在狗中对选定的心声回声学测量结果的操作者间和操作者内变异性的研究
Sara Ghilardi1,2, Danitza Pradelli1,2, Rita Rizzi1
1Department of Veterinary Medicine and Animal Sciences - DIVAS, University of Milan, Lodi, LO, 26900, Italy.
Veterinary research communications
|June 23, 2023
概括
这项研究评估了狗的心声回声测量,发现虽然一些参数显示出不良的可重现性,但其他参数 (如左心室内径) 显示出良好的可靠性. 与理论知识相比,专家的临床经验显著提高了准确性.
科学领域:
- 兽医心脏病学 兽医心脏病学
- 诊断成像 诊断成像 诊断成像
- 动物健康 动物健康
背景情况:
- 跨胸腔心声图是诊断动物心脏病的标准.
- 确保心声回声测量的可复制性和可靠性对于准确的临床评估至关重要.
- 测量的变化可能来自操作员的经验和培训.
研究的目的:
- 在狗中评估15个心声回声学参数的可重复性和可重复性.
- 将各种运营商的测量结果与经过董事会认证的专家的测量结果进行比较 (黄金标准).
- 为了确定操作员的培训路径是否影响心声回声测量变异性.
主要方法:
- 51名兽医经营者和欧洲兽医内科医学院 - 心脏病学学院的两名外交官参加了会议.
- 十只狗 (5只黄金回归犬,5只骑士查尔斯国王西班牙犬) 接受了心声回声扫描.
- 一个黄金标准运营商和多个其他运营商在同一天对每个狗进行了测量.
主要成果:
- 在M模式测量室间隔膜和左心室自由壁时,观察到操作者间可重现性较差.
- 在M模式测量左心室内部直径 (静脉缩和静脉缩),大动脉环和大动脉根时,发现了中等至优异的内部和间操作员可靠性.
- 操作人员表现出与黄金标准的良好一致性,用于评估左心室缩功能,扩张和大动脉评估.
结论:
- 特定的回声心脏学参数,特别是左心室内部直径和大动脉测量,在狗中表现出高可靠性.
- 操作人员的实际临床经验,而不是仅仅是理论知识,是提高心声回声检查可靠性的关键.
- 标准化培训和强调临床实践可以提高兽医心声图的准确性.
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