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卵巢质量的评估中的放射学 - - 一个系统的审查

Pratik Adusumilli^1,2,3, Nishant Ravikumar⁴, Geoff Hall^5,6

¹Department of Radiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK. p.adusumilli@nhs.net.

Insights into imaging

|October 2, 2023

概括

放射学在诊断卵巢质量,改善病变分类和预测结果方面表现有前途. 为了临床使用,需要进一步的标准化和验证.

科学领域:

医疗成像医学成像
放射学放射学是一门学科.
在瘤学瘤学.

背景情况:

放射学从医学图像中提取定量特征.
卵巢病变需要准确的诊断工具,以有效的患者管理.

研究的目的:

系统地审查用于卵巢损伤成像的放射学文献.
评估放射学在卵巢病变诊断和管理中的现状和潜力.

主要方法:

在多个数据库 (MEDLINE/PubMed,科学网,Scopus,EMBASE,奥维德,临床试验.gov) 进行系统的文献搜索.
使用PRISMA标准提取数据.
使用预后研究质量 (QUIPS) 工具进行质量和偏差评估.
使用放射性质量评分 (RQS) 的放射性方法评估.

主要成果:

确定了33项符合条件的研究,重点是病变分类,治疗结果和预测.
CT和MRI是最常见的成像方式;70%的研究使用了3D细分.
放射性模型在5项研究中表现优于放射科医生的解释,但只有18%包括外部验证.
发现偏差风险很高 (58%),最高RQS达到61.1%.

结论:

放射学具有作为卵巢质量的诊断工具的潜力,有助于病变分层和个性化护理.
方法的标准化,更大的队列和现实世界的评估对于临床翻译至关重要.
放射学在提高卵巢病变的临床决策方面表现有前途,但需要进一步发展.

关键词:

决策支持技术决策支持技术卵巢瘤是发生在卵巢中的.评估患者的结果评估.预测预后预测预测

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