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动脉斑块中的放射学模型的质量评估:系统性审查
Chao Hou1,2,3, Shuo Li3, Shuai Zheng3
1Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou, China.
Quantitative imaging in medicine and surgery
|January 15, 2024
概括
放射学模型对动脉斑块评估有希望,但目前的研究缺乏科学有效性和报告质量. 在临床应用这些脆弱的斑块识别工具之前,需要进一步开发.
科学领域:
- 医疗成像医学成像
- 人工智能在医学中的应用
- 心血管研究研究心血管研究
背景情况:
- Carotid 斑块成像提供了形态和稳定性的洞察力,但依赖于操作者.
- 放射学模型正在出现,用于易受损伤的斑块识别和心血管/脑血管事件预测.
- 现有的成像方法可能会错过微妙而至关重要的斑块特征.
研究的目的:
- 评估动脉动脉样硬化斑块的放射学模型中的偏差风险.
- 评估动脉斑块放射学研究的报告质量.
- 为了确定放射学模型的方法质量,用于动脉斑块分析.
主要方法:
- 在PubMed,科学网络和科克兰图书馆进行系统的文献搜索,直到2023年3月.
- 包括研究开发/验证机器学习放射学模型用于状腺斑块事件.
- 评估使用TRIPOD检查表,PROBAST工具和放射学质量评分 (RQS).
主要成果:
- 包括19项涉及2,738名患者的研究.
- 平均TRIPOD坚持率为66.1%,在所有研究中都注意到高整体偏差风险.
- 平均RQS为9.89 (最大值的27.4%),表明方法质量低于最佳.
结论:
- 放射学模型有潜力用于动脉斑块评估.
- 目前放射学报告的科学有效性和报告质量存在重大差距.
- 必须解决障碍,才能成功地在临床上实施动脉斑块放射学.
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