创伤性内血瘤的体积评估:ABC/2是否可靠?
Alexander Fletcher-Sandersjöö1,2, Anders Lewén3, Anders Hånell3
1Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden.
Journal of neurotrauma
|August 20, 2024
概括
一般来说,ABC/2公式与计算机辅助体积分析 (CAVA) 对创伤性血瘤体积的相关性很好. 然而,ABC/2可以高估体积,使CAVA成为精确临床估计的首选方法.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 创伤医学 创伤医学
背景情况:
- 准确的创伤性内血瘤体积测量对于疾病监测和临床试验至关重要.
- 用于自发出血的ABC/2公式缺乏对创伤性血液瘤的验证.
研究的目的:
- 为了比较ABC/2公式与计算机辅助体积分析 (CAVA) 的准确性,用于创伤性内血瘤体积估计.
- 确定创伤性脑损伤中精确体积测量的最佳方法.
主要方法:
- 成年患者中度至重度创伤性脑损伤的双中心观察性研究.
- 在入院CT扫描时使用ABC/2和CAVA测量脑内,脑下和脑外血瘤.
- 使用威尔科克森签名等级测试,斯皮尔曼相关性,林的CCC和布兰德-阿尔特曼图表进行统计比较.
主要成果:
- 在ABC/2和CAVA之间有很高的相关性 (斯皮尔曼0.95-0.98) 和一致性 (林的CCC0.89-0.96).
- 与CAVA相比,ABC/2显著高估了血液瘤体积,一致性极大,特别是在皮肤下血液瘤方面.
- 这两种方法都显示出可比的结果预测,但CAVA在预测切割和中线移位方面优越.
结论:
- 虽然在创伤性血瘤研究中,ABC/2是可靠的描述性目的和基线数据,但CAVA是精确体积估计的黄金标准.
- 建议在临床情况和研究中使用CAVA,在这些情况下,血液瘤扩张是关键的结果指标.
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