关于3D高分辨率直肠测量仪的研究 在评估异能排便障碍中的间隔器协议
Justin Y van Oostendorp1,2, Pieter van Hagen1, Grietje J H van der Mijnsbrugge1
1Proctos Kliniek, Prof. Bronkhorstlaan 10, 3723 MB Bilthoven, The Netherlands.
Diagnostics (Basel, Switzerland)
|August 26, 2023
概括
三维高分辨率直肠测量 (3D-HRAM) 显示,专家评估者在诊断排便障碍方面达成了相当大的共识. 需要标准化指导方针来提高3D-HRAM解释的一致性.
科学领域:
- 胃肠病学 胃肠病学
- 盆地底疾病 盆地底疾病
- 诊断成像 诊断成像 诊断成像
背景情况:
- 直肠测量 (AM) 具有很高的直肠间变异性.
- 三维高分辨率直肠测量 (3D-HRAM) 提供了在排便障碍中改善诊断准确性的潜力.
- 3D-HRAM的分量器间变异性在很大程度上仍未得到量化.
研究的目的:
- 为了评估3D-HRAM解释的测量器间协议.
- 为了评估3D-HRAM在有功能性排便投诉的患者的诊断一致性.
- 通过使用3D-HRAM来确定模拟排便期间对异能模式的一致性.
主要方法:
- 对50名接受3D-HRAM治疗的患者进行了回顾性分析,用于骨盆地物理治疗的转诊.
- 三位专家评估者独立和盲目评估了3D-HRAM的结果.
- 评估使用卡帕统计数据对不协同模式的interrater协议.
主要成果:
- 在3D图像上识别不协同模式的评级者中观察到实质性的协议 (kappa = 0.612).
- 该研究包括有便失禁,慢性便秘和其他排便投诉的患者.
- 高分辨率的3D成像在评估排便动态方面表现出良好的可靠性.
结论:
- 3D-HRAM显示,对于诊断排便障碍而言,有相当大的评分器间一致性.
- 标准化的评估准则对于尽量减少主观性和提高诊断一致性至关重要.
- 提高3D-HRAM解释的一致性可以优化患者个性化治疗策略.
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