胸部X射线和胸部计算机断层扫描对于在未分化的尿道炎中诊断全身沙丘病的价值
Caroline Borciuch1, Thomas El-Jammal1,2, Laurent Kodjikian3,4
1Department of Internal Medicine, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, Lyon, France.
在30岁以下,胸部X射线和ACE水平正常的患者中,胸部CT可能不需要用于诊断状脑膜炎. 老年患者可能从初步的胸部CT扫描中受益.
科学领域:
- 眼科医生 眼科 眼科
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
背景情况:
- Sarcoid 膜炎的诊断可能是具有挑战性的.
- 胸部成像 (X射线和CT) 经常用于检测全身沙尔科发症.
- 在这种情况下,胸部X射线与CT的比较实用性需要澄清.
研究的目的:
- 为了评估胸部X射线和胸部CT对于状膜炎的诊断贡献.
- 根据患者年龄来确定最佳的成像策略.
主要方法:
- 对914名患有未知病因的卵膜炎的患者进行了回顾性研究.
- 患者在诊断工作期间接受了胸部X射线和CT.
- 与年龄和ACE水平相关的成像一致性和不一致性的分析.
主要成果:
- 在23.1%的患者中诊断出全身性沙尔科发症.
- 胸部X射线和CT之间的成像失调随着年龄的增长而显著增加 (p < 0.001).
- 在正常胸部X射线和ACE的患者中,不一致率为≤5% (如果ACE正常,则为0.8%);在>78岁的患者中,不一致率为≥20%.
结论:
- 在30岁以下,胸部X射线和ACE水平正常的患者中,应避免胸部CT.
- 考虑胸部CT作为老年患者的初始成像模式.
- 年龄分层成像建议可以优化诊断产量和资源利用率.
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