用于儿科尿路扩张的3D超声波体积量化:一个半自动化的细分软件间评分分析
Tatiana Morales-Tisnés1, Laith R Sultan2, Laurence Rouet3
1Children's Hospital of Philadelphia, 734 Schuylkill Ave, 19146, Philadelphia, Pennsylvania, USA. moralest@chop.edu.
Pediatric radiology
|December 18, 2024
概括
这项研究表明,3D超声波软件可靠地测量了尿路扩张的儿童的体积和水. 半自动化细分工具在不同评级者之间提供一致的结果.
科学领域:
- 儿科放射学 儿科放射学
- 医学成像分析 医学成像分析
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 儿童尿道扩张 (UTD) 需要精确的体积评估来管理.
- 传统的2D超声波方法在精确的体积定量方面存在局限性.
- 三维 (3D) 超声波为改善脏结构体积分析提供了潜力.
研究的目的:
- 为了评估半自动3D超声波 (US) 分段软件的可靠性.
- 评估其在测量体积水缩指数 (HI) 和儿科UTD中膜/骨盆体积的准确性.
- 为了确定3D US细分软件的评级者间可靠性.
主要方法:
- 有UTD的儿童接受美国脏检查的未来招生.
- 获取二维和三维超声数据集.
- 通过3个独立的评分员使用3D美国数据,对膜和收集系统进行半自动细分.
- 在体积测量中使用类内相关系数 (ICC) 分析评价者之间的可靠性.
主要成果:
- 分析了47名儿科患者的48项研究.
- 对于大多数参数,评级者之间的可靠性几乎是完美的 (ICC 0.85-0.95).
- 体积测量HI显示在严重的UTD (P2:0.75,P3:0.66) 中较低的分级间一致性.
结论:
- 半自动的3D US细分是评估儿科UTD中脏尺寸和体积的可靠工具.
- 该软件提供了对膜的一致测量和在评级者之间收集系统体积.
- 虽然通常可靠,但在严重的UTD中体积HI评估可能需要进一步细化或仔细解释.
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