在朝季节的胸部X射线的放射性发现 1444-1445 H/2023-2024 G:诊断质量和性别差异的解释一致性一致性
Ghadah Sulaiman Alsaleh1, Abdulaziz Almosabahi2, Abdulaziz S Alhomod3,4
1Global Center for Mass Gathering, Ministry of Health, Riyadh 12382, Saudi Arabia.
International journal of environmental research and public health
|September 27, 2025
概括
胸部X射线对于朝圣查是可靠的,但性别差异的解释和结节检测的挑战需要对大规模聚会的协议进行改进.
科学领域:
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
- 医疗成像医学成像
背景情况:
- 大规模集会,如朝圣朝圣,由于患者数量高和呼吸系统疾病风险增加,对放射学服务构成重大挑战.
- 可靠的胸部X射线解释对于管理这些环境中的健康威胁至关重要.
研究的目的:
- 评估哈吉朝圣者的胸部X射线的诊断质量,异常检测率和读者间的一致性.
- 调查在朝期间的放射学发现的解释中基于性别的差异.
主要方法:
- 一项横截面研究分析了来自朝圣医疗机构的2093张胸部X射线.
- 两位放射科医生独立地重新评估了图像的质量,异常 (不透明,结节,心壮,溢出) 和结核病的可能性.
- 统计分析,包括回归,确定了解释不一致的预测因素.
主要成果:
- 89.7%的胸部X射线具有可接受的质量,其中69.2%显示出异常,主要是不透明 (56.4%) 和心壮病 (27.0%).
- 在21.0%的病例中,有放射性怀疑结核病. 放射科医生之间的整体一致性为94.2%.
- 解释不一致与任何异常的存在 (OR=10.67) 和女性性别 (OR=2.97) 有显著的关联.
结论:
- 胸部X射线是哈吉朝圣期间健康查的宝贵工具.
- 解释中的性别差异和评估肺结节的困难表明,大规模聚会的放射性协议需要改进.
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