慢性硬膜下血肿术后复发的肌理分析价值。

IF 1.4 4区医学 Q4 CLINICAL NEUROLOGY

Journal of Korean Neurosurgical Society Pub Date : 2025-06-16 DOI:10.3340/jkns.2024.0125

Yu Yan, Jianchao Wang, Jincai Fang, Yunnong Song

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引用次数: 0

摘要

目的：质构分析广泛应用于各行各业，也广泛应用于医学。本文旨在探讨肌理分析在慢性硬膜下血肿（CSDH）术后复发中的价值。方法：选取2018年1月至2023年8月在我院住院的CSDH患者173例。所有患者术前均行磁共振成像（MRI）检查。根据CSDH患者术后是否复发分为复发组和不复发组。使用FireVoxel软件（https://firevoxel.org）在MRI平扫过程中，在血肿腔的最大水平上手动圈定感兴趣的区域，并测量纹理参数。采用受试者工作特征曲线分析具有统计学差异的纹理参数。结果：复发组与非复发组的异质性及熵质地参数差异有统计学意义(p)结论：CSDH的质地分析可为判断CSDH患者是否复发提供一种新的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Value of Texture Analysis in Postoperative Recurrence of Chronic Subdural Hematoma.

Objective: Texture analysis is widely used in all walks of life, and also in medicine. This paper aims to discuss the value of texture analysis in postoperative recurrence of chronic subdural hematoma (CSDH).

Methods: A total of 173 patients with CSDH who were hospitalized in our hospital from January 2018 to August 2023 were selected . All the patients underwent magnetic resonance imaging (MRI) examinations before surgery. According to whether patients with CSDH have relapsed after surgery, the patients are divided into recurrence group and non-recurrence group. FireVoxel software (https://firevoxel.org) was used to manually delineate the region of interest on the largest level of the hematoma cavity during MRI plain scans and measure the texture parameters. The texture parameters with statistical difference were analyzed by receiver operating characteristic curve.

Results: Heterogeneity and entropy texture parameters in the recurrence group were statistically different from those in the nonrecurrence group (p<0.05). When the cut-off point of the heterogeneity parameter was 0.284, the sensitivity, specificity, and accuracy of judging whether CSDH relapsed were 83.3%, 80.4%, and 80.7%, respectively.

Conclusion: Texture analysis of CSDH can provide a new method to judge the recurrence of patients with CSDH.

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来源期刊

Journal of Korean Neurosurgical Society 医学-临床神经学

CiteScore

2.90

自引率

6.20%

发文量

109

审稿时长

3-8 weeks

期刊介绍： The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.