在评估出血症时有不一致的指导方针
Terrell A Brown1, Justin R Tse2
1School of Medicine, Morehouse School of Medicine, 720 Westview Dr SW, Atlanta, GA, 30310, USA.
Abdominal radiology (New York)
|November 16, 2023
概括
北美各个社会对血的成像指导方针各不相同,特别是对于微血. 需要进一步的研究来建立一个通用诊断算法来评估血.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 在北美主要的泌尿器科和放射学学会中,血评估指南有所不同.
- 目前的建议缺乏统一的诊断成像方法,用于各种血呈现.
研究的目的:
- 为了比较和识别美国放射学学院 (ACR),美国泌尿器官学会 (AUA) 和加拿大泌尿器官学会 (CUA) 提供的出血症成像建议中的差异.
主要方法:
- 对最新的ACR适当性建议,AUA指导方针和CUA指导方针进行了比较分析.
- 图像推被标准化,以促进跨社会比较,并注意到模式,解剖学和对比要求.
主要成果:
- 存在显著的差异,特别是在不同类型的血症上部通道成像 (超声波与CT) 的作用方面.
- ACR,AUA和CUA显示了微血 (有/没有危险因素) 和粗血的不同方法,对与怀孕有关的血的具体指导有限.
结论:
- 缺少一种普遍认可的血液病诊断算法.
- 需要进一步的前性或模拟研究来澄清最佳的成像策略,特别是对于没有或中等风险因素的患者的微血.
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