与对比增强的美国波斯尼亚语分类:在评审者内部和评审者之间达成一致,混特征和诊断性能
Dong-Dong Jin1, Bo-Wen Zhuang1, Ke Lin1
1Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, Guangzhou, 510080, People's Republic of China.
Insights into imaging
|November 29, 2024
概括
与对比度增强的超声波 (CEUS) 波斯尼亚语分类显示了囊性脏质量的良好可重现性. 结节变异显著影响分类,但该方法可靠地预测恶性瘤潜力.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 欧洲医学和生物学超声波联合会 (EFSUMB) 提出了2020年对比增强超声波 (CEUS) 波斯尼亚语分类,以预测囊性脏质 (CRM) 中的恶性病变.
- 对于该分类的CEUS特征的可复制性尚未被彻底研究.
研究的目的:
- 评估CEUS波斯尼亚语分类中使用的超声波特征的内部和内部评价者协议.
- 确定导致分类差异的因素.
- 评估CEUS波斯尼亚语分类的诊断性能.
主要方法:
- 在2013年1月至2023年8月期间,CEUS评估的103个复杂的CRM的回顾性分析.
- 6名放射科医生 (3名专家,3名新手) 对化,回声含量,壁,和内部结节的评估.
- 使用Gwet的协议系数 (Gwet的AC) 评估协议,并通过AUC通过诊断性能.
主要成果:
- 波斯尼亚人类别的实质性到几乎完美的内部定价协议 (Gwet的AC 0.73-0.87).
- 对于波斯尼亚人类别 (Gwet's AC 0.75) 的实质性互评协议,对于美国特征 (Gwet's AC 0.44-0.94) 则中等到几乎完美.
- 结节变化占波斯尼亚人类别分配变化的84%,诊断性能显示AUC为0.78-0.90.
结论:
- 塞乌斯波斯尼亚克分类证明了CRM的大量内部和内部分类可重复性.
- 该分类在预测恶性瘤潜力方面表现出良好的诊断性能.
- 结节变异是影响分类差异的关键因素.
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