临床外科杂志 ›› 2025, Vol. 33 ›› Issue (9): 928-932.doi: 10.3969/j.issn.1005-6483.20250820

• 专家笔谈 • 上一篇    下一篇

锥形束CT在多发性肺结节一站式精准诊疗中的应用进展与挑战

王永勇 平伟 王麒 王家宁 蔡奕欣 付向宁 张霓   

  1. 430030 湖北武汉,华中科技大学同济医学院附属同济医院胸外科
  • 收稿日期:2025-08-12 出版日期:2025-10-16 发布日期:2025-10-16
  • 通讯作者: 张霓,Email:zhangnidoc@vip.sohu.com
  • 基金资助:
    湖北省揭榜制科技项目(2024BEB008);华中科技大学同济医学院附属同济医院医学人工智能基金项目(AI2024B02)

The role of cone beam CT in one-stop management of multiple pulmonary nodules:advances and challenges

WANG Yongyong,PING Wei,WANG Qi,WAGN Jianing,CAI Yixin,FU Xiangning,ZHANG Ni   

  1. Department of Thoracic Surgery,Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
  • Received:2025-08-12 Online:2025-09-20 Published:2025-10-16

摘要: 随着低剂量螺旋CT筛查的普及,肺结节的检出率显著提高,其中多发性肺结节在临床上日益常见。传统的多步骤、多地点诊疗模式在效率、安全性及病人体验方面存在诸多不足。近年来,以复合手术室为平台,融合了术中影像、导航技术与外科手术的“一站式”诊疗模式应运而生,旨在解决传统模式的痛点。锥形束CT作为该模式中的核心影像技术,凭借其灵活的机动性、较低的辐射剂量和优异的空间分辨率,极大地推动了多发性肺结节精准诊疗的发展。

关键词: 锥形束CT;多发性肺结节;一站式诊疗;复合手术室

Abstract: The widespread implementation of low-dose computed tomography screening has led to a substantial rise in the detection of pulmonary nodules,with multiple pulmonary nodules(MPNs) now representing a common clinical presentation.Conventional diagnostic and therapeutic paradigms,characterized by sequential,multi-site processes,are often limited by inefficiency,safety concerns,and suboptimal patient outcomes.In contemporary thoracic surgery,a transformative "one-stop" precision management strategy has emerged within hybrid operating theaters.This integrated approach synergizes intraoperative imaging,advanced navigation,and surgical intervention to address these limitations.Cone-beam CT plays a pivotal role in this model by leveraging its maneuverability,low radiation,and high spatial resolution to greatly facilitate the development of precise diagnosis and treatment for MPNs.

Key words: cone-beam computed tomography;multiple pulmonary nodules;one-stop precision management;hybrid operating theater

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