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索引基于CT的评分系统在操作式的不肠和中肠损伤识别中
Ila Sethi1, Aidan E Aicher1, Marlene Zawin2
1Division of Trauma, Department of Surgery, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
体和肠道损伤预测得分 (BIPS) 对预测体和中肠损伤 (BBMI) 手术的敏感性有限. 使用BIPS对CT扫描进行直接放射科医生审查,提高了手术干预决策的准确性.
科学领域:
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
- 腹部创伤 腹部创伤
背景情况:
- 粗肠和中肠损伤 (BBMI) 的手术管理具有挑战性.
- 现有的评分系统,如 Faget 和肠道损伤预测得分 (BIPS),旨在指导手术决策.
- 这些分数在预测操作干预方面的有效性需要进一步研究.
研究的目的:
- 评估Faget得分和BIPS在确定BBMI患者手术需要的有效性.
- 为了比较追溯评分系统应用的准确性与CT扫描的直接放射科医生审查.
主要方法:
- 在一级创伤中心 (2009-2019) 进行了BBMI的成年重创伤患者的回顾性评估.
- 对手术前CT扫描患者的分析.
- 从报告和独立放射科医生对BIPS图像的审查中对Faget和BIPSCT得分进行了回顾性计算.
主要成果:
- 在91名BBMI患者中,62人符合纳入标准.
- 追溯的法吉特得分:灵敏度为39.1%,特异性为81.2%,PPV为85.7%.
- 追溯BIPS得分:敏感度为47.8%,特异性为87.5%,PPV为91.7%.
- 在场放射科医生BIPS审查:灵敏度为56.5%,特异性为93.7%,PPV为96.3%.
结论:
- 现有的BBMI评分系统显示敏感性有限,但对操作干预的预测价值很高.
- 使用BIPS对CT图像进行直接放射科医生审查,与报告的回顾性评分相比,提高了准确性.
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