防止巨大的对比介质扩散的可行性,使用对比增强CT中的传感器设备:一项观察性研究
Yoriaki Matsumoto1, Ayaka Chikasue2, Miho Kondo2
1Department of Radiology, Hiroshima University Hospital, Hiroshima, Japan.
Acta radiologica (Stockholm, Sweden : 1987)
|October 16, 2024
概括
这项研究确定了在CECT扫描期间对比介质扩散的关键风险因素. 确定传感器放置的标准可以提高患者的安全性,并优化资源的使用.
科学领域:
- 放射学和医学成像学 医学成像学
- 患者安全 患者安全
- 医疗器械技术 医疗器械技术
背景情况:
- 目前的指导方针建议患者观察,压力监测和传感器设备以防止对比介质 (CM) 扩散.
- 然而,由于时间和成本的限制,广泛的传感器实施往往是不切实际的.
研究的目的:
- 在大量患者队列中,在对比增强计算机断层扫描 (CECT) 期间识别CM外流的风险因素.
- 建立基于证据的标准,用于战略性放置外流传感器设备.
主要方法:
- 从2012年4月至2022年7月接受CECT的143,556名患者的回顾性分析.
- 使用多变量逻辑回归来比较CM外流和没有CM外流的患者.
- 接收器操作特征 (ROC) 曲线分析评估了传感器设备的灵敏度和最佳位置百分比.
主要成果:
- 整体扩散率为0.27%.
- 显著的危险因素包括更高的注射率,更小的导管尺度,使用抗癌药物和现有导管的存在.
- 为了达到90%的扩散检测灵敏度,需要在80%的患者中放置传感器,而50%的灵敏度下降到28%.
结论:
- 灵敏度分析为有效的传感器设备放置提供了标准.
- 这些标准可以帮助优化传感器技术的使用,以防止CM外流.
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