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Published on: February 20, 2017
计算机断层扫描和心声扫描之间的心周输出大小的一致性
Robert S Zhang1, Eric Alter2, Samuel Kozloff3
1Leon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York.
计算机断层扫描 (CT) 和胸外心声扫描 (TTE) 在评估心周输液 (PEff) 大小方面显示出强烈的一致性. CT扫描往往会报告比TTE更大的PEff大小,差异往往与图像质量或溢出特征有关.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 周心输出 (PEff) 大小评估通常显示计算机断层扫描 (CT) 和胸前回声心电图 (TTE) 之间的差异.
- 有限的数据存在于CT和TTE之间的相关性,用于评估PEff大小.
研究的目的:
- 调查CT和TTE之间的心周溢出 (PEff) 尺寸测量的现实世界一致性.
- 通过这两种成像方式分析导致PEff大小估计差异的因素.
主要方法:
- 对1118名PEff患者的回顾性分析,这些患者在24小时内接受了胸部CT和TTE.
- 评估CT和TTE报告之间的PEff大小分级协议.
- 统计分析包括加权卡帕和平均差异计算.
主要成果:
- 观察到强烈的一致性:71.9%在半等级内,97.2%在全等级内 (加权卡帕=0.73).
- CT报告的PEff大小比TTE更频繁 (p<0.001).
- 较大的差异与局部出血,较大的胸腔出血或低于最佳的TTE图像有关.
结论:
- 在估计PEff大小方面,CT和TTE在估计PEff大小方面表现出相对强烈的共识.
- 平均而言,CT测量结果往往大于TTE.
- 显著的差异可能归因于图像质量,局部PEff,或共存的多叶流液.
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