[1]许玉军,朱丽萍,刘风海,等.0.23T开放式MRI结合光学导航引导头颈部病变穿刺活检临床应用价值[J].介入放射学杂志,2019,28(11):1051-1055.
 XU Yujun,ZHU Liping,LIU Fenghai,et al. 0.23T open MRI combined with iPath 200 optical navigation for guiding percutaneous puncture biopsy of cephalocervical lesions[J].journal interventional radiology,2019,28(11):1051-1055.
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0.23T开放式MRI结合光学导航引导头颈部病变穿刺活检临床应用价值()

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

卷:
28
期数:
2019年11期
页码:
1051-1055
栏目:
非血管介入
出版日期:
2019-11-25

文章信息/Info

Title:
 0.23T open MRI combined with iPath 200 optical navigation for guiding percutaneous puncture biopsy of cephalocervical lesions
作者:
许玉军 朱丽萍 刘风海 何祥萌 柳 明 李成利
Author(s):
XU Yujun ZHU Liping LIU Fenghai HE Xiangmen LIU Ming LI Chengli.
Department of Interventional MRI, Shandong Medical Imaging Research Institute Affiliated to Shandong University, Jinan, Shandong Province 250021, China
关键词:
【关键词】 头颈部病变 MRI导引 活检
文献标志码:
A
摘要:
【摘要】 目的 评价采用0.23T开放式MRI结合ipath 200光学导航导引,经皮穿刺活检头颈部病变的有效性和安全性。方法 回顾性分析77例接受0.23T开放式MRI结合ipath 200光学导航引导头颈部病变经皮穿刺活检的患者77例(男51例,女26例;平均年龄43岁)。平均病变直径为3 cm(范围1.0~7.8 cm)。病变定位采用快速自旋回波T2WI和或增强扫快速自旋回波T1WI;完全平衡稳态(CBASS 3D)序列快速采集头颈部区域高分辨率图像,并清晰显示穿刺针,用于持续性引导穿刺针至靶病变区。23例病变穿刺过程中静脉注射钆对比剂。病理组织学取样:Chiba细针抽吸19例,同轴活检枪组织切割 58例。记录并评估穿刺技术成功率、诊断准确性、手术时间和并发症。结果 全部77例患者,均获得足够量的组织样本用于病理学诊断分析,结果为41例恶性病变和36例良性病变。42例通过手术得到最终病理诊断结果;35例通过随后至少1年的影像学和临床随访证实了最终诊断。0.23T开放式MRI结合ipath 200光学导航引导头颈部病变活检的灵敏度、特异度、阳性预测值、阴性预测值和准确度分别为93.2%,100%,100%,91.7%和96%。手术时间为平均为29 min(15~47 min)。未观察到严重并发症。结论 0.23T开放式MRI结合光学导航引导头颈部病变穿刺活检可以帮助临床医师准确诊断头颈部肿块,安全有效。

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备注/Memo

备注/Memo:
(收稿日期:2019- 06- 04)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-11-18