开放式磁共振介入系统在头颈部病变穿刺活检中的应用价值  

The application value of interventional MRI-guided percutaneous biopsy of head and neck lesions

作　　者：吕玉波[1] 李成利[1] 武乐斌[1] 柳明[1] 黄杰[1] 李雷[1] 包守刚[1] 

机构地区：[1]山东大学山东省医学影像学研究所MR介入研究室,济南250021

出　　处：《中华临床医师杂志（电子版）》2009年第9期42-44,共3页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的介绍iPath200辅助MRI引导下头颈部病变穿刺活检的操作方法,并评价其应用价值。方法所用设备为Philips公司生产的开放式0.23T磁共振检查仪(Proview),并配有iPath200光学引导系统。27例头颈部病变患者,均在iPath200辅助MRI引导下进行介入穿刺活检操作,其中13例为颌下及颈部淋巴结肿大,5例为甲状腺肿物,4例为颌面部肿物,3例为眼眶内肿物,2例为头颈部间隙囊性肿物。27例患者中的13例术中行MR对比增强检查。结果所有患者均一次穿刺成功,切取出病变组织,全部获得了组织病理学诊断,与手术后病理结果或随访结果相符,活检诊断正确率达100%(27/27)。所有病例术中及术后均未出现明显并发症如严重出血、神经损害等。结论iPath200辅助MRI引导下的头颈部病变经皮活检是一种安全、准确、有效的新技术。Objective To introduce the procedures and evaluate the application value of the interventional MR-guided biopsy in lesions of head and neck. Methods Twenty-seven patients with head and neck lesions underwent interventional MR-guided percutaneous biopsies. All patients were performed under a 0. 23 T open MRI system （Proview, Philips Medical System） with optical tracking system （iPath200 ,Philips Medical System）. 13 of 27 patients underwent MR contrast enhanced examinations during the biopsies. Results The histopathological diagnosis was got in all cases （ 27/27 ）. In all patients, the primary biopsy diagnosis and the follow up postoperative diagnosis were essentially consistent （27/27）. No complications such as severe bleeding or neurological damage were seen. Conclusions Interventional MR- guided percutaneous biopsy in lesions of head and neck is an accurate and safe technique.

关 键 词：磁共振成像 介入性 活组织检查 针吸 病理学 临床 头颈部肿瘤 

分 类 号：R445.2[医药卫生—影像医学与核医学] R446.8[医药卫生—诊断学]