放射性发光骨病变的放射性评估的分类在观察者之间和观察者内部缺乏一致性
Taylor J Willenbring1, Sarah M Papa1, Kenneth A Mann1
1Department of Orthopedic Surgery, SUNY Upstate Medical University, 750 E Adams St Attn Orthopedic Surgery, Syracuse, NY, 13201, USA.
BMC musculoskeletal disorders
|July 4, 2025
概括
放射性骨损伤分类在骨科专家中缺乏可靠性和可重现性. 培训水平没有提高一致性,这表明需要改进人工智能应用等诊断工具.
科学领域:
- 整形瘤学 整形瘤学
- 放射学 放射学是一门学科.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 放射性骨损伤需要简洁的放射性描述,以进行有效的评估和治疗.
- 在骨科瘤学中,评估分类系统的观察者间可靠性和观察者内部可重复性至关重要.
研究的目的:
- 评估洛德威克,修改后的洛德威克和埃纳金对放射性骨损伤的分类系统的观察者间可靠性和观察者内部可重现性.
- 确定骨科培训水平是否影响这些分类的可靠性和可重复性.
主要方法:
- 20名参与者使用三种系统对48个辐射发光骨损伤的放射图进行了两次分类.
- 观察者之间的可靠性和观察者内部的可重现性是使用弗莱斯的卡帕和克里多夫的alpha计算的.
- 线性回归分析了训练水平对可重现性的影响.
主要成果:
- 在所有三种分类系统中都观察到观察者间可靠性较差 (共识为39-53%).
- 在观察者内部的可重现性也显示出有限的一致性 (kappa 0.42-0.45).
- 培训水平没有显著影响可重复性;人工智能应用可能会提供改进.
结论:
- 目前对放射性发光骨损伤的分类系统的可靠性和可复制性不佳.
- 分类一致性因病变特征而有所不同,极端等级的协议更好.
- 人工智能可以提高骨损伤的诊断一致性.
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