在结肠囊内镜中评估肠道清洁质量:参考标准是什么?
Benedicte Schelde-Olesen1,2, Anastasios Koulaouzidis2,3,4, Ulrik Deding2,3
1Department of Surgery, Odense University Hospital, Svendborg, Baagoes Alle 31, Svendborg 5700, Denmark.
Therapeutic advances in gastroenterology
|October 25, 2024
概括
对结肠囊内镜 (CCE) 的观察者间一致意见是,对于莱顿-雷克斯尺度来说,肠道清洁质量很好,但对于CC-CLEAR来说只有中度. 为清洁质量建立专家标准是不可能的,强调了培训的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜检查是指内镜检查.
背景情况:
- 结肠囊内镜 (CCE) 的诊断准确性取决于最佳的肠道准备.
- 评估肠道清洁质量是具有挑战性的,因为观察者之间的显著变化.
研究的目的:
- 在CCE中建立专家驱动的肠道清洁协议标准.
- 通过使用不同的尺度来调查有关肠道清洁质量的观察者间协议.
主要方法:
- 一项观察者间协议研究,涉及24名阅读者,经验水平各不相同.
- 通过使用莱顿-雷克斯和CC-CLEAR尺度对每个读者进行500张CCE图像的评估.
- 使用类内相关系数 (ICC) 分析协议.
主要成果:
- 专家们在清洁不良和清洁优良方面达成一致,但在中等等级方面达不到一致.
- 对于莱顿-雷克斯尺度,观察者之间有良好的共识 (ICC 0.84).
- 在CC-CLEAR尺度上,无论读者经验如何,都发现了适度的观察者间一致 (ICC 0.62).
结论:
- 莱顿 - 雷克斯尺度表现出比CC-CLEAR对CCE肠道清洁更好的观察者间一致.
- 无法建立CCE清洁质量的专家意见标准.
- 建议进行专门的培训和潜在的AI校准,以提高清洗评估的一致性.
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