根据超声波系统和血液流动检测技术,膜炎的半量化有多大不同?
Annamaria Iagnocco1, Lina Martínez-Estupiñán2, Fabiana Figus1
1Academic Rheumatology Centre, Università degli Studi di Torino, Turin.
Medical ultrasonography
|June 23, 2024
概括
高端和入门级超声波系统显示可互换的结果,用于评分关节血流在风湿性关节炎患者使用功率多普勒和颜色多普勒. 其他技术表现出响应能力,但灵敏度不同.
科学领域:
- 类风湿病学 类风湿病学
- 医疗成像医学成像
- 超声波技术 超声波技术 超声波技术
背景情况:
- 突血流是对类风湿性关节炎 (RA) 评估的一个关键指标.
- 跨不同系统和技术的超声波 (US) 评估标准化对于可靠的RA监测至关重要.
研究的目的:
- 用各种超声波技术和系统在活跃和不活跃的类风湿性关节炎 (RA) 中比较突血流得分.
- 评估不同美国参数的可互换性和灵敏性,以评估突血管性.
主要方法:
- 59名RA患者接受了B模式,功率多普勒 (PD),色彩多普勒 (CD),B流和高分辨率 (High-Res) PDI评估.
- 每位患者的六个关节被评估使用两个美国系统,采用半定量和定量评分.
主要成果:
- 在美国两种系统之间发现了高相关性 (≥0.90) 对于总突缩大 (SH) 评分.
- PD和CD显示了系统之间的中度至非常高的相关性,在活性或非活性RA的半定量得分上没有显著差异.
- B-Flow和高分辨率PDI得分明显低于PD或CD得分.
结论:
- 高端和入门级的美国系统可以互换SH评分,并通过PD和CD显示类似的敏感性和响应能力,以对突血流产生类似的反应.
- 虽然B-Flow和高分辨率PDI具有响应性,但它们在检测突血流中的灵敏度与传统的多普勒不同.
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