肺部超声波是诊断COVID-19的可接受成像方法,并且与HRCT胸部-A前性研究有效相关
Muiez Bashir1, Wani Inzamam1, Mohd Kamran Banday2
1Department of Radiology, Sher-e-Kashmir Institute of Medical Sciences Soura, Jammu & Kashmir, Srinagar 190011, India.
Diagnostics (Basel, Switzerland)
|June 28, 2023
概括
肺部超声波扫描 (LUS) 在检测COVID-19肺炎方面显示出高准确性,与高分辨率计算机断层扫描 (HRCT) 胸部发现有很好的相关性. 路斯是诊断COVID-19的一种敏感工具,即使在具有负的RT-PCR测试的情况下也是如此.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 高分辨率计算机断层扫描 (HRCT) 胸部为诊断COVID-19而建立.
- 肺超声波 (LUS) 在COVID-19诊断中的实用性需要进一步调查.
- 了解LUS相对于HRCT的性能对于诊断准确性至关重要.
研究的目的:
- 在COVID-19患者中评估LUS和胸部HRCT之间的相关性.
- 在RT-PCR确认和疑似COVID-19病例中评估LUS诊断性能.
- 为了将LUS发现与COVID-19中的HRCT严重性得分进行比较.
主要方法:
- 一项前性研究涉及152名第三级护理医院的患者.
- 患者接受了LUS (由盲目放射科医生进行) 和胸部HRCT.
- 经验丰富的放射科医生对HRCT进行了评估,以确定COVID-19相容的发现.
主要成果:
- 在HRCT的72.37%和LUS的78.95%中发现了与COVID-19相容的异常.
- 在LUS和HRCT发现之间观察到显著的正相关性 (p < 0.0001).
- LUS表现出88%的灵敏度,76.62%的特异性,以及与CT严重性得分的良好相关性 (kappa = 0.431).
结论:
- 肺部超声波 (LUS) 是COVID-19的高度敏感和特定的成像方式.
- LUS发现与胸部HRCT有很好的相关性,在检测肺部异常方面提供了类似的精度.
- 可以有效地使用LUS进行COVID-19诊断和严重程度评估,补充HRCT.
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