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计算机断层扫描引导下穿刺:术前准备、技术要点及辐射防护。

Computed Tomography-guided Puncture: Preprocedural Preparation, Technical Tips, and Radioprotection.

作者信息

Takaki Haruyuki, Kobayashi Kaoru, Kako Yasukazu, Kodama Hiroshi, Ogasawara Atsushi, Takahagi Motonori, Taniguchi Junichi, Matsuda Kosuke, Hatano Michiko, Kikuchi Keisuke, Hagihara Yoshiaki, Matsumoto Kazuma, Minami Tetsuya, Yamakado Koichiro

机构信息

Department of Radiology, Hyogo Medical University, Japan.

Department of Radiological Technology, Hyogo Medical University Hospital, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2024 Jun 3;9(3):86-91. doi: 10.22575/interventionalradiology.2023-0034. eCollection 2024 Nov 1.

DOI:10.22575/interventionalradiology.2023-0034
PMID:39559812
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11570183/
Abstract

Computed tomography-guided puncture is a useful technique for various interventional radiology procedures. Puncture from various locations and angles becomes possible using this technique. Moreover, bone and air do not interfere with the computed tomography image. Therefore, computed tomography-guided puncture is feasible even in difficult cases of ultrasonography-guided procedures. However, a computed tomography-guided procedure can cause radiation exposure to patient and operator. Therefore, utmost attention should be given to minimizing radiation exposure. This study aimed to provide a brief review of pre-procedural preparation and the technical tips for the computed tomography-guided puncture and introduce recent topics related to the radioprotection of computed tomography-guided puncture.

摘要

计算机断层扫描引导下穿刺是一种适用于各种介入放射学操作的有用技术。使用该技术可以从不同位置和角度进行穿刺。此外,骨骼和空气不会干扰计算机断层扫描图像。因此,即使在超声引导操作困难的情况下,计算机断层扫描引导下穿刺也是可行的。然而,计算机断层扫描引导下的操作会使患者和操作者受到辐射暴露。因此,应格外注意将辐射暴露降至最低。本研究旨在简要回顾计算机断层扫描引导下穿刺的术前准备和技术要点,并介绍与计算机断层扫描引导下穿刺辐射防护相关的最新话题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/8ffbc6586ccd/2432-0935-9-3-0086-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/ce8074cdc390/2432-0935-9-3-0086-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/9e2e5cd0eadd/2432-0935-9-3-0086-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/4caa5bddda0d/2432-0935-9-3-0086-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/580300ca0804/2432-0935-9-3-0086-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/8ffbc6586ccd/2432-0935-9-3-0086-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/ce8074cdc390/2432-0935-9-3-0086-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/484a7008ed1b/2432-0935-9-3-0086-g002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/9dc74725f1f8/2432-0935-9-3-0086-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/5348b8c17ab3/2432-0935-9-3-0086-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/9e2e5cd0eadd/2432-0935-9-3-0086-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/4caa5bddda0d/2432-0935-9-3-0086-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/580300ca0804/2432-0935-9-3-0086-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f9/11570183/8ffbc6586ccd/2432-0935-9-3-0086-g009.jpg

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本文引用的文献

1
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Nihon Hoshasen Gijutsu Gakkai Zasshi. 2019;75(7):625-630. doi: 10.6009/jjrt.2019_JSRT_75.7.625.
2
Preoperative lipiodol marking and its role on survival and complication rates of CT-guided cryoablation for small renal masses.术前碘油标记及其对CT引导下小肾肿块冷冻消融的生存率和并发症发生率的影响
BMC Urol. 2017 Jan 18;17(1):10. doi: 10.1186/s12894-017-0199-1.
3
Percutaneous drainage of pancreatic fistula following pancreatectomy with CT-fluoroscopic guidance.
在CT透视引导下对胰腺切除术后胰瘘进行经皮引流。
Diagn Interv Imaging. 2017 Jan;98(1):43-50. doi: 10.1016/j.diii.2016.05.003. Epub 2016 Jun 14.
4
Image-guided percutaneous drainage: a review.影像引导经皮穿刺引流术:综述。
Abdom Radiol (NY). 2016 Apr;41(4):629-36. doi: 10.1007/s00261-016-0649-3.
5
Transosseous Route for CT Fluoroscopy-Guided Radiofrequency Ablation of Lung Tumors.CT透视引导下经皮穿刺肺肿瘤射频消融的经骨入路
J Vasc Interv Radiol. 2015 Nov;26(11):1694-8. doi: 10.1016/j.jvir.2015.08.012. Epub 2015 Oct 1.
6
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AJR Am J Roentgenol. 2015 Apr;204(4):865-7. doi: 10.2214/AJR.14.13040.
7
Pneumodissection: an alternative protective technique for the percutaneous cryoablation of small renal masses.肺分离术:一种用于小肾肿瘤经皮冷冻消融的替代保护技术。
Urol Int. 2013;90(4):381-3. doi: 10.1159/000346332. Epub 2013 Apr 9.
8
Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions.经皮影像引导介入治疗中凝血状态和止血风险围手术期管理的共识指南。
J Vasc Interv Radiol. 2012 Jun;23(6):727-36. doi: 10.1016/j.jvir.2012.02.012. Epub 2012 Apr 17.
9
Computed tomography fluoroscopy-guided radiofrequency ablation following intra-arterial iodized-oil injection for hepatocellular carcinomas invisible on ultrasonographic images.经动脉碘化油注射后行计算机断层透视引导射频消融治疗超声图像不可见的肝细胞癌。
Int J Clin Oncol. 2013 Feb;18(1):46-53. doi: 10.1007/s10147-011-0340-1. Epub 2011 Oct 22.
10
CT fluoroscopy-guided lung biopsy versus conventional CT-guided lung biopsy: a prospective controlled study to assess radiation doses and diagnostic performance.CT 透视引导下肺活检与常规 CT 引导下肺活检:一项评估辐射剂量和诊断性能的前瞻性对照研究。
Eur Radiol. 2011 Feb;21(2):232-9. doi: 10.1007/s00330-010-1936-y. Epub 2010 Aug 22.