切割波弹性图对于糖尿病外围神经病变的诊断价值:初级放射科医生和高级放射科医生之间的比较
Rong-Li Peng1, Yan-Feng Jiang1, Hua-Liang Shen1
1Department of Ultrasound, Shaoxing People's Hospital, The First Affiliated Hospital of Shaoxing University, 568 N Zhongxing Rd, Shaoxing, 312000, China.
BMC medical imaging
|December 30, 2025
概括
剪切波弹性图 (SWE) 与超声波相结合,增强了糖尿病外围神经病变 (DPN) 的诊断,特别是对于初级放射科医生. 这种整合提高了检测DPN的准确性和一致性.
科学领域:
- 医疗成像医学成像
- 神经学 神经学
- 糖尿病学 糖尿病学
背景情况:
- 糖尿病外围神经病变 (DPN) 是一种常见的糖尿病并发症,由于各种症状和主观诊断工具,往往被诊断不足.
- 传统的超声波依赖于操作者,限制了DPN的诊断准确性和一致性.
- 剪波弹性图 (SWE) 量化了组织硬度,提供了提高超声波诊断能力的潜力.
研究的目的:
- 评估SWE与传统超声波的整合是否可以提高DPN的诊断性能.
- 评估联合SWE和超声波对不同经验水平的放射科医生的影响.
主要方法:
- 来自2型糖尿病患者的458个下肢被用超声波和SWE检查.
- 四名放射科医生 (两个初级,两个高级) 独立解释了灰度超声波,SWE和组合图像.
- 使用接收器操作特征 (ROC) 曲线,灵敏度和特异性分析诊断性能.
主要成果:
- 与非DPN组 (25.40 kPa) 相比,DPN组 (37.30 kPa) 的神经硬度显著更高.
- 结合SWE和超声波改善了所有放射科医生的诊断准确度.
- 初级放射科医生显示敏感度显著增加 (25.565%),而高级放射科医生在敏感度或特异性方面没有显著改善.
结论:
- 将SWE与传统超声波相结合,可以提高DPN诊断的准确性.
- 这种组合减少了初级和高级放射科医生之间的绩效差异.
- 作为临床环境中早期和一致的DPN检测的辅助工具,SWE显示出希望.
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