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手持式肺部超声波用于检测住院患者的COVID-19肺炎:一项前性队列研究

Thomas F Heyne^1,2, Kay Negishi¹, Daniel S Choi³

¹Department of Medicine, Massachusetts General Hospital Boston, MA USA.

|December 15, 2023

概括

使用手持设备的护理点超声波 (POCUS) 显示了诊断COVID-19肺炎的良好准确性. 这种快速成像工具可以帮助临床医生,特别是在资源有限的环境中.

科学领域:

医疗成像医学成像
传染性疾病传染性疾病
肺部病理学肺部病理学

背景情况:

胸部X射线 (CXR) 和CT扫描有助于COVID-19诊断,但存在局限性.
肺部点护理超声波 (POCUS) 提供了一种快速,便携的替代方案,特别是在资源较低的环境中.
一个标准化的POCUS协议需要对COVID-19肺炎诊断准确性的验证.

研究的目的:

用手持设备评估标准化肺POCUS协议的诊断性能.
检测具有阳性核酸测试 (NAT) 或COVID-19典型CT模式的患者.

主要方法:

招募了怀疑/确认COVID-19和CT扫描的成年住院患者.
一个手持POCUS设备被用来扫描12个肺部区域.
盲目的专家对图像进行了评分;患者根据怀疑程度进行了分类.

主要成果:

在POCUS中,阳性NAT的AUC为0.787,典型CT的AUC为0.820.
在较低的切线上,灵敏度达到0.90 (NAT) 和1.00 (CT).
在较高的切线上,特异性为0.90 (NAT) 和0.89 (CT).

结论:

使用手持设备的标准化肺部POCUS协议显示了COVID-19肺炎的合理诊断性能.
POCUS可以成为诊断COVID-19肺炎的宝贵辅助,特别是在资源有限的环境中.

关键词:

在 COVID-19 疫情中,内部医学内部医学护理点超声波 (POCUS) 超声波 (POCUS) 超声波 (POCUS) 超声波 (POCUS) 超声波 (POCUS) 超声波 (POCUS) 超声波 (POCUS) 超声波手持式超声波手持式超声波断层扫描 (tomography) 是一个非常重要的技术.超便携式超便携式

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