https://www.nature.com/articles/s41598-024-72620-8

Core Perspective:Los ntawm qhov kev xav ntawm keeb kwm kev loj hlob ntawmkev kho mob technology,tsab xov xwm no piav qhia txog yuav ua li cas qhov tshwm sim ntawm ultrasound echo koob tau hais txog cov kev pheej hmoo thiab cov teeb meem cuam tshuam nrog cov tsoos dig muag punctures thiab tau dhau los ua ib qho tseem ceeb ntawm cov tshuaj niaj hnub precision.

Ob peb lub xyoo dhau los, qhov kev kho mob me me uas cuam tshuam tsis zoo tau dhau los ntawm kev hloov pauv hloov pauv los ntawm "kev paub-raws" rau "duab- coj." Ntawm lawv, ultrasound-kev coj noj coj ua thev naus laus zis, vim nws qhov txiaj ntsig zoo xws li tsis muaj hluav taws xob, tiag- lub sijhawm muaj zog, kev txav mus los, thiab kev hloov pauv, tau dhau los ua cov cuab yeej tseem ceeb hauv ntau lub tuam haujlwm suav nrog tshuaj loog, tswj kev mob, oncology, thiab kev cuam tshuam ultrasound. Hauv kev hloov kho thev naus laus zis no, koob tshuaj ultrasound ncha tau ua lub luag haujlwm tseem ceeb. Lawv tsis yog tsuas yog cov cuab yeej puncture nkaus xwb tab sis kuj tseem yog cov neeg nqa khoom tseem ceeb rau kev ua tiav cov haujlwm raug thiab nyab xeeb.

I. Los ntawm "Kev Tshawb Fawb Tsis Pom Kev" mus rau "Kev Pom Zoo": Hais Txog Cov Ntsiab Lus Kho Mob

Cov txheej txheem puncture ib txwm, xws li central venous catheterization, paj hlwb, los yog cov ntaub so ntswg biopsy, feem ntau vam khom rau tus kws kho mob cov kev paub txog anatomical thiab tactile kev paub, uas yog hu ua "qhov muag tsis pom kev." Txoj kev no muaj cov kev txwv tseem ceeb: Ua ntej, muaj qhov sib txawv ntawm tus neeg mob tus qauv anatomical, tshwj xeeb tshaj yog rau cov rog rog, edematous, lossis cov neeg mob uas muaj kev hloov pauv anatomical tom qab, qhov chaw ntawm lub cev qhov chaw feem ntau tsis ntseeg. Qhov thib ob, cov hlab ntsha tseem ceeb thiab cov hlab ntsha yog qhov nyuaj rau kev zam, ua rau muaj kev pheej hmoo ntawm kev raug mob, uas tuaj yeem ua rau hematoma, pneumothorax, paj hlwb puas, lossis txawm tias muaj teeb meem loj dua.

Kev taw qhia ntawm ultrasound-cov thev naus laus zis qhia ua rau cov kws kho mob "pom" cov qauv ntawm cov nqaij mos subcutaneous. Txawm li cas los xij, cov koob txhaj tshuaj zoo tib yam thaum ntxov tau pom qhov ua haujlwm tsis zoo ntawm cov duab ultrasound. Lub taub hau thiab rab koob yog feem ntau indistinct, tshwj xeeb tshaj yog thaum lub kaum sab xis ntxig, thiab rab koob lub cev yuav luag "tsis pom." Qhov no tiv thaiv cov kws kho mob los ntawm kev txiav txim siab qhov tseeb ntawm qhov kawg ntawm rab koob, txwv tsis pub muaj kev txhawb nqa ntawm ultrasound - cov cuab yeej coj ua. Lub koob ultrasound echo tau tsim tshwj xeeb los daws qhov teeb meem no.

II. Acoustic Enhancement Design: Ua Cov Koob Zoo Zoo Traceless

Raws li pom nyob rau hauv cov ntaub ntawv koj muab, cov tub ntxhais technology ntawm lub ultrasonic ncha koob nyob rau hauv nws tshwj xeeb nto kho. Los ntawm kev siv cov txheej txheem polymer ntawm cov hlau rab koob thiab muab cov npuas me me lossis lwm cov ntaub ntawv muaj kev cuam tshuam rau hauv txheej txheej, cov qauv no tuaj yeem txhim kho lub peev xwm los cuam tshuam ultrasonic tsis. Thaum lub ultrasonic beam raug coj mus rau lub koob lub cev, cov qauv microscopic yuav ua kom muaj zog tawg cov cim, ua rau lub cev rab koob yuav tshwm sim raws li cov duab ci ntsa iab ntawm qhov screen.

Tus nqi kho mob ntawm tus qauv tsim no zoo kawg li:

• Txhim kho lub hom phiaj hit rate:Cov kws kho mob tuaj yeem taug qab qhov kev txav mus los ntawm rab koob thiab qhia meej meej rau thaj chaw lub hom phiaj (xws li cov hlab ntsha, paj hlwb, qhov txhab), yog li ua tiav kev ua haujlwm hauv ib qho mus thiab txo qhov kev raug mob los ntawm kev rov ua dua.
• Txo cov teeb meem nyuaj:Los ntawm kev soj ntsuam kev sib raug zoo ntawm cov koob taub thiab ib puag ncig cov qauv tseem ceeb (xws li cov hlab ntsha, paj hlwb, pleura), cov kws kho mob tuaj yeem kho txoj kev puncture tam sim ntawd thiab kom tsis txhob muaj kev pheej hmoo, ua kom muaj kev nyab xeeb ntawm kev phais.
• Shorten kev kawm nkhaus:Rau cov kws kho mob hluas, kev tawm tswv yim pom tseeb yuav txo tau qhov nyuaj ntawm kev kawm ntawm ultrasound-kev taw qhia puncture, ua rau lawv paub cov thev naus laus zis tseem ceeb no sai dua thiab ua kom muaj peev xwm cog qoob loo.

III. Txhawb nqa Universalization thiab kho kom zoo ntawm kev kho mob tsawg kawg nkaus

Niaj hnub no, los ntawm kev tsim cov vascular yooj yim nkag mus rau cov qog nqaij hlav nyuaj thiab cov tshuaj txhaj tshuaj, daim ntawv thov ntawm ultrasound ncha koob tau npog yuav luag txhua qhov chaw uas yuav tsum tau ua kom raug. Nws tsis tsuas yog txhim kho qhov kev vam meej thiab kev nyab xeeb ntawm cov kev phais uas twb muaj lawm tab sis kuj ua rau muaj kev kho mob tshiab, xws li kev ua tiav "cov hlab ntsha tawg" hauv cov tshuaj loog hauv cheeb tsam siv cov tshuaj tsawg kawg nkaus kom ua tiav cov txiaj ntsig zoo tshaj plaws; tau txais ntau dua - cov qauv ntaub so ntswg zoo hauv cov qog nqaij hlav biopsy los muab lub hauv paus txhim khu kev qha rau kev kuaj kab mob tom ntej thiab kuaj caj ces.

Nws tuaj yeem hais tau tias kev siv dav dav ntawm ultrasound ncha koob kos npe rau kev nkag mus ntawm kev cuam tshuam kev cuam tshuam tsawg kawg nkaus rau hauv lub sijhawm tshiab ntawm "kev pom, kev pom tseeb, thiab kev nyab xeeb." Nws tsis yog ib qho khoom siv xwb; Hloov chaw, nws ua tus choj txuas kev kuaj mob thiab kev kho mob, thev naus laus zis thiab kev nyab xeeb, thiab yog ib feem tseem ceeb ntawm cov txheej txheem kho mob niaj hnub no.