在患者中CT报告系统的比较进行胸腔计算机断层扫描COVID-19肺炎患者
Uğur Bozlar1, Hatice Merve Sahin1, Cantürk Tasci2
1Department of Radiology, Gulhane Education and Research Hospital, University of Health Sciences, Ankara, Turkey.
Acta clinica Croatica
|October 6, 2025
概括
通过比较三个COVID-19计算机断层扫描 (CT) 报告系统RSNA,BSTI和CO-RADS,没有发现任何单一系统具有明显的优势. 所有系统在对疑似或确诊COVID-19的患者进行分类时都表现出类似的准确性.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 计算机断层扫描 (CT) 在诊断COVID-19中起着至关重要的作用.
- 有几个报告系统存在,以标准化COVID-19的CT发现.
- 将这些系统进行比较对于临床实践和研究至关重要.
研究的目的:
- 为了比较COVID-19的三个常见CT报告系统的性能:RSNA共识,BSTI指南和CO-RADS.
- 评估每个系统对胸部CT扫描进行分类的准确性和一致性.
- 确定任何系统在患者分类中是否具有明显的优势.
主要方法:
- 对3000次连续胸部CT扫描的回顾性分析,来自疑似,确诊或随访COVID-19患者.
- 将CT考试分配到RSNA,BSTI和CO-RADS报告系统中的适当类别.
- 在三个系统中对分类结果进行统计比较,与PCR结果相关联.
主要成果:
- 显著的比例的聚合酶连锁反应 (PCR) 阳性病例显示没有CT发现表明所有系统的感染 (RSNA: 40.7%,CO-RADS: 40.1%).
- 肺部发现的COVID-19诊断病例数量最高,所有系统都属于典型/经典/CO-RADS 5类.
- 对于可能的COVID-19感染 (BSTI和CO-RADS4) 的PCR阳性和PCR阴性病例之间没有发现显著差异.
- 典型的胸部CT检测结果在所有分类的同样数量的个体中被发现,但PCR结果是负的.
结论:
- RSNA,BSTI和CO-RADS报告系统在对COVID-19患者进行分类时表现出类似的准确性.
- 没有一个单一的报告系统在其他系统上显示出明显的优势.
- 这三种系统都有效地对患者进行了分类,确保了诊断评估的类似准确性.
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