评估动脉动脉瘤评估的精度和可靠性,使用计算机断层扫描成像
Robert J Leatherby1, ChunHei Li1, Adelola Oseni2
1St George's Vascular Institute, St George's University Hospital NHS Foundation Trust, London, UK; School of Health & Medical Sciences, City St George's University of London, London, UK.
放射科医生可靠地在CT扫描上评估脏动脉动脉瘤 (SAA) 的直径和化. 其他特征的共识较少,需要在临床和研究环境中谨慎解释.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 动脉动脉瘤 (SAA) 是第三种最常见的腹腔动脉动脉瘤.
- SAA的放射性特征与生长和破裂风险有关.
- 计算机断层扫描 (CT) 对于SAA评估至关重要.
研究的目的:
- 在CT扫描上评估SAA特征的准确性和可靠性的评估.
- 为了确定哪些SAA标准是放射科医生可靠地报告的.
- 通过非放射科医生与专家放射科医生对SAA评估的可靠性进行比较.
主要方法:
- 从2012-2021年对170个SAACT扫描进行了回顾性审查.
- 由两名放射科医生使用一种新型放射学形式进行评估.
- 使用相关系数和科恩·卡帕统计数据,将非专家评估与放射科医生的基线进行比较.
主要成果:
- 对于SAA直径 (r=0.89-0.91),化 (Kappa=0.827) 和之前的干预 (Kappa=1.0) 的高跨放射科医生协议.
- 对SAA存在,化百分比,形态和血栓的适度协议.
- 非专家对直径测量进行了匹配,但对其他SAA特征的一致性较低.
结论:
- 放射科医生在CT上可靠地评估SAA的直径,化和之前的干预.
- 其他SAA特征显示中等到差的协议,需要在研究和实践中谨慎使用.
- 标准化的评估标准对于一致的SAA评估至关重要.
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