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多模式超声波肌肉评估在患有类风湿性疾病的患者:一个基于患者的可靠性研究研究
Gianluca Smerilli1, Erica Moscioni1, Roberta Sclocco2
1Rheumatology Unit, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 'Carlo Urbani' Hospital, Jesi, Ancona, Italy.
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概括
一个新的多式超声波 (US) 协议可靠地评估了类风湿和肌肉骨疾病 (RMDs) 中的肉症. 该工具评估肌肉质量,质量和度,有助于RMD患者的护理.
科学领域:
- 风湿病学和肌肉骨疾病
- 医学成像和超声波技术
- 麻症研究研究 麻症研究
背景情况:
- 标志着肌肉质量损失和质量下降的萨尔科佩尼亚严重影响了风湿性和肌肉骨疾病 (RMDs) 的患者.
- 准确评估肌肉质量,质量和硬度对于管理RMD和肉症至关重要.
- 目前的评估方法可能缺乏对RMD患者这些肌肉参数的全面评估.
研究的目的:
- 评估一种新型多式超声波 (US) 扫描协议在RMD患者中评估与肉症相关的肌肉特征的评分器间可靠性.
- 确定US在测量四头肌肉质量,肌肉质量 (回声性) 和肌肉刚度 (点剪波弹性图) 的可靠性.
主要方法:
- 两位失明的风湿病学家使用多式联络方式的美国协议评估了45名RMD患者.
- 测量包括四头肌厚度 (质量),回声效应 (通过视觉尺度和ImageJ软件的质量) 和点剪波弹性学 (SWE) 测量度.
- 通过使用类内相关系数 (ICC) 和科恩的卡帕 (κ) 来量化评价者之间的可靠性.
主要成果:
- 对于肌肉质量 (ICC = 0.969) 发现了卓越的评分器间可靠性.
- 在使用视觉尺度 (κ = 0.7930.878) 和ImageJ (ICC = 0.916) 进行肌肉质量评估时,观察到实质性至优异的一致性.
- 对于点SWE测量肌肉度 (ICC = 0.76) 达成了良好的协议.
结论:
- 开发的多式联络美国协议证明了在评估RMD患者的肌肉质量,质量和性方面具有很高的inter-rater可靠性.
- 这种新的美国方法是RMDs背景下全面肌肉评估的可靠工具.
- 这些发现支持使用多式联用US来改善RMD管理中的肉症评估.
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