脊柱动脉动脉瘤超声波报告特征的标准
Tiffany R Bellomo1, Guillaume Goudot2, Brandon Gaston1
1Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA, USA.
Vascular medicine (London, England)
|December 22, 2023
概括
双重超声 (DUS) 对于形动脉动脉瘤 (PAA) 缺乏标准化的报告,阻碍了临床决策. 实施一致的协议对于全面的PAA监测和管理至关重要.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 放射学 放射学是一门学科.
背景情况:
- 双重超声波 (DUS) 是监测大动脉动脉瘤 (PAA) 的主要成像方式.
- 目前的非侵入性血管实验室报告缺乏对PAA监测结果的标准化指南.
- 不一致的报告影响了DUS在指导操作决策和监视时间的有用性.
研究的目的:
- 评估PAA DUS报告中信息的完整性.
- 评估遵守推的监测间隔的情况.
- 确定PAA管理中临床决策所需的关键特征.
主要方法:
- 从2008-2022年对PAA DUS研究的多机构存储库的回顾性审查.
- 手动图表审查和DUS报告的摘要.
- 标注DUS图像的尺寸,流动异常和血栓负担.
主要成果:
- 在130名患者中分析了166名PAA.
- 操作性PAA的直径明显大 (中位数为27.5毫米) 比非操作性PAA (中位数为20.9毫米).
- 不到33%的报告提到了远端流水通透性,操作性PAA的血栓负担比非手术性PAA (中位数60) 高 (中位数75%).
结论:
- PAA DUS监测经常偏离推的间隔,并且缺乏临床决策的基本数据.
- 在非侵入性血管实验室中对PAA DUS协议进行标准化是必要的.
- 关于PAA DUS发现的全面报告对于有效的患者管理至关重要.
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