Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA.
Neuroimaging Clin N Am. 2013 Feb;23(1):167-78. doi: 10.1016/j.nic.2012.08.012.
Image-guided tissue sampling is becoming increasingly important for management of head and neck cancers. Ultrasound-guided fine-needle aspiration (UG-FNA) is safe, effective, and has many advantages compared with palpation-guided FNA and computed tomography-guided FNA. The technique of UG-FNA is highly operator and experience dependent; however, understanding the complex anatomy, disease processes, and patterns of nodal spread in the head and neck make this technique ideal for the neuroradiologist. Proper technique and recognition of pitfalls are critical to successful UG-FNA. Computed tomography-guided FNA is valuable for tissue sampling from deep lesions and for those without a sonographic window for UG-FNA.
影像引导下的组织采样对于头颈部癌症的管理变得越来越重要。与触诊引导下的细针抽吸 (FNA) 和计算机断层扫描 (CT) 引导下的 FNA 相比，超声引导下的细针抽吸 (UG-FNA) 具有安全性、有效性和许多优势。UG-FNA 技术高度依赖于操作者和经验；然而，对头颈部复杂的解剖结构、疾病过程和淋巴结转移模式的理解，使得该技术成为神经放射科医生的理想选择。正确的技术和对陷阱的识别对于成功进行 UG-FNA 至关重要。CT 引导下的 FNA 对于从深部病变和没有超声窗口进行 UG-FNA 的病变进行组织采样非常有价值。
