临床视觉评估的诊断准确性使用鼻腔质量病变的内镜图像进行诊断
Kyung Won Kwon1, Myeong Sang Yu2
1Department of Otolaryngology, Samsung Changwon Hospital, University of Sungkyunkwan, College of Medicine, Changwon, Korea.
Science progress
|April 29, 2024
概括
使用内镜进行鼻腔病变的临床视觉评估具有挑战性,特别是在区分良性和恶性瘤时. 专业知识显著影响诊断的准确性,正常发现是最容易识别的.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗成像医学成像
- 病理学 病理学 病理学
背景情况:
- 鼻腔内镜对于诊断鼻腔病变至关重要,但由于呈现不同,视觉歧视可能很困难.
- 精确的区分至关重要,因为治疗策略在病变类型之间有很大差异.
研究的目的:
- 用内镜图像评估鼻腔质量的临床视觉评估 (CVA) 的诊断准确性.
- 为了确定诊断准确度是否根据病变的病理类和检查员的经验水平而有所不同.
主要方法:
- 收集了病理确认的内镜图像,显示了正常发现,鼻,良性瘤和恶性瘤.
- 18名耳鼻喉科医生 (住院医生和经过董事会认证的鼻科医生) 通过CVA将病变图像分类为CVA.
- 用准确度,F1得分和AUC来评估诊断性能,根据病变类型和检查员经验分层分层.
主要成果:
- 对正常发现的诊断准确度最高 (0.926 ± 0.100),其次是NP (0.819 ± 0.135),良性瘤 (0.580 ± 0.112),恶性瘤 (0.478 ± 0.187).
- 专家鼻科医生与居民 (0.680 ± 0.239) 相比,总体准确度更高 (0.756 ± 0.157).
- 区分良性和恶性瘤的准确性特别低,这表明存在重大诊断挑战.
结论:
- 通过内镜对鼻腔质量的临床视觉评估高度依赖于病变类型和检查人员的专业知识.
- 虽然对正常发现和多瘤准确,但CVA对于区分良性和恶性瘤是不可靠的.
- 对于可疑的鼻腔病变,建议进行进一步的临床评估,以确保准确的诊断和适当的管理.
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