CT和MR利用率和患病率指标跨越身体质量指数
Mina Dawod1, Paul Nagib1, John Zaki1
1The Ohio State University College of Medicine, Columbus, OH, United States of America.
PloS one
|June 28, 2024
概括
体重较低的人最多使用CT和MR成像,而严重肥胖的患者尽管死亡率和急诊次数较高,但MR使用率较低. 这突显了肥胖症成像获取的差异.
科学领域:
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 肥胖是一个重要的健康问题,与许多需要医学成像的疾病有关.
- 了解不同体质指数 (BMI) 范围内的成像利用模式对于医疗保健规划至关重要.
研究的目的:
- 调查身体质量指数 (BMI) 与同一年使用计算机断层扫描 (CT) 和磁共振 (MR) 影像之间的关联.
- 通过BMI分层分析大量医疗保健人口的成像趋势.
主要方法:
- 来自Cosmos数据库的4960万BMI患者的回顾性分析.
- 患者被分类为BMI队列.
- 评估了同一年内CT和MR成像 (头部,部,胸部,脊柱,腹部/骨盆) 的利用率.
- 疾病严重程度是通过急诊室 (ED) 访问和死亡率来衡量的.
主要成果:
- 整体CT和MR利用率分别为14.5%和6.0%.
- 体重不足患者的CT (25.8%) 和MR (8.01%) 影像利用率最高.
- 严重肥胖的患者 (BMI>50 kg/m2) 略微增加CT (18.4%),但减少MR (5.3%) 的利用率.
- 在严重肥胖患者中,这种较低的MR利用率与与正常体重个体相比,他们较高的死亡率和ED访问率形成对比.
结论:
- 体重不足的患者显示CT和MR成像使用率不成比例.
- 严重肥胖的患者尽管患病率增加,但MR成像利用率较低.
- 研究结果表明,肥胖人口在成像获取方面存在潜在的差异,并为公共卫生战略提供信息.
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