动态MR排便图的诊断性能在评估不协同排便的评估中
Pimpapon Thanaracthanon1,2, Kewalee Sasiwimonphan2, Angkana Sunthornram2
1Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Abdominal radiology (New York)
|August 4, 2023
概括
核磁共振扫描可准确诊断不协同排便 (DD). 关键指标包括排便期间的M线和门角 (ARA),其中ARA变化和 puborectalis肌肉为DD诊断提供了高特异性.
科学领域:
- 医疗成像医学成像
- 胃肠病学 胃肠病学
- 盆地底疾病 盆地底疾病
背景情况:
- 异能排便 (DD) 是慢性便秘的常见原因之一.
- 准确的诊断对于有效的治疗计划至关重要.
- 核磁共振扫描提供了一种非侵入性方法来可视化直肠功能.
研究的目的:
- 评估MR排便学在识别异能排便中的诊断准确性.
- 为了确定特定的MR成像参数,表明DD.
- 为了将成像发现与DD的临床诊断相关联.
主要方法:
- 追溯分析46名患有慢性便秘的患者.
- 在DD (n=24) 和非DD (n=22) 组之间的MR缺陷检查结果的比较.
- 对9个参数的分析,包括门角 (ARA) 和M线,以及ROC曲线分析和多变量逻辑回归.
主要成果:
- 七个MR参数显示了DD和非DD组之间的显著差异.
- 在多变量分析中,排便时的M线和排便时的ARA是显著的预测因素.
- ARA变化<1.5°和突出 puborectalis 肌肉表现出高特异性 (95.5%和100%).
结论:
- 核磁共振扫描显示了对不协同排便的高诊断性能.
- 排便时的M线和ARA是关键的区分发现.
- 特定的参数,如ARA变化和 puborectalis肌肉突出,有助于特定的DD诊断.
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