一项多中心试点研究评估了多发性硬化症诊断的简化中枢静脉评估
Lynn Daboul1,2, Carly M O'Donnell3, Moein Amin4
1Translational Neuroradiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA.
概括
使用MRI的简化中央静脉标志 (CVS) 评分方法显示,它有望用于诊断多发性硬化症 (MS). 这种方法在疑似多发性硬化病例的多中心研究中提供了良好的诊断准确性和可靠性.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 生物标志物发现发现
背景情况:
- 中枢静脉标志 (CVS) 是多发性硬化症 (MS) 的潜在磁共振成像 (MRI) 生物标志物.
- 为了临床应用,需要标准化和高效的CVS评分方法.
研究的目的:
- 为了评估简化CVS评估方法的诊断性能.
- 评估这种简化方法在多中心环境中对疑似多发性硬化症患者的评估者之间的可靠性.
主要方法:
- 一项多中心研究包括因疑似多发性硬化症而转诊的成年人.
- 简化计数方法 (Select-3*和Select-6*) 应用于对比后的3D T2*加权FLAIR*MRI扫描.
- 根据2017年麦当劳标准评估了诊断性能和评价者之间的可靠性.
主要成果:
- 简化的CVS方法实现了接收器操作特征曲线 (AUROC) 下的面积为0.83.
- 选择-3*显示81%的灵敏度和68%的特异性;选择-6*显示65%的灵敏度和98%的特异性.
- 评价者之间的一致性为Select-3*的78%和Select-6*的83%.
结论:
- 简化的CVS评估方法是有效的诊断MS在怀疑疾病的患者.
- 这种简化方法表明了良好的诊断性能和可靠的评价者间协议.
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