儿童放射学中的确定性语言使用:单一机构分析
1Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Journal of the American College of Radiology : JACR
|March 16, 2026
概括
诊断确定性短语 (DCP) 在儿科放射学报告中很常见,根据成像类型,患者年龄和放射科医生的经验,显示出不同的使用情况. 这凸显了对儿科成像不确定性的标准化报告的需要.
科学领域:
- 医疗成像医学成像
- 放射学 放射学是一门学科.
- 儿科医疗保健 儿科医疗保健
背景情况:
- 诊断确定性短语 (DCP) 是放射科医生用来表达对解释的信心.
- 之前的研究表明,在成人放射学中使用DCP的变化.
- 在儿科放射学中使用DCP仍然在很大程度上没有特征.
研究的目的:
- 在儿科放射学报告中描述DCP的使用模式.
- 确定影响DCP频率和可变性的因素.
主要方法:
- 对309,751份儿科成像报告 (2023年10月 - 2024年9月) 的回顾性分析.
- 通过使用自然语言处理 (GPT-4o) 来识别DCP的10,000份报告的随机抽样.
- 评估DCP发生在人口统计,模式,临床环境和放射科医生长度的评估.
主要成果:
- 20.9%的报告包含至少一个DCP;平均频率为每份报告0.27.
- 在MRI,年龄在1-5岁的患者和紧急病例中观察到更高的DCP使用率.
- 职业生涯中期和早期的放射科医生比高级放射科医生更频繁地使用DCP.
结论:
- 儿科放射学中经常使用DCP,具有显著的可变性.
- 影响DCP使用的因素包括成像模式,患者年龄,临床背景和放射科医生的经验.
- 诊断不确定性的变化可能需要标准化方法来报告诊断不确定性.
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