爱尔兰介入放射学和透视使用趋势：多中心分析（2018-2023）

IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography Pub Date : 2025-05-29 DOI:10.1016/j.radi.2025.102991

M. O'Connor, A. Whelan

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引用次数: 0

摘要

本研究解决了关于爱尔兰当代透视（FL）和介入放射学（IR）应用趋势的重大知识差距。具体而言，它旨在(1)评估2018年至2023年间成人FL和IR使用的年度趋势，(2)分析年龄分层的使用模式，以及(3)确定最常执行的程序。方法回顾性、多中心分析使用了来自爱尔兰国家综合医学成像系统的数据，其中包括爱尔兰五个卫生服务执行集团的10家公立医院。该数据集包括成人FL、透视引导下的IR和术中透视（TH）。检查按解剖区域和手术目的进行分类。分析了年度数量和特定程序的利用情况。多项式回归评估时间趋势，卡方检验评估年龄分布差异。结果共记录检查141,958例。IR（44.21%）和TH（44.58%）占多数；FL占11.21%。总体数量呈现非线性趋势：下降19%（2018-2020年），随后增长33.6%（2020-2023年）。在大流行期间，IR受到的干扰最小，2020年仅下降5.3%。血管造影、PICC插入和疼痛注射是最常见的IR手术，而吞咽研究占主导地位。在60-69岁年龄组中观察到最高的使用率，不同年龄队列的手术类型有显著差异。本研究首次对爱尔兰的FL和IR趋势进行了全面分析，强调大流行后IR和手术室成像增加，FL使用下降，与全球趋势一致。对实践的启示这些见解支持明智的政策、规划和服务开发。

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Interventional radiology and fluoroscopy utilisation trends in Ireland: A multi-centre analysis (2018–2023)

Introduction

This study addressed a significant knowledge gap regarding contemporary utilisation trends of fluoroscopy (FL) and interventional radiology (IR) in Ireland. Specifically, it aimed to (1) evaluate annual trends in adult FL and IR usage between 2018 and 2023, (2) analyse age-stratified utilisation patterns, and (3) identify the most frequently performed procedures.

Methods

A retrospective, multi-centre analysis used data from the National Integrated Medical Imaging System, incorporating ten public hospitals across five Health Service Executive groups in Ireland. The dataset comprised adult FL, fluoroscopically guided IR, and intraoperative fluoroscopy in theatre (TH). Examinations were categorised by anatomical region and procedural intent. Annual volumes and procedure-specific utilisation were analysed. Polynomial regression assessed temporal trends, and Chi-square tests evaluated age distribution differences.

Results

A total of 141,958 examinations were recorded. IR (44.21 %) and TH (44.58 %) comprised the majority; FL accounted for 11.21 %. Overall volumes showed a nonlinear trend: a 19 % decline (2018–2020) followed by a 33.6 % increase (2020–2023). IR was the least disrupted during the pandemic, decreasing only 5.3 % in 2020. Angiograms, PICC insertions, and pain injections were the most common IR procedures, while swallow studies dominated FL. Peak utilisation was observed in the 60–69 age group, with significant variation in procedure types across age cohorts.

Conclusion

This study provides the first comprehensive analysis of FL and IR trends in Ireland, highlighting increasing IR and theatre imaging post-pandemic, and declining FL usage, in line with global trends.

Implications for practice

These insights support informed policy, planning, and service development.

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来源期刊

Radiography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.70

自引率

34.60%

发文量

169

审稿时长

63 days

期刊介绍： Radiography is an International, English language, peer-reviewed journal of diagnostic imaging and radiation therapy. Radiography is the official professional journal of the College of Radiographers and is published quarterly. Radiography aims to publish the highest quality material, both clinical and scientific, on all aspects of diagnostic imaging and radiation therapy and oncology.