超声波与磁共振成像功能在诊断胎盘积:一个系统的审查和元分析
Cong Li1, Ying Chen2, Yang Gao3
1Ultrasonography, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
European journal of radiology
|April 19, 2025
概括
这次元分析发现,超声波和MRI在诊断胎盘增生谱 (PAS) 疾病方面具有相似的准确性. 个人成像发现不足以进行独立的PAS诊断.
科学领域:
- 放射学和成像学 放射学和成像学
- 产科和妇科 产科和妇科
- 医学诊断 医学诊断 医学诊断
背景情况:
- 胎盘积分谱 (PAS) 障碍在怀孕期间存在重大风险.
- 准确的产前诊断对于有效的管理和改善母亲的结果至关重要.
- 超声波和MRI都用于PAS检测,但它们的比较准确性需要彻底评估.
研究的目的:
- 综合分析超声波和MRI诊断的准确性,以发现胎盘积分谱 (PAS) 疾病.
- 评估PAS检测这些模式内的独立成像发现的诊断性能.
- 提供关于PAS成像现有证据的元分析综合.
主要方法:
- 在主要数据库 (PubMed,科学网,Embase,Cochrane图书馆,谷歌学者) 进行了系统的文献搜索,截至2025年1月1日.
- 包括比较怀孕妇女怀疑PAS障碍的超声波和MRI的研究.
- 计算了聚合的灵敏度,特异性,诊断几率比率 (DOR) 和接收器运行特征 (ROC) 曲线. 使用科克兰Q和I2统计数据评估异质性,并采用元回归和子组分析.
主要成果:
- 分析包括了30项涉及1989年孕妇的研究.
- 超声波显示PAS诊断的灵敏度为0.87和特异性为0.83.
- 核磁共振扫描显示了可比的诊断准确度,灵敏度为0.87,特异性为0.84. 特定的发现,如胎盘内缺口 (超声波,AUC 0.76) 和胎盘膨胀 (MRI,AUC 0.89),显示出不同的诊断能力.
结论:
- 超声波和MRI对胎盘积谱 (PAS) 疾病的诊断准确度相似.
- 任何一种模式的单个放射性发现都不足以确定PAS的最终独立诊断.
- 在临床背景下,对成像检测结果的综合解释对于准确的PAS诊断至关重要.
更多相关视频
09:52Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye
Published on: September 5, 2011
26.7K
09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
Published on: March 21, 2018
19.5K
相关概念视频
01:24Magnetic Resonance Imaging
4.8K
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
4.8K
01:17Ultrasonography
4.2K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.2K
01:20Ultrasound I: Abdominal Ultrasonography
122
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
122