临床病史和偶然的异常检测在牙内线束计算机断层扫描中
1The University of Sydney, School of Health Sciences, Faculty of Medicine and Health, Medical Image Optimisation and Perception Group (MIOPeG), Discipline of Medical Imaging Science, Camperdown, New South Wales, Australia.
Journal of medical imaging (Bellingham, Wash.)
|August 2, 2023
概括
临床病史有助于检测形光束计算机断层扫描 (CBCT) 扫描中的偶然异常,特别是在微妙的非疾病病例中. 它还可以提高读者的信心,而不会增加错误的阳性,提高内牙成像诊断的准确性.
科学领域:
- 牙科 牙科是指牙科的专业.
- 放射学 放射学是指放射学
- 医疗成像医学成像
背景情况:
- 形束计算断层扫描 (CBCT) 在内牙诊断中至关重要.
- 在CBCT扫描中偶尔出现的异常可能难以检测.
- 临床病史对解释这些偶然发现的影响尚未完全理解.
研究的目的:
- 评估临床病史如何影响内牙科CBCT中偶然异常的检测.
- 评估临床病史对虚假阳性 (FP) 成绩的影响.
- 为了确定对解读过程中的诊断信心的影响.
主要方法:
- 采用了带有因数设计的读者性能研究.
- 23名读者对26例病例进行了两次解释:有和没有临床病史.
- 分析重点是病变局部 (LL),错误阳性 (FP) 和诊断信心评级.
主要成果:
- 临床病史显著增加了在微妙的非疾病病例中偶然异常检测的数量 (76%对59%).
- 假阳性没有受到临床病史或读者特征的影响.
- 当临床病史可用时,诊断信心评级更高,特别是在微妙的疾病和非疾病图像中.
结论:
- 临床病史增强了在微妙的CBCT图像中检测偶然的内牙异常.
- 虚假阳性率不受临床病史提供的影响.
- 虽然读者信心随着临床病史的增加而增加,但与改善的诊断性能无关.
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