标记男性直肠形:在手术前对放射性成像进行客观评估
A Morandi1, F Maestri1, M Ichino1
1Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Frontiers in pediatrics
|August 23, 2023
概括
倾斜的横盘侧面X射线 (CTLxR) 和结肠图像图像有助于分类无管的直肠形 (ARM). 在CTLxR上的"子标志"有助于识别直尿,改善ARM患者的手术规划.
科学领域:
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
- 直肠异常变形 直肠异常变形
背景情况:
- 没有周围囊的直肠形 (ARMs) 存在诊断挑战.
- 准确的分类对于有效的手术规划和患者的结果至关重要.
研究的目的:
- 评估倾向横表侧面X射线 (CTLxR) 和结肠镜在分类ARM中的实用性.
- 引入客观成像工具,包括"子标志",以改善ARM诊断.
主要方法:
- 在没有围抽的男性ARM患者中对CTLxR和胆管造影的前性评估.
- 基于阴 (PC) 和阴 (I) 线的ARM分类.
- 评估观察者之间的一致性和与手术内发现的一致性.
- 对"子符号"的灵敏度,特异性,PPV和NPV的计算.
主要成果:
- "子标志"显示了75%的灵敏度,100%的特异性,100%的PPV和50%的NPV对于直尿.
- 观察者之间对结肠图 (84.6%至89.7%) 和CTLxR (69.2%至84.6%) 的高度一致.
- 图像和手术内诊断之间的一致性很大,特别是对结肠图 (92.3%).
结论:
- 阴囊 (PC) 和阴囊 (I) 线,以及"子标志",对于解释CTLxR和结肠图有价值.
- 准确的CTLxR解释可以显著影响ARM手术策略.
- 客观的成像标准提高了ARM患者的分类和管理.
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