在高等学术医疗中心报告间歇性肺异常的实践模式
Joanna G Escalon1, Anna J Podolanczuk2, Kerri I Aronson2
1Department of Radiology, Weill Cornell Medical College, New York, NY, USA.
放射科医生越来越多地使用术语间歇性肺异常 (ILA) 根据弗莱希纳指南,但非专家滞后. 许多临床ILA诊断在专家审查后被重新分类.
科学领域:
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
- 胸部成像 胸部成像
背景情况:
- 间歇性肺部异常 (ILA) 是一个常见的胸部CT发现,与死亡率有关.
- 2020年弗莱什纳学会指导方针标准化了ILA的术语.
- 放射科医生采用标准化的ILA术语仍然不清楚.
研究的目的:
- 评估放射科医生的实践模式,以识别间歇性肺部异常.
- 评估ILA术语的使用 弗莱什纳学会后的指导方针.
- 确定在临床实践中遵守标准化的ILA术语.
主要方法:
- 对157份放射学报告 (2010-2021) 的回顾性审查,其中提到间歇性肺部异常.
- 排除报告,随后由胸部放射科医生对125张CT扫描进行审查.
- 用于评估ILA存在和分类的顺序阅读方法.
主要成果:
- 62%的审查扫描显示了间歇性肺异常 (ILA).
- 在2020年后的指导方针中,ILA术语的使用激增,主要是由胸部放射科医生使用的.
- 轻度ILA (1-25%的肺部参与) 是最常见的;31%的临床ILA诊断被重新分类.
结论:
- 胸部放射科医生越来越多地采用ILA术语,与指南保持一致.
- 非胸部放射科医生对ILA术语的采用很少.
- 在临床和专家ILA分类之间存在差异,突出了改善诊断准确性的潜力.
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