Department of Medical Imaging, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
J Infect Public Health. 2012 Dec;5 Suppl 1:S22-30. doi: 10.1016/j.jiph.2012.09.001. Epub 2012 Nov 6.
Image-guided percutaneous transthoracic core biopsy especially with CT guidance is playing an increasing role in the diagnosis and management of lung cancer. The recent advances in the specific chemotherapy and novel targeted therapy and the increasing need for specific diagnosis of tumor histopathologic subtypes have direct impact on the radiologists performing lung biopsy and important implications for the biopsy technique. Close cooperation between radiologists and referring physicians with understanding of the technical aspects of the biopsy procedure can help clinicians make appropriate referrals for this procedure and understand the significance and limitations of the results. Additionally, the appropriate management of complications can limit morbidity related to the biopsy procedure.
影像引导经皮肺穿刺活检术，尤其是 CT 引导下的肺穿刺活检术，在肺癌的诊断和治疗中发挥着越来越重要的作用。目前，针对特定肿瘤的化疗和新型靶向治疗取得了新的进展，同时也对肿瘤组织病理亚型的明确诊断提出了更高的要求，这对实施肺活检的放射科医生产生了直接影响，也对活检技术具有重要意义。放射科医生与临床医生密切合作，充分了解活检技术的各个方面，有助于临床医生为患者提供恰当的转诊，并理解活检结果的意义和局限性。此外，对并发症的恰当处理有助于降低与活检相关的发病率。
