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图像引导下经皮穿刺的创新技术：应对复杂病例以实现成功结果。

Innovative Techniques for Image-guided Percutaneous Puncture: Navigating Complex Cases for Successful Outcomes.

作者信息

Yasumoto Taku, Yamada Koichi, Koh Hakketsu, Oh Ryoong-Jin

机构信息

Department of Interventional Radiology, Miyakojima IGRT Clinic, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2024 Oct 4;9(3):99-111. doi: 10.22575/interventionalradiology.2024-0003. eCollection 2024 Nov 1.

DOI:10.22575/interventionalradiology.2024-0003
PMID:39559809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11570161/
Abstract

This article emphasizes image-guided puncture, a common technique used by interventional radiologists. It focuses on ultrasound, fluoroscopy, computed tomography, and computed tomography fluoroscopy-guided procedures. While techniques vary, successful outcomes without complications still heavily rely on operators' skill and judgment. Operators need knowledge of needle characteristics and expert needle manipulation. Continual skill refinement through daily practice is essential, aiming maximum results with minimal invasiveness. This article examines challenging cases of percutaneous needle biopsy, biliary intervention, radiofrequency ablation, and percutaneous abscess drainage while referencing previous review articles and discusses how to succeed in these cases by employing various techniques and approaches in various image-guided procedures. This article aimed to provide interventional radiologists with a comprehensive and practical guide for enhancing their image-guided puncture techniques, ultimately leading to successful outcomes.

摘要

本文重点介绍了图像引导穿刺，这是介入放射科医生常用的一种技术。它着重于超声、荧光透视、计算机断层扫描以及计算机断层扫描荧光透视引导的操作。尽管技术各不相同，但无并发症的成功结果仍在很大程度上依赖于操作者的技能和判断力。操作者需要了解针的特性并熟练掌握针的操作。通过日常实践不断提高技能至关重要，目标是以最小的侵入性获得最大的效果。本文在参考以往综述文章的同时，研究了经皮针吸活检、胆道介入、射频消融和经皮脓肿引流等具有挑战性的病例，并讨论了如何通过在各种图像引导操作中采用不同的技术和方法来成功处理这些病例。本文旨在为介入放射科医生提供一份全面而实用的指南，以提高他们的图像引导穿刺技术，最终实现成功的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/0e672f929719/2432-0935-9-3-0099-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/3ca309ad9e69/2432-0935-9-3-0099-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/92f4616f31d2/2432-0935-9-3-0099-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/315f1650de1d/2432-0935-9-3-0099-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/99494ced540c/2432-0935-9-3-0099-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/573d416757ef/2432-0935-9-3-0099-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/23f2020f0764/2432-0935-9-3-0099-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/93115f5db4b5/2432-0935-9-3-0099-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/86a434fca407/2432-0935-9-3-0099-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/0e672f929719/2432-0935-9-3-0099-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/3ca309ad9e69/2432-0935-9-3-0099-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/137324a34943/2432-0935-9-3-0099-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/f7485c23e881/2432-0935-9-3-0099-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/92f4616f31d2/2432-0935-9-3-0099-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/315f1650de1d/2432-0935-9-3-0099-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/99494ced540c/2432-0935-9-3-0099-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/573d416757ef/2432-0935-9-3-0099-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/23f2020f0764/2432-0935-9-3-0099-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/93115f5db4b5/2432-0935-9-3-0099-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/86a434fca407/2432-0935-9-3-0099-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eca/11570161/0e672f929719/2432-0935-9-3-0099-g011.jpg

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