电脑断层扫描结构化报告和数据系统 (RADS) 中含的对比介质的作用:一个叙述性综述
Marco Parillo1,2, Aart J van der Molen3, Patrick Asbach4
1Fondazione Policlinico Universitario Campus Bio-Medico, Roma, Italy.
Quantitative imaging in medicine and surgery
|November 16, 2023
概括
化对比介质 (ICM) 在计算机断层扫描 (CT) 报告和数据系统 (RADS) 中发挥着多种作用. 虽然ICM对于肝脏和血管成像至关重要,但对于使用RADS的骨,肺部和结肠CT评估通常是不必要的.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 临床指南 临床指南
背景情况:
- 报告和数据系统 (RADS) 在放射学中越来越多地用于标准化报告.
- 含的对比介质 (ICM) 增强了计算机断层扫描 (CT) 成像,但存在风险.
- 了解ICM在RADS指南中的作用对于适当的临床应用至关重要.
研究的目的:
- 审查ICM在使用RADS方法的CT指南中的当前作用.
- 分析ICM如何纳入RADS评分系统.
- 评估ICM增强对各种CT应用中的RADS评分的影响.
主要方法:
- 对原始文章进行系统审查,以适用于CT的最新RADS版本.
- 在2005年1月至2023年3月期间进行的文献搜索.
- 分析包括PubMed文章和美国放射学学院 (ACR) 官方网站.
主要成果:
- 确定了14个适用于CT的RADS,其中4个ACR验证 (C-RADS,LI-RADS,肺-RADS,NI-RADS) 和1个联合验证 (CAD-RADS).
- 对于骨,化,肺或CT结肠镜RADS来说,ICM不是必不可少的.
- ICM对于CT血管造影,肝脏成像和软组织/淋巴结评价RADS至关重要.
结论:
- 在CT的不同RADS指南中,ICM的必要性有很大差异.
- 在血管和肝脏成像RADS中,ICM是不可或缺的,但对于其他人来说通常是可选的.
- 未来的研究应该在RADS评分中探索新的对比剂,人工智能和双能CT.
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