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自我报告的诊断信心预测了轴性脊髓关节炎成像中的诊断准确性
Sevtap Tugce Ulas1,2, Felix Radny1, Katharina Ziegeler1
1Department of Radiology, Charité - Universitätsmedizin Berlin, Campus Mitte, Humboldt-Universität zu Berlin, Freie Universität Berlin, Berlin, Germany.
Rheumatology (Oxford, England)
|October 26, 2023
概括
在轴性脊柱关节炎 (axSpA) 的成像中,自我报告的诊断信心 (DC) 准确地预测了诊断可靠性. 较高的DC得分始终与X射线,CT和MRI模式的正确axSpA诊断相关.
科学领域:
- 放射学 放射学是一门学科.
- 类风湿病学 类风湿病学
- 医疗成像医学成像
背景情况:
- 轴性脊椎关节炎 (axSpA) 的诊断依赖于成像解释.
- ASAS指南建议报告诊断信心 (DC).
研究的目的:
- 评估自报告的DC是否预测axSpA成像中的诊断准确性.
- 通过X射线 (XR),计算机断层扫描 (CT) 和磁共振成像 (MRI) 分析DC.
主要方法:
- 对163名患者 (89名axSpA,56名非axSpA) 的特异分析.
- 九个盲人阅读者有不同的经验得分神经关节图像.
- 诊断信心评分在1-10级;使用曼-惠特尼U测试分析差异.
主要成果:
- 在所有模式 (P < 0.001) 中,对正确 axSpA 诊断的 DC 评分显著更高.
- 正确与不正确诊断的平均直径得分:XR (7.1与6.3),CT (8.3与6.7),MRI (8.1与6.2),XR+MRI (8.2与6.7),CT+MRI (8.4与6.8).
- 这一趋势在所有阅读者体验水平上都存在,除了一些小的例外.
结论:
- 自我报告的诊断信心是预测axSpA成像诊断可靠性的一个有价值的指标.
- 将DC纳入放射学报告可以提高诊断解释.
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