放射科住院医师与放射科医师对头部肿块患者脑MRI解释的一致性与不一致性

Q4 Medicine
Khadeeja Anwar, Abdullah Safi, Hadia Abid, Irfanullah Khan, Umar Anwar, Talha Anwar, Anisa Sundal
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引用次数: 0

摘要

头部肿块的诊断包括临床检查、神经学征象和放射影像学检查。MRI是详细评估肿瘤、肿瘤范围和治疗方案的首选成像工具。目的:探讨住院医师与会诊医师对脑肿块MRI(磁共振成像)解释的一致与不一致程度。方法:横断面研究在白沙瓦Rehman医学研究所放射科进行。采用简单随机抽样,采用kappa系数(Donner and Rotondi) n=100计算样本量。采用前瞻性分析方法对两年内来放射科就诊的100例患者的放射学报告进行评估。比较了高级住院医师和顾问的报告。所有术前患者不论年龄或性别均纳入研究。数据收集并记录在专门设计的表格上,输入Microsoft excel,并使用SPSS (Version 22.0)进行分析。IBM Corp.,纽约州阿蒙克市)。结果:对58例男性和42例女性患者的MRI脑报告进行了评估。最常见的肿瘤是胶质瘤,占肿瘤总数的52%。转移是第二常见的肿瘤,占16%,脑膜瘤占15%,垂体瘤占10%,前庭神经鞘瘤占7%。不同肿块的一致性、不一致性和Cohen’s Kappa值均为胶质瘤。(一致性=88.46%,不一致性=11.54%,k=0.336)、脑膜瘤(一致性=86.66%,不一致性=13.34%,k=0.423)、转移瘤(一致性=81.25%,不一致性=18.75%,k=0.294)、垂体瘤(一致性=80%)不一致性=20%,k=0.375)和前庭神经鞘瘤(一致性=85.71%,不一致性= 14.29%,k=0.588)。结论:老年住院医师与放射科顾问医师对MRI脑肿块的报告无统计学差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Concordance and Discordance between Radiology Resident’s and Radiologist’s Interpretation of Brain MRI in Patients with Head Masses
Diagnosis of head masses involves clinical examination, neurological signs, and radiological imaging. MRI is the preferred imaging tool for detailed assessment of tumor, its extent and treatment plan. Objective: To find the level of concordance and discordance between radiology resident’s and consultant’s interpretation of MRI (Magnetic Resonance Imaging) done for brain masses. Methods: A cross sectional study was conducted at the radiology department of Rehman Medical Institute, Peshawar. Simple random sampling was done and sample size was calculated using kappa coefficients (Donner and Rotondi) n=100. 100 patients who visited department of Radiology over a period of two years were assessed by prospective analysis of their radiology reports. Senior resident’s and consultant’s reports were compared. All pre-op patients were included irrespective of age or gender. Data were collected and recorded on a specially designed proforma and entered into Microsoft excel and analyzed using SPSS (Version 22.0. IBM Corp., Armonk, NY). Results: MRI brain reports of 58 male and 42 female patients were evaluated. The most common tumors were gliomas, making up 52% of the total tumors. Metastasis being second most common tumor making 16%, meningiomas in 15%, pituitary tumors in 10% and vestibular schwannomas in 7% of the patients. Concordance, discordance, and Cohen’s Kappa values in different masses were gliomas. (Concordance=88.46%, Discordance=11.54%, k=0.336), Meningiomas (Concordance=86.66%, Discordance=13.34%, k=0.423), Metastasis (Concordance=81.25%, Discordance=18.75%, k=0.294), Pituitary Tumors (Concordance=80%) Discordance=20%, k=0.375) and Vestibular Schwannomas (Concordance=85.71%, Discordance= 14.29% k=0.588). Conclusions: There was no statistically significant difference between senior resident’s and consultant radiologist’s report of MRI brain masses.
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来源期刊
Pakistan Journal of Medical & Health Sciences
Pakistan Journal of Medical & Health Sciences MEDICINE, GENERAL & INTERNAL-
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期刊介绍: Pakistan Journal of Medical and Health Sciences is an international biomedical journal from Pakistan. We publish materials of interest to the practitioners and scientists in the broad field of medicine. Articles describing original qualitative, quantitative, human/animal clinical or laboratory studies are considered for publication.
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