潜在超声波主教分数参数的可重复性和可复制性
Jakub Mlodawski1,2, Marta Mlodawska1, Justyna Plusajska1,2
1Collegium Medicum, Jan Kochanowski University, 25-369 Kielce, Poland.
Journal of clinical medicine
|July 14, 2023
概括
超声波测量为宫评估提供了一个客观的替代主观主教得分 (BS). 这些可重现的参数与BS轴有显著的相关性,为改善临床评估铺平了道路.
科学领域:
- 产科和妇科 产科和妇科
- 医疗成像医学成像
- 生殖医学 生殖医学
背景情况:
- 毕晓普评分 (BS) 是用于宫评估的传统方法,但受到主观性和低可重复性的影响.
- 需要客观和可重复的方法来评估临床和研究环境中的宫状况.
研究的目的:
- 识别和验证与主教分数轴相关的客观超声波参数.
- 评估所选超声波测量的可重复性和可重复性.
主要方法:
- 选择了五个经阴道超声波参数:3D超声波扩张 (DL),进展角度 (AoP),阴道-宫角度 (VCA),应变弹性图 (E-Cervix) 和宫长度 (CL).
- 使用类内相关系数 (ICC) 评估了可重复性和可重复性.
- 在超声波参数和相应的毕晓普分数轴之间进行了相关性分析.
主要成果:
- 所有选定的超声波参数都表现出良好的至优良的重复性 (ICC = 0.878-0.994) 和可重复性 (ICC = 0.826-0.996).
- 每个参数与相应的BS轴有显著的相关性,CL (-0.75) 和DL (0.71) 的相关性最强.
- AoP (0.52) 和CL (-0.61) 与总主教得分的相关性最好.
结论:
- 与毕晓普得分轴相似的客观超声波参数具有很高的重复性和与临床毕晓普得分有显著的相关性.
- 需要进一步的研究来探索利用这些超声波参数的多变量模型的预测能力.
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