The Value of Needle-Guidance Technology in Ultrasound-Guided Percutaneous Procedures Performed by Radiology Residents: A Comparison of Freehand, In-Plane, Fixed-Angle, and Electromagnetic Needle Tracking Techniques
| Autor: | Hisham Tchelepi, Joseph R. England, Tucker Fischbeck |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Percutaneous Radiological and Ultrasound Technology business.industry Imaging phantom Needle guidance Ultrasound guided 030218 nuclear medicine & medical imaging Lesion 03 medical and health sciences In plane 0302 clinical medicine Fixed angle Needle placement medicine Radiology Nuclear Medicine and imaging Radiology medicine.symptom business |
| Zdroj: | Journal of Ultrasound in Medicine. 38:399-405 |
| ISSN: | 0278-4297 |
| DOI: | 10.1002/jum.14701 |
| Popis: | OBJECTIVES Radiology residents typically learn ultrasound-guided procedures by performing supervised procedures on patients who may experience longer procedure times and higher complication rates. The purpose of this study was to determine if existing technologies, such as in-plane, fixed-angle guidance (IPFA) and electromagnetic needle tracking (ENT), can improve resident procedure time and accuracy. METHODS Radiology residents (18 total) were randomized to 1 of 3 ultrasound-guidance technique groups-freehand, IPFA, or ENT-and instructed to place a needle into 4 liver lesions in a humanoid phantom, each increasing in difficulty. For each lesion, residents were timed from skin puncture to needle placement, and the number of times the needle was pulled back and redirected (pullbacks) was recorded. Primary outcomes were total time and total number of pullbacks for all 4 lesions. Secondary outcomes were individual time and number of pullbacks for each lesion. RESULTS Compared to the freehand group, the IPFA and ENT groups demonstrated lower procedural time and number of pullbacks both in total and for each individual lesion. Differences in total time and total number of pullbacks were significant (P |
| Databáze: | OpenAIRE |
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