130名支气管切除症患者的胸部X射线特征
Hikaru Sawada1,2, Ryohei Kudoh1, Atsushi Yokoyama1
1Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita 879-5593, Japan.
Diseases (Basel, Switzerland)
|December 27, 2024
概括
胸部X射线可以帮助查支气管切除症,这是一个不断增长的肺部疾病. 模糊的心脏轮和颗粒状阴影是常见的发现,但观察者之间的一致性很低.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 全球范围内,支气管切除症的患病率正在上升.
- 建议通过胸部成像进行早期检测,以获得更好的预后.
- 胸部X射线 (CXR) 对于查支气管切除症的敏感性是不确定的.
研究的目的:
- 为了确定胸部X射线特征预测支气管切除症.
- 评估CXR在支气管切除症查中的实用性.
主要方法:
- 通过高分辨率计算机断层扫描诊断出支气管切除症的130名患者的CXR的回顾性审查.
- 排除患有可能掩盖支气管切除发现的病情 (例如肺癌) 的患者.
- 两个呼吸系统医生对CXR特征的独立评估.
主要成果:
- 颗粒状阴影 (88.5%) 和模糊的心脏轮 (48.5%) 的高阳性率.
- 传统标志的频率较低,如电车轨道 (35.4%) 和环形标志 (24.6%).
- 大多数评估特征的观察者间一致性较低 (kappa值<0.65).
结论:
- 模糊的心脏轮和颗粒状阴影显示了支气管切除症查的潜力.
- 传统的CXR标志较少被观察到.
- 对于CXR特征的观察者间一致性需要改进,以获得可靠的选.
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