دورية أكاديمية
أعرض في EDS

Contrast-enhanced US-guided percutaneous biopsy of anterior mediastinal lesions.

التفاصيل البيبلوغرافية
العنوان: Contrast-enhanced US-guided percutaneous biopsy of anterior mediastinal lesions.
المؤلفون: Yi D; Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China. puguang61@126.com., Feng M, Wen Ping W, Zheng Biao J, Fan PL
المصدر: Diagnostic and interventional radiology (Ankara, Turkey) [Diagn Interv Radiol] 2017 Jan-Feb; Vol. 23 (1), pp. 43-48.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Galenos Publishing House Country of Publication: Turkey NLM ID: 101241152 Publication Model: Print Cited Medium: Internet ISSN: 1305-3612 (Electronic) Linking ISSN: 13053825 NLM ISO Abbreviation: Diagn Interv Radiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Istanbul : Galenos Publishing House
Original Publication: Ankara, Turkey : Turkish Society of Radiology, [2005]-
مواضيع طبية MeSH: Image Enhancement/*methods , Mediastinal Neoplasms/*diagnostic imaging , Mediastinal Neoplasms/*pathology, Adult ; Aged ; Biopsy, Large-Core Needle ; Contrast Media ; Female ; Humans ; Male ; Middle Aged ; Ultrasonography ; Young Adult
مستخلص: Purpose: We aimed to explore the value of contrast-enhanced ultrasonography (CEUS) in guidance of percutaneous biopsy of anterior mediastinal lesions.
Methods: Ninety patients with solitary anterior mediastinal lesions (55 males, 35 females; mean age, 46±4 years) were included. Patients were randomly divided into CEUS group (n=45) and conventional ultrasonography (US) group (n=45). Real-time US-guided core needle (16 G) percutaneous biopsies were performed in all lesions. The display of internal mammary arteries, internal necrosis, and active areas were recorded and compared. Biopsy success rate and diagnostic accuracy were compared between the two groups.
Results: Display rate of unenhanced internal necrosis was higher in the CEUS group than in the US group (88.9% vs. 46.7%, P = 0.041). With real-time CEUS guidance, internal mammary arteries were effectively displayed and avoided during biopsies in 68.9% of the lesions (31/45). Of the lesions, 88.9% (80/90) were histologically proven, including 13 benign lesions and 67 malignancies. There was a significant difference in the rate of successful puncture attempts between the two groups (P = 0.041). CEUS group had a higher biopsy success rate (100% vs. 95.5%, P = 0.045) and higher diagnostic accuracy (97.8% vs. 82.2%, P = 0.035) compared with the US group (P = 0.035).
Conclusion: CEUS guidance is a promising technique in depicting internal necrotic areas, viable areas, and internal mammary arteries during percutaneous biopsy of anterior mediastinal lesion, with satisfying safety, accuracy, and success rates.
Competing Interests: disclosure The authors declared no conflicts of interest.
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المشرفين على المادة: 0 (Contrast Media)
تواريخ الأحداث: Date Created: 20161203 Date Completed: 20170526 Latest Revision: 20181113
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5214075
DOI: 10.5152/dir.2016.15590
PMID: 27911263
قاعدة البيانات: MEDLINE
الوصف
تدمد:1305-3612
DOI:10.5152/dir.2016.15590