Kanazawa S, Yasui K, Kono Y, Mimura H, Tanaka A, Dendo S, Hiraki T, Yoshimura K, Takahara R, Hiraki Y
Department of Radiology, Okayama University Medical School.
Nihon Igaku Hoshasen Gakkai Zasshi. 2000 Dec;60(14):833-8.
We reviewed the current devices, techniques, guiding images, indications and complications of needle biopsy with CT guidance. The development of new devices such as automated cutting needle has enabled radiologists to obtain tissue specimens of good quality at biopsy. Techniques such as the tandem or coaxial method ensure more a more accurate biopsy route. And helical CT and CT fluoroscopy have markedly shortened the time required for needle biopsy. However, we sometimes encounter minor complications, and rarely major ones, during and after needle biopsy. Some of these complications may be caused by malpractice. Therefore it is important always to pay attention to the possibility of complications of needle biopsy and to minimize radiation exposures from CT fluoroscopy.
我们回顾了目前CT引导下针吸活检的设备、技术、引导图像、适应证及并发症。自动切割针等新设备的发展使放射科医生能够在活检时获取高质量的组织标本。串联或同轴穿刺等技术确保了活检路径更为精确。螺旋CT和CT透视显著缩短了针吸活检所需的时间。然而,在针吸活检期间及之后,我们有时会遇到轻微并发症,很少出现严重并发症。其中一些并发症可能是由操作不当引起的。因此,始终关注针吸活检并发症的可能性并尽量减少CT透视带来的辐射暴露非常重要。