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区间可靠性对分类的面微观症严重性:一个客观评估的呼吁.

Elsa M Ronde1,2,3,4, Jitske W Nolte2,4, Alfred G Becking2,3,4

  • 1Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

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概括

面显微症的表型评估工具 (PAT-CFM) 显示在面显微症 (CFM) 中对耳朵和下严重程度的分类具有很高的可靠性. 然而,轨道,神经和软组织评估可能不那么可靠.

关键词:
预言 预言 人类美国PAT-CFM 公司面部形态学 面部形态学半脸部微小症是什么意思影像成像技术 影像成像技术可靠性 可靠性严重性分类的严重性分类.

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科学领域:

  • 医疗成像医学成像
  • 整形外科 整形外科 整形外科
  • 遗传学 遗传学 是一个

背景情况:

  • 面显微症 (CFM) 严重程度通常使用轨道,下,耳朵,软组织,神经 (OMENS) 评分进行评估.
  • 面微小症的表型评估工具 (PAT-CFM) 为全球评估提供了OMENS分类的图形修改.

研究的目的:

  • 为了评估PAT-CFM对面显微镜的全球评估得分的interrater可靠性.

主要方法:

  • 一项前性队列研究,涉及三名临床医生评估PAT-CFM的全球形式.
  • 部分类使用了骨科影像和/或计算机断层扫描成像.
  • 使用加权Krippendorffalpha (α) 和95%置信区间 (CI) 来量化评价者间的一致性.

主要成果:

  • 这项研究包括53名患者 (106名半面).
  • 在下 (α = 0.904) 和耳朵 (α = 0.958) 亚尺度中观察到高可靠性.
  • 对于轨道 (α = 0.682) 和神经 (α = 0.782) 亚尺度,发现了初步可靠性.

结论:

  • PAT-CFM的耳朵和放射性下尺度显示了高interrater可靠性.
  • 轨道,面部神经和软组织亚层可能具有有限的可靠性.
  • 需要进一步研究客观,非电离成像方法,以便早期分类轨道和软组织低成形.