rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2024-105-1-29-36rentrad-855Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHКТ-навигация как залог успеха бронхобиопсии при периферических образованиях в легкихCT Navigation is the Key to Successful Bronchоbiopsy for Peripheral Pulmonary Noduleshttps://orcid.org/0000-0002-6674-8869ЧерниченкоН. В.ChernichenkoN. V.

Черниченко Наталья Васильевна, д. м. н., вед. науч. сотр. научно-исследовательского отдела хирургии и хирургических технологий в онкологии

ул. Профсоюзная, 86, стр. 1, Москва, 117485

Natalia V. Chernichenko, Dr. Med. Sc., Leading Researcher, Research Department of Surgery and Surgical Technologies in Oncology

ul. Profsoyuznaya, 86, str. 1, Moscow, 117485

https://orcid.org/0000-0001-9732-7170ЛагкуеваИ. Д.LagkuevaI. D.

Лагкуева Ирина Джабраиловна, к. м. н., заведующая отделением рентгеновской диагностики с кабинетами рентгеновской и магнитно-резонансной компьютерной томографии

ул. Профсоюзная, 86, стр. 1, Москва, 117485

Irina D. Lagkueva, Cand. Med. Sc., Head of Department of X-Ray Diagnostics with X-Ray and Magnetic Resonance Computed Tomography Rooms

ul. Profsoyuznaya, 86, str. 1, Moscow, 117485

ilagkueva@mail.ruhttps://orcid.org/0000-0002-7939-6540СусаревИ. О.SusarevI. О.

Сусарев Илья Олегович, врач-эндоскопист отделения внутрипросветной эндоскопической диагностики и лечения консультативно-диагностического клинического центра

ул. Профсоюзная, 86, стр. 1, Москва, 117485

Ilya О. Susarev, Endoscopist, Department of Intraluminal Endoscopic Diagnosis and Treatment, Consulting and Diagnostic Clinical Center

ul. Profsoyuznaya, 86, str. 1, Moscow, 117485

https://orcid.org/0000-0003-0731-921XДжигкаеваМ. М.DzhigkaevaM. M.

Джигкаева Марина Михайловна, врач-рентгенолог отделения рентгеновской диагностики с кабинетами рентгеновской и магнит-но-резонансной компьютерной томографии

ул. Профсоюзная, 86, стр. 1, Москва, 117485

Marina M. Dzhigkaeva, Radiologist, Department of X-Ray Diagnostics with X-Ray and Magnetic Resonance Computed Tomography Rooms

ul. Profsoyuznaya, 86, str. 1, Moscow, 117485

https://orcid.org/0000-0002-0517-8997ЧхиквадзеВ. Д.ChkhikvadzeV. D.

Чхиквадзе Владимир Давидович, д. м. н., профессор, заведующий лабораторией хирургических технологий в онкологии

ул. Профсоюзная, 86, стр. 1, Москва, 117485

Vladimir D. Chkhikvadze, Dr. Med. Sc., Professor, Head of Laboratory of Surgical Technologies in Oncology

ul. Profsoyuznaya, 86, str. 1, Moscow, 117485

ФГБУ «Российский научный центр рентгенорадиологии» Минздрава РоссииРоссияRussian Scientific Center of RoentgenoradiologyRussian Federation20241906202410512936Copyright © Черниченко Н.В., Лагкуева И.Д., Сусарев И.О., Джигкаева М.М., Чхиквадзе В.Д., 20242024Черниченко Н.В., Лагкуева И.Д., Сусарев И.О., Джигкаева М.М., Чхиквадзе В.Д.Chernichenko N.V., Lagkueva I.D., Susarev I.О., Dzhigkaeva M.M., Chkhikvadze V.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/855

Определение характера очаговых изменений в легких по-прежнему остается актуальной проблемой онкологии, пульмонологии и рентгенологии. Окончательный диагноз в ряде случаев возможно установить лишь на основании изучения материала, полученного в ходе бронхобиопсии, трансторакальной биопсии, оперативного лечения. Бронхобиопсия является первым этапом миниинвазивной диагностики на пути к определению природы очаговых изменений в легочной ткани, результативность которой зависит от предварительной навигации до зоны интереса с помощью компьютерной томографии (КТ). В статье представлено пять клинических наблюдений, демонстрирующих применение технологии КТ-навигации при выполнении бронхобиопсии у пациентов с очаговыми образованиями в легких.

Determining the nature of nodular alternations in the lungs still remains an urgent problem in oncology, pulmonology, and radiology. In some cases, the final diagnosis can be established only on the basis of studying the material obtained during bronchobiopsy, transthoracic biopsy, and surgical treatment. Bronchobiopsy is the first stage of minimally invasive diagnostics towards detecting the nature of nodular changes in the lung tissue, the effectiveness of which depends on preliminary navigation to the region of interest using computed tomography (CT). The article presents five clinical cases demonstrating the use of CT navigation technology for performing bronchobiopsy in patients with peripheral pulmonary nodules.

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The authors declare that there are no conflicts of interest present.