Info

Title:
Clinical application of open-type MR-guided percutaneous coaxial cutting needle biopsy in diagnosing pancreatic space-occupying lesions
作者:
金光鑫 张芳琴 张 杰 颜孟琦 潘 磊 仇晓霞 张学彬
Author(s):
JIN Guangxin ZHANG Fangqin ZHANG Jie YAN Mengqi PAN Lei CHOU Xiaoxia ZHANG Xuebin.
Department of Interventional Oncology, Affiliated Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China
关键词:
【关键词】 开放式磁共振 光学导航引导 胰腺肿瘤 穿刺活检
文献标志码:
A
摘要:
【摘要】 目的 探讨光学导航辅助0.4T开放式MR引导下胰腺占位性病变经皮粗针穿刺活检的安全性和有效性。方法 回顾性分析2019年1月至2021年1月116例行胰腺穿刺活检患者的临床资料。术前增强CT或MRI评估,根据术前是否行PET-CT检查分为2组,行PET-CT检查组56例,未行PET-CT检查组60例。0.4T开放式磁共振成像仪结合光学导航仪系统, 采用17 G同轴穿刺针和18 G全自动活检枪行胰腺肿瘤穿刺活检术。术后送病理检查,记录腹痛、出血等并发症,通过手术或临床随访至少6个月确定最终诊断。结果 所有病例准确穿刺至拟定靶点,一次成功率为100%,准确率为96.6%。3例发生穿刺后腹痛,2例出现腹腔出血,并发症发生率为4.2%。术前有PET-CT组的准确率和并发症率分别为98.3%和3.4%,无PET-CT组准确率和并发症率分别为94.6%和5.0%(P>0.05)。结论 磁共振导航引导下胰腺占位性病变粗针穿刺活检术准确、安全,是一项值得推广的临床技术。

参考文献/References:

[1] Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020[J]. CA Cancer J Clin,2020,70:7- 30.
[2] Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66: 115- 132.
[3] Zhang LS, Stoita A. Challenges in diagnosis of pancreatic cancer[J]. World J Gastroenterol, 2018, 24: 2047- 2060.
[4] Xin Y, Yang Y, Chen Y,et al. Safety and efficacy of ultrasound- guided percutaneous coaxial core biopsy of pancreatic lesions: a retrospective study[J]. J Ultrasound, 2021, 24:269- 277.
[5] D’onofrio M, De Robertis R, Barbi E, et al. Ultrasound- guided percutaneous fine- needle aspiration of solid pancreatic neoplasms: 10- year experience with more than 2,000 cases and a review of the literature[J]. Eur Radiol, 2016, 26: 1801- 1807.
[6] Liu C, Wang L, He X,et al. 1.0T MR- guided percutaneous coaxial cutting needle biopsy in pancreatic lesion diagnosis[J]. J Magn Reson Imaging, 2018, 48:382- 388.
[7] Eklund M, Jaderling F, Discacciati A, et al. MRI- targeted or standard biopsy in prostate cancer screening[J]. N Engl J Med, 2021, 385: 908- 920.
[8] Hartwig W, Schneider L, Diener MK, et al. Preoperative tissue diagnosis for tumours of the pancreas[J]. Br J Surg, 2009, 96: 5- 20.
[9] Liu M, Huang J, Xu Y,et al. MR- guided percutaneous biopsy of solitary pulmonary lesions using a 1.0- T open high- field MRI scanner with respiratory gating[J]. Eur Radiol, 2017, 27:1459- 1466.
[10] Wang L, Liu C, Liu J,et al. MRI- guided cryoablation of hepatic dome hepatocellular carcinomas using 1- T open high- field- strength scanner[J]. AJR Am J Roentgenol, 2019,[Epub ahead of print].
[11] Meucci R, Pistolese Chiara A, Perretta T, et al. MR imaging- guided vacuum assisted breast biopsy: radiological- pathological correlation and underestimation rate in pre- surgical assessment[J]. Eur J Radiol Open, 2020, 7:100244.
[12] Kaye E, Granlund KL, Morris EA, et al. Closed- bore interve- ntional MRI: percutaneous biopsies and ablations[J]. AJR Am J Roentgenol, 2015, 205: W400- W410.
[13] 李 智,刘 楠,章海滨,等. 1.5T封闭式超导磁共振引导经皮肝穿刺活检的临床应用[J]. 介入放射学杂志, 2021, 30:288- 291.
[14] Su YY,Liu YS,Chao YJ,et al. Percutaneous computed tomography- guided coaxial core biopsy for the diagnosis of pancreatic tumors[J]. J Clin Med, 2019, 8: 1633.
[15] Ramesh J, Kim H, Reddy K, et al. Performance characteristic of endoscopic ultrasound- guided fine needle aspiration is unaffected by pancreatic mass size[J]. Endosc Int Open, 2016, 4: E434- E438.
[16] Okasha HH,Mi NG,Esmat S,et al. Endoscopic ultrasound- guided fine needle aspiration versus percutaneous ultrasound- guided fine needle aspiration in diagnosis of focal pancreatic masses[J]. Endosc Ultrasound, 2013, 2: 190- 193.
[17] 任胜男,李丹妮,潘桂霞,等. 胰腺癌18F- FD GPET/CT诊断及预后评估的研究进展[J]. 中华胰腺病杂志, 2019, 19:307- 310.

备注/Memo

备注/Memo:
(收稿日期:2021- 09- 13)
(本文编辑:新 宇)
更新日期/Last Update: 2022-12-09