报告Hounsfeld单位还是不报告:没有问题
Audrey E Hamilton1, Rebecca L Green2, Terry P Gao2
1Lewis Katz School of Medicine at Temple University 3500 N Broad Street, Philadelphia, PA, 19140, USA.
American journal of surgery
|December 8, 2023
概括
在CT扫描上报告上腺瘤的霍恩斯菲尔德单位 (HU) 显著改善了患者的评估. 这包括增加门诊转诊和生化治疗,提高诊断准确性和患者护理.
科学领域:
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 上腺副瘤经常被发现,但往往没有得到充分的评估.
- 放射学报告摘要和建议可以改善诊断途径.
- 报告霍恩斯菲尔德单位 (HU) 对上腺瘤随访的影响需要进一步调查.
研究的目的:
- 评估报告霍恩斯菲尔德单位 (HU) 对上腺意外瘤的随访和评估的影响.
- 确定在放射学报告中报告HU是否会影响门诊转诊,生化评估和专用成像.
主要方法:
- 在非对比CT扫描 (2015-2020) 上发现的上腺瘤患者的回顾性研究.
- 图表审查,以比较患者和成像特征之间的那些和没有报告的HU.
- 多变量分析以评估HU的影响,汇总报告和对患者结果的建议.
主要成果:
- 在363名患者中,36人 (9.9%) 报告了HU.
- 在汇总发现和建议的同时报告HU增加了门诊转诊的可能性10.1至32.6倍 (p < 0.001).
- 生化疗效应的可能性增加了2.5至7.8倍 (p < 0.001).
结论:
- 在非对比CT扫描上报告上腺瘤事件的霍恩斯菲尔德单位与改善的评估率有关.
- 这种做法显著增加了门诊转诊和对上腺意外瘤的生化检查的可能性.
- 在放射学中标准化HU报告可以提高上腺意外瘤的管理.
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