关于计算机断层扫描和手术在识别副甲状腺病理方面的协议的前性研究
Megan Boszko1, Richard Burgess1, Matthew Paek2
1Chesapeake Veterinary Surgical Specialists, Annapolis, Maryland, USA.
概括
宫CT扫描显示,在患有原发性副甲状腺症的狗中,副甲状腺位置的外科研究结果与宫CT扫描高度一致. 然而,CT对腺体大小的准确性较低,双边探索对诊断至关重要.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 诊断成像 诊断成像 诊断成像
- 内分泌学 在内分泌学.
背景情况:
- 术前成像对于在患有原发性副甲状腺症的狗中定位异常的副甲状腺腺体至关重要.
- 现有的成像方法与外科发现有显著差异 (高达19%),影响诊断准确度.
研究的目的:
- 为了评估宫计算机断层扫描 (CT) 和对狗初级甲状腺功能障碍的手术发现之间的诊断一致性.
- 为了比较CT在确定副甲状腺横向性,位置和大小的准确性与手术结果.
主要方法:
- 20只怀疑患有原发性副甲状腺功能障碍的客户拥有的狗接受了宫CT扫描.
- 经过董事会认证的放射科医生的CT解释与双边宫检查的外科发现进行了比较.
- 在统计学上,使用Cohen's kappa对横度/位置和Lin's concordance对应系数对尺寸进行了评估.
主要成果:
- 在CT和副甲状腺横向性 (κ = 0.81) 和位置 (κ = 0.92) 的手术之间观察到近乎完美的一致性.
- 对于腺体大小 (CCC = 0.38) 发现了公平的协议,这表明CT精确测量尺寸的能力受到限制.
- 在手术期间,有5例病理组织 (甲状腺或甲状腺) 在手术前的CT扫描中无法识别.
结论:
- 宫CT提供了比超声波更好的协议,用于诊断犬类甲状腺病理的某些方面.
- 尽管CT在局部化中的实用性,但其在尺寸评估中的局限性和错过发现的可能性需要继续进行双边宫探测,以确定初级甲状腺功能增强症的诊断和治疗.
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