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对于COVID-19患者的CO-RADS分类分析中的观察者间变量

Yassir Edrees Almalki¹, Mohammad Abd Alkhalik Basha², Maha Ibrahim Metwally²

¹Division of Radiology, Department of Internal Medicine, Medical College, Najran University, Najran 61441, Saudi Arabia.

Tropical medicine and infectious disease

|December 22, 2023

概括

计算机断层扫描 (CT) 胸部扫描和COVID-19报告和数据系统 (CO-RADS) 有助于COVID-19的诊断. 对CO-RADS评分的观察者间协议在不同专业和经验水平之间是相当大的,几乎是完美的.

科学领域:

医疗成像医学成像
放射学放射学是一门学科.
传染性疾病传染性疾病

背景情况:

胸部的计算机断层扫描 (CT) 对于COVID-19在疫情初期的诊断至关重要,特别是在PCR套件稀缺的地方.
COVID-19报告和数据系统 (CO-RADS) 是为了在CT扫描上标准化报告COVID-19肺炎而开发的.
高水平的观察者间协议对于可靠实施CO-RADS至关重要.

研究的目的:

评估不同专业和经验水平的医生在胸部CT上COVID-19肺炎的CO-RADS评分的观察者间一致性.
评估将CO-RADS报告系统应用于经验较少的临床医生的可行性.

主要方法:

从630名RT-PCR确诊的COVID-19患者的胸部CT图像的回顾性审查.
七名观察员 (放射科医生,房间官员,肺科医生) 具有不同的经验水平,独立地使用CO-RADS分类来评分CT图像.
分析不同专业组的观察者间协议.

主要成果:

在放射科医生中观察到几乎完美的一致性.
肺科医生和房子官员之间发现了实质性的协议.
在所有观察小组中都发现了中等到实质性的协议,这表明CO-RADS应用的可行性很好.
在放射科医生中,观察者间的变异性最高,但与肺科医生和室内官员相比,变化率下降.

结论:

CO-RADS 系统在不同经验水平的医生之间显示了实质性的或几乎完美的观察者间协议.
放射科医生,房子官员和肺部医生可以有效地使用CO-RADS来识别COVID-19肺部参与的典型CT特征.
CO-RADS 是一种可行和可靠的工具,用于在胸部CT上标准化报告COVID-19肺炎.

关键词:

车轮的核心 - - 车轮的核心在 COVID-19 疫情中,胸部CT 胸部CT 胸部CT 相互观察者之间的观察者变化的可变性.

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