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在两个三级转诊中心的胸部MRI上诊断胸膜囊的读者间协议

Yura Ahn¹, Sang Min Lee², Chu Hyun Kim³

¹Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 138-736, Republic of Korea.

Scientific reports

|February 5, 2025

概括

使用胸部MRI诊断胸膜囊的读者间一致性是中度的. 最佳的MRI序列包括减去的图像和扩散加权的成像/明显扩散系数地图,以提高诊断准确度.

科学领域:

放射学放射学是一门学科.
医疗成像医学成像

背景情况:

胸部MRI对于胸膜囊的诊断和随访至关重要.
有限的数据存在于inter-reader协议和最佳的MRI序列为胸膜囊.

研究的目的:

评估使用各种MRI序列进行胸膜囊诊断的读者间协议.
评估添加CT扫描对读者之间的协议的影响.

主要方法:

分析了来自两家医院的76个前中间骨病变 (≤30毫米).
放射科医生审查了内部和外部读数组,使用不同的MRI序列组合和CT.
使用kappa (κ) 统计数据评估了读者间的共识.

主要成果:

在MRI上诊断胸膜囊的总体读者间一致性是中度的 (κ = 0.50-0.57).
在MRI序列组合之间没有发现显著的一致差异.
在减去图像和DWI/ADC地图时,一致性最高 (κ = 0.65).
CT加法改善了外部集合 (κ = 0.48~0.74) 的一致性,但没有改善内部集合 (κ = 0.57~0.50).

结论:

在MRI上诊断胸膜囊方面存在适度的读者间协议.
包含减去图像和DWI/ADC地图的MRI序列似乎是增强诊断协议的最佳选择.

关键词:

在前腹中前部.这就是为什么MRI是MRI.观察者变化的变化胸膜囊是一个胸膜囊.胸腺瘤是什么意思胸腺瘤是什么意思

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