儿科部超声波 儿科部超声波
Matthew Donnan1, Nathan Anderson1, Monsurul Hoq2
1Royal Childrens Hospital, Melbourne, Australia.
The bone & joint journal
|September 30, 2023
概括
解释儿科部超声波的质量是一项挑战. 几何测量是可靠的,而形态特征则不那么可靠,这表明需要重新评估它们在关节发育不良的诊断重要性.
科学领域:
- 儿科放射学 儿科放射学
- 整形外科成像 整形外科成像
背景情况:
- 评估部超声波的质量对于准确诊断部发育性形 (DDH) 至关重要.
- 标准化解释协议对于可靠的评估至关重要.
研究的目的:
- 评估在解释儿科部超声波质量方面观察者间和观察者内部的一致性.
- 评估部超声波中几何和形态测量的可靠性.
- 探索几何和形态评估之间的关系.
主要方法:
- 四名调查人员评估了60次部超声波,评估了质量,形态和Graf等级.
- 测量和描述了几何参数和形态特征.
- 在四周的时间内,分析了观察者内部和观察者间的一致性和相关性.
主要成果:
- 对质量评估的观察者间的协议很差;观察者内部的协议是中度到实质性的.
- 几何测量结果显示几乎完全一致,它们之间有很强的相关性.
- 形态特征具有较弱到中等的一致性,通过简化分类得到改善;图形等级显示了观察者之间相当到中等的一致性.
结论:
- 定义高质量的儿科部超声波仍然很困难.
- 几何测量是可靠的,可以作为质量指标.
- 由于解释性差,以及与可靠的几何测量有很强的相关性,在关节形症中形态特征的诊断重要性需要重新考虑.
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