光镜导向与多切片计算机断层扫描 (CT) 活检模式导向的皮肤透射放射性胃口检查 (PRG) - 干预参数和计费比较
Michael P Brönnimann1,2, Jagoda Kulagowska1, Bernhard Gebauer2
1Department of Diagnostic, Interventional and Paediatric Radiology, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland.
多切片计算机断层扫描活检模式 (MS-CT BM) 导向的皮肤透射放射性胃口术 (PRG) 比光学导向的PRG显示出较少的重大并发症,但涉及更高的辐射暴露和更低的财务补偿. 需要进一步的研究才能得出最终的结论.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 穿皮放射性胃口术 (PRG) 是一种常见的肠道养程序.
- PRG的两个主要成像模式是多切片计算机断层扫描活检模式 (MS-CT BM) 引导和光学引导 (FPRG).
- 关于它们的有效性,安全性,辐射暴露和财务影响的比较数据有限.
研究的目的:
- 为了比较MS-CT BM导向PRG与FPRG的疗效,安全性,辐射暴露和财务补偿.
- 为了确定放射性辅助胃口术程序的最佳成像模式.
- 提供有关不同PRG技术的成本效益的见解.
主要方法:
- 在一个单一中心对133个PRG程序 (2018年1月至2024年1月) 的回顾性分析.
- 在MS-CT BM-PRG和FPRG组之间比较患者人口统计,干预参数,并发症率和手术时间.
- 基于瑞士TARMED关税结构的财政补偿分析;使用费舍尔精确测试和曼·惠特尼U测试进行统计分析.
主要成果:
- 与FPRG组 (n=78) 相比,MS-CT BM-PRG组 (n=55) 的有效剂量显著更高 (10.95 mSv vs. 0.169 mSv,p < 0.001) 和治疗时间更长 (41.15 分钟 vs. 28.71 分钟,p < 0.001).
- 在FPRG组中,主要并发症的发生率明显高 (10%对0%,p=0.039).
- 只有4%的MS-CT BM指导的PRG在TARMED下获得了可比的财政补偿.
结论:
- 在具有挑战性的病例中,MS-CT BM引导的PRG可能是合理的,因为尽管辐射和手术时间增加了,但主要并发症的发生率较低.
- FPRG与较高的重大并发症率有关.
- 需要进行进一步的前性多中心研究,以确定两种PRG模式的有效性,安全性和成本效益.
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