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[支气管学中的成像技术]

[Imaging technics in bronchology].

作者信息

Strausz János

机构信息

Országos Korányi Tbc és Pulmonológiai Intézet, Budapest, Hungary.

出版信息

Magy Onkol. 2006;50(2):121-5. Epub 2006 Aug 4.

Abstract

Bronchoscopic imaging and diagnostics are tightly connected with radiological and pathological techniques. While computer tomography (virtual bronchoscopy) makes possible to mimic a realistic endobronchial situation, autofluorescent bronchoscopy holds significant potential to discover precancerous lesions not identifiable by standard bronchoscopy. Endoscopic ultrasound and fluoroscopy can be applied in order to obtain images and tissue samples from the extrabronchial areas. Electromagnetic navigation during flexible bronchoscopy, a novel technology that facilitates approaching peripheral lung lesions, involves creating an electromagnetic field around the thorax and localizing an endoscopic tool using a microsensor overlaid upon previously acquired CT images. In conclusion, parallel use of invasive and non-invasive imaging has the potential for considerable improvements in the diagnostic possibilities of routine bronchoscopic procedures.

摘要

支气管镜成像与诊断与放射学和病理学技术紧密相关。计算机断层扫描(虚拟支气管镜检查)能够模拟逼真的支气管内情况,而自发荧光支气管镜检查在发现标准支气管镜检查无法识别的癌前病变方面具有巨大潜力。内镜超声和荧光透视可用于获取支气管外区域的图像和组织样本。柔性支气管镜检查中的电磁导航是一项有助于接近周围肺部病变的新技术,它涉及在胸部周围创建一个电磁场,并使用覆盖在先前获取的CT图像上的微传感器定位内镜工具。总之,侵入性和非侵入性成像的并行使用有可能显著提高常规支气管镜检查程序的诊断可能性。

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