改善对CT恶性中央航空障碍的识别和报告:需要标准化术语和结构化报告
Catharine Pearce1, Daniel Crowle1, Richard Riordan2
1Department of Respiratory Medicine, University Hospitals Plymouth NHS Trust, Plymouth, GBR.
Cureus
|February 23, 2026
概括
恶性中央气道阻塞 (CAO) 在肺癌患者中很常见,但在CT扫描中往往没有报告. 需要标准化的报告和改进的术语,以便更好地识别和照顾患者.
科学领域:
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 恶性中央气道阻塞 (CAO) 是肺癌的一个重要并发症.
- 如果不及时识别CAO,可能导致严重的发病率.
- 在计算机断层扫描 (CT) 扫描中,CAO经常被低估.
研究的目的:
- 评估肺癌患者中 CAO 的报告频率和术语.
- 评估CAO报告在不同时间段的一致性.
- 确定 CAO 检测和文档的改进领域.
主要方法:
- 对2014年,2019年和2020年肺癌基线CT扫描的回顾性审查.
- 放射性CAO (>50%阻塞) 的干预性肺病学团队对CT扫描的评估.
- 使用R Studio和整洁文本从叙事CT报告中提取和分析描述CAO的关键词.
主要成果:
- 13%的新肺癌诊断 (140/1,096) 呈现出严重的CAO.
- 只有72% (97/135) 的可用CT报告的病例报告了CAO.
- 具体的短语"中央气道阻塞"或"CAO"在任何CT报告中都没有使用,表明缺乏标准化术语.
结论:
- 在CT扫描中未报告的CAO是一个重大问题.
- 在CT报告中用来描述CAO的术语是可变的和非标准化的.
- 采用标准化报告和精细化关键词可以改善CAO的识别和报告.
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