在CT结肠检查报告中结肠代码的解释的变化:单中心经验
1Department of Radiology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Clinical radiology
|November 8, 2024
概括
计算机断层扫描结肠扫描 (CTC) 上的标准化结肠发现代码 (C-code) 在记者之间显示了不同的解释. 这项研究发现了公平的协议,突出了需要更明确的指导来提高报告C码的一致性.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 胃肠病学 胃肠病学
背景情况:
- 计算机断层扫描结肠扫描 (CTC) 中结肠发现的标准化摘要代码 (C-code) 已建立,但缺乏明确的解释准则.
- 对C码的不同解释可能会影响诊断准确性和患者管理.
研究的目的:
- 评估特定医院CTCC码的当前人口统计和报告实践.
- 确定CTC报告员在使用C-代码对结肠发现进行分类时的一致程度.
主要方法:
- 在线问卷研究在放射科医生,报告放射科医生和参与CTC报告的放射学学学员中进行.
- 调查问卷包括人口问题和11个案例情景,以评估C-code解释协议.
- 使用Fleiss kappa和平均对对协议统计数据量化了协议.
主要成果:
- 获得了高响应率 (85.7%),大多数参与者 (94.4%) 报告使用C-code.
- 在11个案例场景中,对C代码解释的总体共识是公平的 (kappa = 0.39),平均对比共识为46.9%.
- 在CTC经验较少 (≤1000例) 的记者,报告小息肉的记者以及具有适当病例情景的记者中观察到更高的一致性.
结论:
- 该研究揭示了机构内部对CTCC代码的解释存在显著差异.
- 需要正式的实施指南来规范C代码的使用.
- 建议进行全国调查,以评估这一问题的流行程度,并为整个英国的肠癌查计划的指导方针提供信息.
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