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在接受内血管治疗的中风患者中,与RAPID相比,新型CT输液软件的验证

Dan Chen¹, Wenhuo Chen², Thanh N Nguyen³

¹Department of Public Health, Taizhou Second People's Hospital, Taizhou, Zhejiang, China.

Scientific reports

|April 15, 2025

概括

对于内血管治疗 (EVT) 患者,UGuard软件在测量缺血核心体积 (ICV) 和半阴影体积 (PV) 中的准确度与RAPID相当. 这两种工具都有效地预测了患者的结果,而UGuard显示了更高的特异性.

科学领域:

神经学神经学
放射学放射学是一门学科.
医疗成像医学成像

背景情况:

精确估计缺血核心体积 (ICV) 和半阴影体积 (PV) 对于内血管治疗 (EVT) 决策和预测患者结果至关重要.
CT输液成像在量化这些指标方面发挥着至关重要的作用.

研究的目的:

为了比较一款新型自动化CT输液软件UGuard的性能,与已建立的输液和扩散快速处理 (RAPID) 软件进行比较.
评估来自两个软件包的ICV和PV测量的协议和预测能力.

主要方法:

使用CT输液数据进行了一项比较研究.
使用UGuard和RAPID软件自动计算ICV和PV.
统计分析包括了协议的类内相关系数 (ICC) 和有利结果的预测性表现的AUC.

主要成果:

在ICV (ICC 0.92) 和PV (ICC 0.80) 测量方面,UGuard表现出与RAPID的强烈一致.
这两种软件包在基于ICV (AUC 0.72与0.70) 预测有利结果方面表现相似,而UGuard表现出更高的特异性.
结合UGuard衍生ICV和PV的模型显示出优异的预测性能,用于EVT后的有利结果.

结论:

UGuard软件从CT输液图像中提供了准确可靠的ICV和PV测量.
UGuard的性能与RAPID相当,为临床使用提供了可行的替代方案.
在接受EVT的患者中,UGuard有效地预测了有利的结果,支持其在治疗计划中的实用性.

关键词:

急性缺血性中风是一次急性缺血性中风.血管内治疗治疗血管内治疗缺血性核心缺血性核心半阴影半阴影半阴影输液成像成像技术的使用.进行血栓切除术 (thrombectomy).

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