尾-RADS:一种超声波报告系统用于诊断急性尾炎
Marcos Roberto Gomes de Queiroz1, Victor Arantes Jabour1, José Leão de Souza Junior1
1Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
一个新的系统,APENDIC-RADS,标准化了尾炎的超声波报告. 这种分类系统准确地预测了急性尾炎的可能性,改善了医生沟通和患者护理.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 腹部超声波是诊断尾炎的常见工具.
- 目前对超声波发现的主观评估导致诊断准确度各不相同.
研究的目的:
- 引入和评估附录成像报告和数据系统 (APENDIC-RADS) 以标准化附录超声报告.
- 改进基于成像发现的尾炎可能性的客观评估.
主要方法:
- 一项对747名因疑似尾炎而接受腹部超声波的患者的回顾性研究.
- 根据尾的可视化和特征,对超声波发现进行分类,分为五个APENDIC-RADS类别 (0-4) .
- APENDIC-RADS类别与胰腺病理学确认尾炎的相关性.
主要成果:
- 附录-RADS类别与尾炎发病率有显著的相关性 (p<0.001).
- 发病率在0类别为4.5%至4类别为93.5%之间.
- 该APENDIC-RADS表现出极好的区分能力,其AUC为0.950.
结论:
- APENDIC-RADS有效地标准化了基于超声波的急性尾炎的概率.
- 应用APENDIC-RADS可以提高医生沟通和标准化患者管理.
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