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肺部侵入性真菌病:超声波和计算机断层扫描发现
Seyed Ali Alamdaran1, Raha Bagheri1, Seyedeh Fatemeh Darvari1
1Department of Radiology, Mashhad University of Medical Sciences Faculty of Medicine, Mashhad, Iran.
Thoracic research and practice
|September 18, 2023
概括
超声波显示在诊断侵袭性肺部真菌感染 (IFD) 中具有前景. 结合超声波和CT扫描结果,可显著提高儿科患者IFD的诊断准确度.
科学领域:
- 医疗成像医学成像
- 肺部病理学 肺部病理学
- 儿科瘤学 儿科瘤学
背景情况:
- 肺部侵入性真菌病 (IFD) 是一个诊断挑战.
- 超声波在IFD诊断中的作用仍然被低估.
研究的目的:
- 评估疑似IFD患者的超声波检测结果的频率.
- 评估超声波的诊断性能与IFD的CT扫描相比.
主要方法:
- 对40名患有肺病变和疑似IFD的儿科患者进行前性纵向研究 (2019-2022年).
- 评估的标志包括光环标志 (CT),目标标志 (超声波/CT),腔,形巩固,多炎和侵袭.
- 评估了超声波和CT检测结果之间的一致性,敏感性,特异性和诊断准确性.
主要成果:
- 超声波中的目标标志 (61.9%) 和CT上的光环标志 (71.4%) 在IFD患者中最常见.
- 适度的协议 (科恩的卡帕=0.5) 间腔检测模式 (P=.02).
- 综合超声波 (真菌标) 和CT (光环标志) 产生了82.4%的灵敏度和76.5%的特异性.
结论:
- 超声波在识别IFD的关键症状方面具有实用性.
- 结合超声波和CT扫描的发现,提高了肺部IFD的诊断价值.
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