{"id":6846,"date":"2024-03-20T21:00:00","date_gmt":"2024-03-20T21:00:00","guid":{"rendered":"https:\/\/ambercell.eu\/uncategorized-lv\/inovativa-arstesana-veicot-proceduras-caur-adatas-cauruma-lieluma-iegriezumiem\/"},"modified":"2024-03-28T13:33:53","modified_gmt":"2024-03-28T13:33:53","slug":"inovativa-arstesana-veicot-proceduras-caur-adatas-cauruma-lieluma-iegriezumiem","status":"publish","type":"post","link":"https:\/\/ambercell.eu\/lv\/zinas\/inovativa-arstesana-veicot-proceduras-caur-adatas-cauruma-lieluma-iegriezumiem\/","title":{"rendered":"Inovat\u012bva \u0101rst\u0113\u0161ana, veicot proced\u016bras caur adatas cauruma lieluma iegriezumiem"},"content":{"rendered":"\n

Invaz\u012bv\u0101 radiolo\u0123ija, iesp\u0113jams, \u0161obr\u012bd ir visstrauj\u0101k att\u012bsto\u0161\u0101 medic\u012bnas joma. Viens no t\u0101s galvenajiem principiem ir minim\u0101la iejauk\u0161an\u0101s pacienta \u0137ermen\u012b. \u0160\u0101das proced\u016bras, kas respekt\u0113 pacientu vesel\u012bbu, arvien vair\u0101k tiek izmantotas ne tikai diagnostik\u0101, bet ar\u012b da\u017e\u0101du slim\u012bbu, tostarp onkolo\u0123isko slim\u012bbu, \u0101rst\u0113\u0161an\u0101. Vair\u0101k par \u0161o inovat\u012bvo proced\u016bru iesp\u0113j\u0101m un to ieguvumiem pacientiem st\u0101sta VUL Santaros kl\u012bniku Radiolo\u0123ijas un nukle\u0101r\u0101s medic\u012bnas centra \u0101rsti, invaz\u012bvie radiologi dr. Donatas Jocius un Invaz\u012bv\u0101s radiolo\u0123ijas noda\u013cas vad\u012bt\u0101js dr. Marius Kurminas.<\/p>\n\n

<\/div>\n\n

Invaz\u012bv\u0101 radiolo\u0123ija k\u013c\u016bst arvien svar\u012bg\u0101ka daudzu kl\u012bnisko slim\u012bbu \u0101rst\u0113\u0161an\u0101<\/strong><\/p>\n\n

Dr. Mariuss Kurmins saka, ka invaz\u012bvo radiolo\u0123iju t\u0113laini var saukt par m\u016bsdienu procesu\u0101lo d\u017eezu. \u0160aj\u0101 zon\u0101 ir simtiem da\u017e\u0101du proced\u016bru, kas tiek veiktas, izmantojot adatas cauruma izm\u0113ra (l\u012bdz 2 mm) punkcijas vai iegriezumus, un \u0161o proced\u016bru kl\u0101sts past\u0101v\u012bgi papla\u0161in\u0101s. Metodisk\u0101 noz\u012bm\u0113 t\u0101s ir diagnostiskas un terapeitiskas proced\u016bras, ko veic vizu\u0101l\u0101s izmekl\u0113\u0161anas kontrol\u0113 (piem\u0113ram, ultraska\u0146a, rentgena, datoriz\u0113t\u0101 vai magn\u0113tisk\u0101s rezonanses att\u0113lveido\u0161ana). Bez atv\u0113rta griezuma, sasniedzot dzi\u013c\u0101k\u0101s strukt\u016bras un prec\u012bzi kontrol\u0113jot visu re\u0101l\u0101 laik\u0101, tiek nodro\u0161in\u0101ta \u0101rk\u0101rt\u012bgi prec\u012bza \u0101rst\u0113\u0161ana, pacientiem rodas maz\u0101k s\u0101pju, vi\u0146u hospitaliz\u0101cijas un rehabilit\u0101cijas laiks tiek sa\u012bsin\u0101ts, un taj\u0101 pa\u0161\u0101 laik\u0101 tiek samazin\u0101ts komplik\u0101ciju risks. Proced\u016br\u0101s izmantotie instrumenti un medic\u012bniskais apr\u012bkojums past\u0101v\u012bgi uzlabojas, tiek izmantoti m\u0101ksl\u012bg\u0101 intelekta risin\u0101jumi, t\u0101p\u0113c minim\u0101li invaz\u012bvas proced\u016bras neizb\u0113gami k\u013c\u016bst par pirm\u0101s izv\u0113les metodi daudzu kl\u012bnisko st\u0101vok\u013cu \u0101rst\u0113\u0161an\u0101.<\/p>\n\n

“Diagnostisko proced\u016bru laik\u0101 tiek konstat\u0113tas izmai\u0146as asinsvados (angiogr\u0101fija), \u017eultsvados (holangiogr\u0101fija) vai tiek pa\u0146emts audu gabals ar aizdom\u0101m par \u013caundab\u012bgu procesu (biopsija). Terapeitiskiem nol\u016bkiem, izmantojot da\u017e\u0101dus katetrus, tiek nodro\u0161in\u0101ta piek\u013cuve nepiecie\u0161amajam asinsvadam vai kan\u0101lam un tiek veikta sa\u0161aurin\u0101jumu papla\u0161in\u0101\u0161ana ar \u012bpa\u0161iem dozatoriem (angioplastija) vai t\u0101s sienas nostiprin\u0101\u0161ana ar da\u017e\u0101du met\u0101la caurul\u0113m (stent\u0113\u0161ana). Asinsvadus var steidzami atsl\u0113gt (tiek izmantota trombektomija), piem\u0113ram, smadze\u0146u, zarnu vai ekstremit\u0101\u0161u art\u0113riju aizsprosto\u0161an\u0101s gad\u012bjum\u0101 vai aizs\u0113r\u0113jusi, piem\u0113ram, asi\u0146o\u0161anas laik\u0101. Var blo\u0137\u0113t ar\u012b asinsvadus, kas barojas ar audz\u0113jiem vai cit\u0101m strukt\u016br\u0101m (dzemdes miomas, varikoc\u0113le, arteriovenoz\u0101s anom\u0101lijas vai pat mazas art\u0113rijas, piem\u0113ram, art\u0113rijas, kas izraisa iekaisumu un s\u0101pes loc\u012btav\u0101). Audz\u0113ji tiek izn\u012bcin\u0101ti ar aukstumu (krioabl\u0101cija), karstumu (mikrovi\u013c\u0146u vai radiofrekvences abl\u0101cija) vai ar elektroimpulsu pal\u012bdz\u012bbu, ievie\u0161ot \u012bpa\u0161us elektrodus,” par invaz\u012bv\u0101s radiolo\u0123ijas iesp\u0113j\u0101m st\u0101sta dr. M. Kurmins.<\/p>\n\n

P\u0113c Invaz\u012bv\u0101s radiolo\u0123ijas noda\u013cas vad\u012bt\u0101jas teikt\u0101, smadze\u0146u aneirismu \u0101rst\u0113\u0161anai tiek izmantoti \u013coti inovat\u012bvi instrumenti. P\u0113c \u013coti pl\u0101nu katetru ievad\u012b\u0161anas skartaj\u0101 smadze\u0146u zon\u0101 caur cirk\u0161\u0146a vai rokas art\u0113riju vair\u0101kas stundas tiek veikts darbs uz \u012bpa\u0161u 3D “kar\u0161u” platformas un standarta, nesare\u017e\u0123\u012bta kursa kl\u0101tb\u016btn\u0113, jau n\u0101kamaj\u0101 dien\u0101 p\u0113c proced\u016bras pacients var atgriezties pie norm\u0101l\u0101m ikdienas aktivit\u0101t\u0113m. <\/p>\n\n

\"\"<\/figure>
\n

P\u0113c Dr. Kurmina dom\u0101m, p\u0113d\u0113jos gados \u012bpa\u0161a uzman\u012bba tiek piev\u0113rsta \u0101rk\u0101rt\u012bgi sare\u017e\u0123\u012btu aortas aneirismu endovaskul\u0101r\u0101s \u0101rst\u0113\u0161anas jomai. “Tagad varam b\u016bt priec\u012bgi, ka \u0161obr\u012bd esam l\u012bderi \u0161aj\u0101 jom\u0101 Baltijas valst\u012bs. Ar individu\u0101li uzkl\u0101tiem apvalkotiem stentiem (stentu transplant\u0101tiem) m\u0113s varam atjaunot visu liel\u0101ko cilv\u0113ka \u0137erme\u0146a art\u0113riju, ievie\u0161ot papildu caurules katr\u0101 t\u0101s zar\u0101, kas baro iek\u0161\u0113jos org\u0101nus un t\u0101d\u0113j\u0101di izvairoties no t\u0101 pl\u012bsuma. Pirms pusgada m\u0113s izmantoj\u0101m individu\u0101lu stentu transplant\u0101tu \u012bpa\u0161\u0101 viet\u0101 – aortas lok\u0101 ar zariem, kas pieg\u0101d\u0101 asinis smadzen\u0113m. \u0160\u012bs proced\u016bras, kas ilgst aptuveni tr\u012bs stundas, galven\u0101 priek\u0161roc\u012bba ir t\u0101, ka t\u0101s laik\u0101 nav nepiecie\u0161ama m\u0101ksl\u012bga asinsrite vai kr\u016b\u0161kurvja atv\u0113r\u0161ana – pietiek ar to, ka k\u0101j\u0101s un rok\u0101s ir art\u0113riju piek\u013cuves punkti l\u012bdz 8 mm diametr\u0101,” par sasniegumiem ir gandar\u012bts invaz\u012bv\u0101s radiolo\u0123ijas speci\u0101lists.<\/p>\n<\/div><\/div>\n\n

<\/div>\n\n

Invaz\u012bv\u0101 radiolo\u0123ija ir neat\u0146emama m\u016bsdienu v\u0113\u017ea \u0101rst\u0113\u0161anas sast\u0101vda\u013ca<\/strong><\/p>\n\n

Saska\u0146\u0101 ar invaz\u012bv\u0101 radiologa Dr. Donatas Jocius teikto, \u0101rk\u0101rt\u012bgi strauji att\u012bsto\u0161\u0101 invaz\u012bv\u0101s radiolo\u0123ijas joma ir invaz\u012bv\u0101 onkolo\u0123ija. M\u016bsdienu medic\u012bnas virziens ir minim\u0101li invaz\u012bvas, maz\u0101k traumatiskas metodes, kuru galvenais m\u0113r\u0137is ir sasniegt t\u0101du pa\u0161u vai lab\u0101ku terapeitisko efektu, samazinot komplik\u0101ciju risku un \u0101tr\u0101k atgrie\u017eot pacientu parastaj\u0101 dz\u012bves ritm\u0101. T\u0101p\u0113c gan invaz\u012bv\u0101 radiolo\u0123ija, gan invaz\u012bv\u0101 onkolo\u0123ija, kad visas proced\u016bras un oper\u0101cijas tiek veiktas ar maziem iegriezumiem vai tikai punkcij\u0101m, arvien vair\u0101k iedzi\u013cin\u0101s pacientu \u0101rst\u0113\u0161an\u0101. BCLC Barselonas kl\u012bnika Aknu v\u0113zis) 2022 vadl\u012bnijas prim\u0101riem aknu agr\u012bn\u0101s stadijas audz\u0113jiem (hepatocelul\u0101ra karcinoma) l\u012bdz 2 cm termisk\u0101 abl\u0101cija ir ieteicama k\u0101 izv\u0113les metode, kas l\u012bdzv\u0113rt\u012bga \u0137irur\u0123iskai \u0101rst\u0113\u0161anai. Pa\u0161reiz\u0113jie starptautiskie p\u0113t\u012bjumi, piem\u0113ram, termisk\u0101s abl\u0101cijas sal\u012bdzin\u0101jums un operat\u012bva kolorekt\u0101l\u0101 audz\u0113ja aknu metast\u0101\u017eu \u0101rst\u0113\u0161ana, ar\u012b sola, ka ablat\u012bva terapija b\u016bs analoga operat\u012bvajai.<\/p>\n\n

\"\"<\/figure>
\n

“Invaz\u012bvajai radiolo\u0123ijai ir daudz priek\u0161roc\u012bbu audz\u0113ju \u0101rst\u0113\u0161an\u0101. T\u0101s ir minim\u0101li traumatiskas proced\u016bras ar neliel\u0101m komplik\u0101cij\u0101m, sal\u012bdzinot ar \u0137irur\u0123isk\u0101m oper\u0101cij\u0101m. Veicot minim\u0101li invaz\u012bvas proced\u016bras, tiek saglab\u0101ta sal\u012bdzino\u0161i liela da\u013ca \u0101rst\u0113t\u0101 org\u0101na, k\u0101 rezult\u0101t\u0101 t\u0101 funkcija cie\u0161 daudz maz\u0101k. P\u0113c invaz\u012bv\u0101s radiolo\u0123ijas proced\u016bras pacienti bie\u017ei j\u016btas labi jau n\u0101kamaj\u0101 dien\u0101, nav palieko\u0161u par\u0101d\u012bbu, vi\u0146i var p\u0101rvietoties bez probl\u0113m\u0101m, t\u0101p\u0113c vi\u0146i bie\u017ei var doties m\u0101j\u0101s. \u012ass hospitaliz\u0101cijas laiks, \u0101tra atvese\u013co\u0161an\u0101s p\u0113c proced\u016bras ir svar\u012bgas priek\u0161roc\u012bbas \u2013 pacienti j\u016btas labi, var \u0101tri atgriezties ikdienas aktivit\u0101t\u0113s un darb\u0101, kas ir svar\u012bgs, lai ar\u012b reti m\u0113r\u0101ms, ekonomisks faktors,” uzsver Dr. D. Jocius.<\/p>\n<\/div><\/div>\n\n

<\/div>\n\n

Dr. Kurmins st\u0101sta, ka invaz\u012bv\u0101s onkolo\u0123ijas arsen\u0101l\u0101 ir liels skaits pretv\u0113\u017ea iero\u010du, kurus, apturot un cen\u0161oties kontrol\u0113t onkolo\u0123isko slim\u012bbu, var kombin\u0113t ar cit\u0101m \u0101rst\u0113\u0161anas metod\u0113m. Lok\u0101las un \u013coti prec\u012bzas invaz\u012bv\u0101s onkolo\u0123ijas proced\u016bras ir \u012bpa\u0161i svar\u012bgas pacientiem, kuriem nevar veikt oper\u0101ciju slim\u012bbas izplat\u012bbas, blakusslim\u012bbu vai citu iemeslu d\u0113\u013c.<\/p>\n\n

Viena no inovat\u012bv\u0101kaj\u0101m minim\u0101li invaz\u012bvaj\u0101m metod\u0113m, ko pa\u0161laik izmanto, ir emboliz\u0101cija. “Ar \u0161o metodi m\u0113s varam ce\u013cot ar speci\u0101liem mikrokaperiem uz asinsvadiem, kas baro audz\u0113ju un aizsprosto tos ar da\u017e\u0101d\u0101m mikrosf\u0113r\u0101m, l\u012bmi utt. Proced\u016bru, kad m\u0113s pies\u016bcin\u0101m \u012bpa\u0161as da\u013ci\u0146as \u0137\u012bmijprepar\u0101tos, t\u0101d\u0113j\u0101di ieg\u016bstot dubultu patolo\u0123isku efektu, kas izn\u012bcina patolo\u0123isko veido\u0161anos (tas neietver asinis un sk\u0101bekli, kas nepiecie\u0161ams aug\u0161anai, un z\u0101les non\u0101k \u0161\u016bn\u0101s), sauc par transarterisko \u0137\u012bmijterapiju (TACE). V\u0113l viena \u0101rst\u0113\u0161anas metode, kas p\u0113d\u0113jos gados arvien vair\u0101k tiek izmantota m\u016bsu kl\u012bnik\u0101s, ir radioemboliz\u0101cija (TARE). \u0160\u012b \u0101rst\u0113\u0161anas metode tiek izmantota aknu audz\u0113ju un aknu metast\u0101\u017eu gad\u012bjumos, kas nav piem\u0113roti operat\u012bvai \u0101rst\u0113\u0161anai. Proced\u016brai tiek izmantots radioakt\u012bvo holmu izotops, ko injic\u0113 plastmasas mikrosf\u0113ru (mikrogranulu) veid\u0101. Mikrosf\u0113ras izplat\u0101s audz\u0113ja audos, un izotopa izstarotais beta starojums ietekm\u0113 audz\u0113ja biolo\u0123iju un veicina \u0161\u016bnu n\u0101vi,” st\u0101sta Dr. Kurmins.<\/p>\n\n

<\/div>\n\n

Multidisciplin\u0101ra komanda pal\u012bdz nodro\u0161in\u0101t optim\u0101l\u0101ko \u0101rst\u0113\u0161anu katr\u0101 gad\u012bjum\u0101<\/strong><\/p>\n\n

Universit\u0101tes slimn\u012bc\u0101s ir \u012bpa\u0161i sare\u017e\u0123\u012bti kl\u012bniskie gad\u012bjumi \u2013 galu gal\u0101 \u0161eit non\u0101k pacienti ar vissare\u017e\u0123\u012bt\u0101kaj\u0101m vesel\u012bbas probl\u0113m\u0101m. “P\u0113t\u012bjumu veik\u0161ana, past\u0101v\u012bga speci\u0101listu pilnveido\u0161ana, progres\u012bvas, zin\u0101tniski pier\u0101d\u012btas \u0101rst\u0113\u0161anas metodes un m\u016bsdien\u012bgs apr\u012bkojums sniedz m\u016bsu pacientiem iesp\u0113ju p\u0113c iesp\u0113jas \u0101tr\u0101k atgriezties pilnv\u0113rt\u012bg\u0101 dz\u012bv\u0113. M\u016bsu noda\u013c\u0101 veikto proced\u016bru kl\u0101sts ir \u0101rk\u0101rt\u012bgi pla\u0161s un nep\u0101rtraukti papla\u0161in\u0101s, m\u0113s varam \u0101rst\u0113t visus org\u0101nus. Ar\u012b m\u016bsu pacienti ir \u013coti da\u017e\u0101di, s\u0101kot no jaundzimu\u0161ajiem un beidzot ar cien\u012bjama vecuma senioriem,” st\u0101sta Dr. M. Kurmins.<\/p>\n\n

P\u0113c sarunu biedru dom\u0101m, viens no galvenajiem faktoriem, lai nodro\u0161in\u0101tu optim\u0101lu \u0101rst\u0113\u0161anu katram pacientam ar onkolo\u0123isku slim\u012bbu, ir daudznozaru komanda. Piedaloties daudziem da\u017e\u0101diem medic\u012bnas speci\u0101listiem, p\u0113c konkr\u0113t\u0101 pacienta datu, vajadz\u012bbu un v\u0113lmju izv\u0113rt\u0113\u0161anas diskusijas laik\u0101 tiek izstr\u0101d\u0101ts konkr\u0113ts \u0101rst\u0113\u0161anas pl\u0101ns \u0161im pacientam, t\u0101d\u0113j\u0101di pie\u013caujot maz\u0101k k\u013c\u016bdu.<\/p>\n\n

Dr. Donatas Jocius saka, ka pa\u0161laik VUL Santaros kl\u012bnik\u0101s invaz\u012bvais radiologs, t\u0101pat k\u0101 citu jomu speci\u0101listi, ir neat\u0146emama multidisciplin\u0101ras komandas sast\u0101vda\u013ca, un minim\u0101li invaz\u012bv\u0101s audz\u0113ja \u0101rst\u0113\u0161anas metodes bie\u017ei papla\u0161ina pacientu \u0101rst\u0113\u0161anas iesp\u0113jas. “Piem\u0113ram, neliela audz\u0113ja \u0137irur\u0123iska \u0101rst\u0113\u0161ana aknu centr\u0101laj\u0101 da\u013c\u0101 var b\u016bt sare\u017e\u0123\u012bta (ir j\u0101no\u0146em liela da\u013ca aknu), savuk\u0101rt neliela audz\u0113ja abl\u0101cijas veik\u0161ana ir sal\u012bdzino\u0161i nesare\u017e\u0123\u012bta. M\u0113s saskaramies ar gad\u012bjumiem, kad ir \u0101rk\u0101rt\u012bgi gr\u016bti vai pat tehniski neiesp\u0113jami \u0137irur\u0123iski no\u0146emt audz\u0113jus, bet, izmantojot invaz\u012bv\u0101s radiolo\u0123ijas metodes, \u0161\u0101dus audz\u0113jus var izn\u012bcin\u0101t,” saka Dr. D. Jocius.<\/p>\n\n

Dr. Mariuss Kurmins nor\u0101da, ka joproj\u0101m ne visi \u0101rsti vai \u0123imenes \u0101rsti zina, ka pacientu var nos\u016bt\u012bt tie\u0161i pie invaz\u012bv\u0101 radiologa konsult\u0101cijai. Daudzi joproj\u0101m iedom\u0101jas radiologu tikai k\u0101 “fotogr\u0101fiju” aprakstu, bet tie\u0161i \u0161\u012bs pamatzin\u0101\u0161anas ir augstas kvalit\u0101tes un garant\u0113tas pacientu apr\u016bpes pamats \u0161ajos vizu\u0101l\u0101s medic\u012bnas laikmeta laikos. Jau tagad darbs oper\u0101ciju z\u0101l\u0113 vairum\u0101 gad\u012bjumu vairs netiek pl\u0101nots bez vizu\u0101l\u0101s izmekl\u0113\u0161anas kontroles ier\u012bces, un \u0101rst\u0113\u0161anas ieteikumi jau k\u0101du laiku ir nor\u0101d\u012bju\u0161i, ka centr\u0101l\u0101s v\u0113nas punkcija, veicot ultraska\u0146as kontroli, var ar\u012b izvair\u012bties, kaut ar\u012b no ret\u0101m, bet \u013coti s\u0101p\u012bg\u0101m komplik\u0101cij\u0101m. Sp\u0113ja redz\u0113t, ko j\u016bs dar\u0101t, ir \u0101rk\u0101rt\u012bgi svar\u012bga veiksm\u012bgai \u0101rst\u0113\u0161anai,” uzsver invaz\u012bvais radiologs.<\/p>\n\n

<\/div>\n\n

Inovat\u012bvas navig\u0101cijas sist\u0113mas \u013cauj prec\u012bz\u0101k izn\u012bcin\u0101t v\u0113\u017ea \u0161\u016bnas<\/strong><\/p>\n\n

V\u0113l viens jaunin\u0101jums, ko izmanto invaz\u012bv\u0101s radiolo\u0123ijas proced\u016br\u0101s Santaros kl\u012bnik\u0101s, ir novatoriska navig\u0101cijas sist\u0113ma, ko izmanto nieru un aknu v\u0113\u017ea abl\u0101cijai (v\u0113\u017ea \u0161\u016bnu izn\u012bcin\u0101\u0161anai). \u0160\u012b r\u012bka m\u0113r\u0137is ir pal\u012bdz\u0113t \u0101tri un prec\u012bzi veikt proced\u016bru, lai samazin\u0101tu proced\u016bras kop\u0113jo laiku. Sist\u0113ma samazina cilv\u0113ka faktora rad\u012btos riskus, \u013cauj prec\u012bz\u0101k izn\u012bcin\u0101t v\u0113\u017ea \u0161\u016bnas un nov\u0113rt\u0113t \u0101rst\u0113\u0161anas ietekmi t\u0101s pa\u0161as proced\u016bras laik\u0101. “\u0136irur\u0123ij\u0101 mums ir radik\u0101la rezekcijas mala (kas noz\u012bm\u0113, ka audz\u0113js tiek iz\u0146emts veselo audu robe\u017e\u0101s, un oper\u0101ciju z\u0101l\u0113 audz\u0113js nav palicis), savuk\u0101rt invaz\u012bv\u0101s radiolo\u0123ijas proced\u016br\u0101s audz\u0113js fiziski paliek, bet tas tiek izn\u012bcin\u0101ts kritisk\u0101 temperat\u016br\u0101, un t\u0101p\u0113c tas ir “miris”. Izmantojot navig\u0101cijas sist\u0113mu, m\u0113s varam nov\u0113rt\u0113t, vai \u0101rsta zon\u0101 ir neskarts audz\u0113js, sal\u012bdzinot (sapludinot) att\u0113lus pirms un p\u0113c \u0101rst\u0113\u0161anas \u2013 navig\u0101cijas sist\u0113ma to dara autom\u0101tiski, proced\u016bras laik\u0101. Tas atvieglo l\u0113mumu pie\u0146em\u0161anu un palielina proced\u016bras efektivit\u0101ti. Pateicoties \u0161im r\u012bkam, m\u0113s varam sasniegt lab\u0101kus rezult\u0101tus, \u0101rst\u0113jot da\u017e\u0101du lokaliz\u0101ciju audz\u0113jus (aknas, nieres, aizku\u0146\u0123a dziedzeris, plau\u0161as, kauli), samazinot atk\u0101rtotu biopsiju skaitu, atk\u0101rtotas terapeitisk\u0101s proced\u016bras,” saka Dr. D. Jocius.<\/p>\n\n

Saska\u0146\u0101 ar zin\u0101tniskaj\u0101m publik\u0101cij\u0101m navig\u0101cijas sist\u0113mu izmanto\u0161ana sasniedz liel\u0101ku efektivit\u0101ti sal\u012bdzin\u0101jum\u0101 ar parasto att\u0113lveido\u0161anu invaz\u012bv\u0101s radiolo\u0123ijas proced\u016bras laik\u0101.<\/p>\n\n

\n