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阿尔伯塔中风计划的区域特定观察者间协议早期计算机断层扫描得分:一个元分析

Armin Zarrintan¹, Mohamed K Ibrahim¹, Noha Hamouda¹

¹Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Journal of neuroimaging : official journal of the American Society of Neuroimaging

|January 7, 2024

概括

阿尔伯塔中风计划早期CT评分 (ASPECTS) 显示出对评估缺血性中风的良好共识,支持其在治疗决策中的使用. 然而,区域性ASPECTS协议有所不同,需要对特定的中风区域进行仔细考虑.

科学领域:

神经学神经学
放射学放射学是一门学科.
医疗成像医学成像

背景情况:

阿尔伯塔中风计划早期CT评分 (ASPECTS) 对于缺血性中风的评估和治疗计划至关重要.
在ASPECTS评分中观察者间的变化可能会影响临床决策.

研究的目的:

系统地审查和元分析总和区域ASPECTS的观察者间协议.
评估ASPECTS在缺血性中风评估中的可靠性.

主要方法:

在Web of Science,PubMed和Scopus进行了全面的文献搜索.
包括的研究涉及在中脑动脉区域中缺血性中风24小时内的非对比CT.
对20项涉及3482名患者的研究的数据进行了元分析.

主要成果:

在总的方面 (Kappa=.67,ICC=.84) 发现观测者间达成的协议很大或很好.
当观察者对临床信息不盲目时,一致性更高.
区域分析显示,尾状核的一致性最高,M2和内部囊的一致性最低.

结论:

总的方面表明可靠的观察者之间的协议,支持其在中风管理中的临床实用性.
区域性ASPECTS协议的变化需要对治疗决策进行仔细解释.
为了提高一致性,对于特定的ASPECTS区域可能需要进一步的标准化.

关键词:

在各个方面.急性缺血性中风是急性缺血性中风.评价者之间的协议协议.

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