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数字血管造影图像与传统X线片在肺穿刺活检后气胸检测中的比较。

Comparison of digital angiographic images with conventional radiographs for detection of pneumothorax after needle biopsy of lung.

作者信息

Partrick M E, Burbridge B E, Walker D R

机构信息

Department of Medical Imaging, Royal University Hospital, Saskatoon, Sask, Canada.

出版信息

Can Assoc Radiol J. 1998 Jun;49(3):193-6.

PMID:9640287
Abstract

OBJECTIVE

To compare the rate of detection of pneumothoraces from images obtained from a digital angiographic system (1024 x 1024 matrix) and from conventional film-screen chest radiographs, following fine-needle biopsy of the lung.

PATIENTS AND METHOD

For 102 patients who underwent fine-needle biopsy, 2 digital fluoroscopic chest images and 1 film-screen chest radiograph were obtained during expiration after the biopsy. The images were interpreted by 4 blinded readers.

RESULTS

There were 30 pneumothoraces, of which 96.6% were detected from standard chest radiographs and 54.2% were detected from digital images.

CONCLUSIONS

The detection of pneumothorax from digital images was far inferior to that from standard film-screen chest radiographs. Therefore, standard chest radiographs are recommended after fine-needle biopsy of the lung.

摘要

目的

比较在肺细针穿刺活检后,从数字血管造影系统(1024×1024矩阵)获取的图像与传统胸片上气胸的检出率。

患者与方法

对102例行细针穿刺活检的患者,在活检后呼气时获取2张数字荧光透视胸部图像和1张胸片。图像由4名不知情的阅片者解读。

结果

共发现30例气胸,其中96.6%在标准胸片上被检出,54.2%在数字图像上被检出。

结论

数字图像上气胸的检出率远低于标准胸片。因此,建议在肺细针穿刺活检后进行标准胸片检查。

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