基于传统中医的舌头特征的视觉评估与当前的癌症相比没有癌症史:一个匹配的病例对照研究
Maria Benxia Wu1, Stella Stylianou2, Yong-Kang Wu3
1School of Health and Biomedical Sciences, STEM College, RMIT University, Bundoora, VIC, Australia.
Frontiers in medicine
|February 16, 2026
概括
某些舌头特征,如蜘蛛舌下静脉和牙痕迹,可能表明癌症存在. 然而,由于这项探索性研究的准确性和可靠性有限,这些发现需要进一步验证.
科学领域:
- 综合性瘤学 综合性瘤学
- 传统中国医学 (TCM) 是一种
- 生物标志物发现发现
背景情况:
- 增加癌症存活率需要支持性护理,包括TCM.
- 舌头检查是TCM的一种常规诊断方法.
- 这项研究探讨了癌症幸存者与非癌症患者之间舌头特征的差异.
研究的目的:
- 调查癌症幸存者和没有癌症史的个人之间,视觉评估的舌头特征是否有所不同.
- 为了确定与癌症存在相关的特定舌头特征.
- 评估舌头特征在癌症检测中的潜在诊断效用.
主要方法:
- 一项与60名癌症幸存者和60名对照者的匹配病例对照研究.
- 标准化的舌头照片被盲目的中医医疗从业者分析.
- 使用后勤回归模型和统计测试 (FDR,Fleiss' κ,AUC) 来评估关联,可靠性和歧视.
主要成果:
- 六个舌头特征与癌症存在有关 (FDR q <0.05),包括剥离的涂层,蜘蛛舌下静脉,厚厚的涂层,紫色的身体和牙痕迹.
- 蜘蛛舌下静脉和牙痕迹特别与癌症有关.
- 评价者之间的可靠性轻微至中度 (κ ≈ 0.01-0.48),诊断歧视是适度的 (AUC 0.676-0.736).
结论:
- 在探索性分析中,特定的舌头特征与癌症有关.
- 目前的发现表明诊断效用有限,需要谨慎的解释.
- 用标准化定义进行进一步的研究,评价者培训和更大的前性研究对于临床翻译至关重要.
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