Evaluation of vascular puncture needles with specific modifications for enhanced ultrasound visibility:In vitro study  

作　　者：Nobuyuki Kawai Hiroki Minamiguchi Morio Sato Motoki Nakai Hiroki Sanda Takami Tanaka Akira Ikoma Kouhei Nakata Shintaro Shirai Tetsuo Sonomura 

机构地区：[1]Department of Radiology,Wakayama Medical University,811-1 Kimiidera,Wakayama-shi,Wakayama 641-8510,Japan

出　　处：《World Journal of Radiology》2012年第6期273-277,共5页世界放射学杂志（英文版）（电子版）

摘　　要：AIM: To determine which modification to a vascular puncture needle results in increased visualization during ultrasound (US)-guided vascular puncture. METHODS: We evaluated US images of a phantom made of degassed gelatin and each of the following four modified versions of a commercially available vascular puncture needle (18 G): re-cut needle, dimple needle, rough-surface needle (rough over the sections of needle located 3-6 mm from the tip), and a needle with four side holes (side holes covered by the sheath). An unmodified commercially available puncture needle was used as a control. Five interventional radiologists evaluated image quality according to the following classification grade:?I, invisible; II, poor; III, moderate; IV, good; V, excellent. RESULTS: The highest score for needle visualization was obtained for the needle with four side holes. The re-cut needle scored the same as the control. Multiple comparisons were conducted using overall evaluation scores among the commercially available needle, dimple needle, rough-surface needle (3-6 mm), and the needle with four side holes. A significantly higher score was obtained for the needle with four side holes (P < 0.05/6). CONCLUSION: The needle with four side holes was prominently visualized and gained a significantly higher score (compared with the other needles) in a phantom evaluation. AIM:To determine which modification to a vascular puncture needle results in increased visualization during ultrasound(US)-guided vascular puncture.METHODS:We evaluated US images of a phantom made of degassed gelatin and each of the following four modified versions of a commercially available vascular puncture needle(18 G):re-cut needle,dimple needle,rough-surface needle(rough over the sections of needle located 3-6 mm from the tip),and a needle with four side holes(side holes covered by the sheath).An unmodified commercially available puncture needle was used as a control.Five interventional radiologists evaluated image quality according to the following classification grade:Ⅰ,invisible;Ⅱ,poor;Ⅲ,moderate;Ⅳ,good;Ⅴ,excellent.RESULTS:The highest score for needle visualization was obtained for the needle with four side holes.The re-cut needle scored the same as the control.Multiple comparisons were conducted using overall evaluation scores among the commercially available needle,dimple needle,rough-surface needle(3-6 mm),and the needle with four side holes.A significantly higher score was obtained for the needle with four side holes(P &lt; 0.05/6).CONCLUSION:The needle with four side holes was prominently visualized and gained a significantly higher score(compared with the other needles) in a phantom evaluation.

关 键 词：Ultrasound visibility Vascular puncture needle Side-hole needle Dimple needle Rough-surface needle 

分 类 号：R310[医药卫生—基础医学]