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对脉动性耳的诊断成像评估进行系统审查
Meghan P Jairam1, Simon Kidanemariam1,2, Aleena Malik3
1Division of Neuroradiology, Brigham and Women's Hospital, Boston, MA, USA.
medRxiv : the preprint server for health sciences
|March 10, 2025
概括
脉动性耳的诊断成像缺乏基于证据的指导方针,提供者的偏好往往决定了所选择的成像方式. 需要更多的比较研究来开发有效的协议.
科学领域:
- 放射学 放射学是一门学科.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗成像医学成像
背景情况:
- 脉冲性耳声成像缺乏标准化的基于证据的协议.
- 目前的诊断成像方法通常以提供者的偏好为指导.
研究的目的:
- 为了汇总已公布的有关脉动性耳诊断成像的数据.
- 为建立一个基于证据的方法来成像这个症状的框架.
主要方法:
- 对PubMed和EMBASE数据库进行系统审查.
- 包括41篇涉及2633名患者的文章,不包括非标准技术和以管理为重点的研究.
- 提取了有关患者人口统计,症状,成像发现和结果的数据.
主要成果:
- 磁共振血管造影 (MRA) 显示出在识别常被诊断为数字减去血管造影 (DSA) 的病理方面的潜力.
- 与磁共振成像 (MRI) 相比,MRA在头对头比较中显示出优越的病理识别.
- 具体症状和成像方式的选择之间没有明确的联系.
结论:
- 对于脉动性耳的最佳初始成像评估的证据有限.
- 提供者偏好显著影响诊断工作.
- 鼓励对多模式成像进行比较的前性研究,以开发有效和公平的协议.
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