超声波参数可以预测儿科水缩症中利尿性光扫描的诊断产量吗?
Dheeratama Siripongsatian1,2, Nipaporn Tewattanarat3, Nantaporn Wongsurawat1
1Division of Nuclear Medicine, Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kean, Thailand.
PloS one
|May 19, 2025
概括
超声波 (US) 参数不能预测儿童的非诊断性利尿性光扫描 (DRS) 结果. 然而,US有效地识别了DRS上的阻塞模式,帮助诊断.
科学领域:
- 儿科脏病学 儿科脏病学
- 诊断成像 诊断成像 诊断成像
- 放射学 放射学是一门学科.
背景情况:
- 尿性光扫描 (DRS) 对于诊断儿童的水缩症至关重要.
- 可能会出现非诊断性DRS结果,限制诊断实用性.
- 预测DRS结果可以优化患者选择并减少辐射暴露.
研究的目的:
- 评估脏超声波 (US) 参数是否可以预测非诊断性DRS结果.
- 评估美国参数能够预测暗示阻塞的DRS发现的能力.
- 引导患者选择DRS,并尽量减少不必要的辐射.
主要方法:
- 对67名儿科患者 (1-4岁) 的回顾性分析研究,其中134例脏.
- 将DRS发现与手术前脏US参数进行比较.
- 接收器操作特征 (ROC) 曲线分析美国参数 (脑膜,皮质,骨髓金字塔厚度,前后脏骨盆直径).
主要成果:
- 美国参数对非诊断性DRS结果的预测能力较差 (AUC为0.41-0.61).
- 美国参数显示出在DRS上识别阻塞模式的良好预测能力 (AUC 0.69-0.87).
- 前后脏盆腔直径是美国阻塞最具预测性的参数.
结论:
- 脏US参数不是对儿科患者非诊断DRS结果的可靠预测指标.
- 美国的参数有效地预测了DRS上阻塞的存在,特别是脏骨盆直径.
- 这些发现支持使用US在DRS之前识别潜在阻碍,优化其使用.
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