肺超声波和肺部剪切波弹性图形在结缔组织疾病相关的间歇性肺病中的查价值:一项初步研究
Shiyao Han1, Ziyao Ji1, Yanjun Liu2
1Department of Ultrasound, The First Hospital of China Medical University, 155 Nanjingbei Street, Heping District, Shenyang, Shenyang, 110004, Liaoning, China.
Clinical rheumatology
|May 3, 2024
概括
肺部超声波 (LUS) 有效地选连接组织疾病 - 间歇性肺病 (CTD-ILD),并评估其严重程度. 腹剪切波弹性图 (SWE) 显示CTD-ILD的诊断价值有限.
科学领域:
- 医疗成像医学成像
- 肺部病理学 肺部病理学
- 类风湿病学 类风湿病学
背景情况:
- 间歇性肺病 (ILD) 是结缔组织疾病 (CTD) 的常见并发症.
- 准确的诊断和CTD-ILD的严重程度评估对于患者管理至关重要.
- 寻求非侵入性成像模式来补充像HRCT这样的传统方法.
研究的目的:
- 评估肺部超声波 (LUS) 和肺部剪切波弹性图形 (SWE) 在识别CTD-ILD的诊断性能.
- 将LUS和SWE的疗效与高分辨率计算机断层扫描 (HRCT) 进行比较,作为黄金标准.
主要方法:
- 104名CTD患者接受了LUS,SWE和HRCT.
- 根据HRCT的发现,患者被分为CTD-ILD和CTD-non-ILD组.
- 诊断的准确性是通过奇平方测试,ROC曲线和相关性分析来评估的.
主要成果:
- 对于CTD-ILD,LUS表现出高灵敏度 (93.3%) 和特异性 (86.2%),与HRCT相比没有显著差异 (kappa=0.720).
- Pleural SWE 显示了较低的诊断效率,AUC 为 0.685.
- 在CTD-ILD患者的肺弹性和LUS得分之间没有发现显著的相关性.
结论:
- LUS是查CTD-ILD和评估疾病严重程度的宝贵工具.
- 胸腔SWE对CTD-ILD和评估其严重程度的诊断实用性有限.
相关概念视频
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
102
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
102
01:31Respiratory System Abnormal Finding II: Palpation and Auscultation
435
In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
435