识别声麻原因的成像方法:系统性审查和元分析
Faisal H Zagzoog1, Hisham Almousa2, Saif Almeshari2
1Department of Otolaryngology, Head and Neck Surgery, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
概括
磁共振成像 (MRI) 为声麻 (VFP) 的原因提供了最高的检测率. 计算机断层扫描 (CT) 擅长识别特定的病变,为VFP提供了宝贵的诊断见解.
科学领域:
- 医疗成像医学成像
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 诊断辐射学 诊断辐射学
背景情况:
- 声麻 (VFP) 可以表明严重的潜在疾病,需要准确的病因学诊断.
- 确定VFP的原因对于排除恶性瘤和指导治疗至关重要.
- 目前用于VFP原因的各种成像技术的诊断能力需要澄清.
研究的目的:
- 系统地评估和比较不同成像方法的检测流行率,以确定VFP的原因.
- 评估各种成像技术在区分VFP恶性和良性病因方面的有效性.
主要方法:
- 根据PRISMA指南,在2023年9月进行了全面的系统文献搜索.
- 从14项符合条件的研究中提取和分析数据,其中包括1492名VFP患者.
- 计算了聚合比例和95%置信区间以确定检测流行率.
主要成果:
- F-氧葡萄糖正子发射断层扫描 (PET) /计算机断层扫描 (CT) 显示,识别恶性VFP原因的患病率最高 (41.5%),其次是MRI (40%).
- 磁力共振成像显示VFP原因的总体检测率最高 (58.1%),而CT在检测头部 (15%) 和部 (38.9%) 的特定病变方面最有效.
- 图像扫描显示了胸部病变检测的最高患病率 (17.6%),而超声波 (美国) 对VFP原因的总体检测患病率最低 (26.8%).
结论:
- 不同的成像方法在检测恶性和良性VFP原因时表现出不同的患病率.
- 磁力共振成像 (MRI) 是用于整体VFP原因识别的最敏感的成像技术.
- 电脑图像扫描被广泛使用,并且在检测导致VFP的特定病变方面具有很高的流行率,具有显著的诊断价值.
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