Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Oral Maxillofac Surg Clin North Am. 2023 Aug;35(3):451-468. doi: 10.1016/j.coms.2023.02.006. Epub 2023 Apr 7.
Percutaneous image-guided biopsy has largely replaced open surgical biopsies for many head and neck (H&N) lesions, being very safe and minimally invasive. Although the radiologist plays the primary role in these cases, it requires a multidisciplinary approach. Depending upon numerous factors, these biopsies can be either fine-needle aspiration or core needle biopsy, using ultrasound for superficial lesions and computed tomography for deep neck lesions. The most crucial part of H&N biopsies is planning a trajectory to avoid injury to critical anatomic structures. This article outlines the standard biopsy approaches and key anatomical considerations for H&N procedures.
经皮影像引导活检在很大程度上已经取代了许多头颈部 (H&N) 病变的开放性手术活检，具有非常安全和微创的特点。虽然放射科医生在这些病例中发挥主要作用，但这需要多学科的方法。根据许多因素，这些活检可以是细针抽吸活检或核心针活检，对于浅表病变使用超声，对于深部颈部病变使用计算机断层扫描。H&N 活检中最关键的部分是规划一条避免损伤关键解剖结构的轨迹。本文概述了 H&N 手术的标准活检方法和关键解剖学考虑因素。
