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18F-FDG PET /CT融合辅助CT引导下经皮腹腔多发病灶穿刺活检术的临床价值
  • ISSN:3029-2816(Online)3029-2808(Print)
  • DOI:10.69979/3029-2808.25.01.041
  • 出版频率:月刊
  • 语言:中文
  • 收录数据库:ISSN:https://portal.issn.org/ 中国知网:https://scholar.cnki.net/journal/search

18F-FDG PET /CT融合辅助CT引导下经皮腹腔多发病灶穿刺活检术临床价值
刘春琳 陈绍俊 张日光 王国栋 邓燕云

广西柳州市工人医院,柳州,545005;

摘要:目的 探讨18F-FDG PET /CT融合辅助CT引导下经皮腹腔多发病变穿刺活检术的可行性和临床应用价值。方法:回顾性分析2019年1月至2023年11月之间在我院行PET/CT及CT引导下经腹腔病变穿刺活检术的患者的148例患者,本研究纳入PET/CT组49例,单独CT组99例。比较两组患者的准确性和安全性。结果:148例患者定位准确、穿刺成功率100%,两组并发症发生率低,差异无统计学意义(P>0.05);PET/CT组活检成功时间为(14.65±2.25)min,进针次数为(1.56±0.56)次,CT组活检成功时间为(15.77±2.41)min,进针次数为(2.24±0.62)次,两组差异显著(P<0.05)。结论:与CT引导下的经皮腹腔多发病灶活检相比,18F-FDG PET/ CT引导下的经皮腹腔多发病灶活检是评估腹腔肿瘤样病变的一种有效、安全、诊断效能高的替代方法。

关键词:18F-FDG PET/CT;经皮腹腔穿刺活检;腹腔多发病灶;并发症

参考文献

[1]Ferrucci JT Jr, Wittenberg J (1978) CT biopsy of abdominal tumors: aids for lesion localization. Radiology 129:739–744

[2]Rasmussen SN, Holm HH, Kristensen JK, Barlebo H. Ultrasonically-guided liver biopsy. Br Med J 1972; 2:500–502.

[3]Tatli, S, Gerbaudo, VH, Feeley, CM, et al. PET/CT-guided percutaneous biopsy of abdominal masses:initial experience. J VASC INTERV RADIOL. 2011; 22 (4): 507-14. doi: 10.1016/j.jvir.2010.12.035

[4]Kobayashi K,et al.Image-guided biopsy:what the interventional radiologist needs to know about PET/CT. Radiographics. 2012;32(5):1483–501.

[5]Medicine CSoN. Chinese society of Nuclear Medicine 2016 expert consensus document on PET/CT-guided percutaneous biopsy. Chin J Nuclear Med Mol Imaging 2016. 6(36).

[6]Capalbo E, et al. Trans-thoracic biopsy of lung lesions: FNAB or CNB? Our experience and review of the literature. Radiol Med. 2014;119(8):572–94.

[7]Becker J, Schwarzenbock SM, Krause BJ. FDG PET Hybrid Imaging. Recent Results Cancer Res. 2020;216:625–67.

[8]Kumar R, et al. (18)F-FDG PET/CT-Guided real-time automated robotic armassisted needle Navigation for Percutaneous Biopsy of Hypermetabolic Bone Lesions: diagnostic performance and clinical impact. AJR Am J Roentgenol. 2019;212(1):W10–8

[9]袁惠.CT 引导下肺部肿瘤穿刺活检的观察护理 [J]. 微创医学,2014,9(4):528-529.

[10]Kobayashi K, Bhargava P, Raja S, Nasseri F, Al-Balas HA, Smith DD, et al. Image−guided biopsy: what the interventional radiologist needs to know about PET/CT. Radiographics. 2012;32:1483–501. [PubMed: 22977031]

[11]Tatli S, Gerbaudo VH, Mamede M, Tuncali K, Shyn PB, Silverman SG. Abdominal masses sampled at PET/CT-guided percutaneous biopsy: initial experience with registration of prior PET/CT images. Radiology.2010;256:305–11. doi:10.1148/radiol.10090931. [PubMed: 20574103]