Diagnostic reference levels in interventional neuroradiology procedures - a systematic review.

IF 2.4 3区医学 Q2 CLINICAL NEUROLOGY Neuroradiology Pub Date : 2024-09-07 DOI:10.1007/s00234-024-03445-5

Rogério Lopes, Pedro Teles, Joana Santos

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Abstract

Introduction: The establishment of diagnostic reference levels (DRLs) is challenge for interventional neuroradiology (INR) due to the complexity and variability of its procedures.

Objective: The main objective of this systematic review is to analyse and compare DRLs in fluoroscopy-guided procedures in INR.

Methods: An observational study reporting DRLs in INR procedures, specifically cerebral arteriography, cerebral aneurysm embolisation, cerebral thrombectomy, embolisation of arteriovenous malformations (AVM), arteriovenous fistulas (AVF), retinoblastoma embolisation, and spinal cord arteriography. Comprehensive literature searches for relevant studies published between 2017 and 2023 were conducted using the Scopus, PubMed, and Web of Science databases.

Results: A total of 303 articles were identified through an extensive literature search, with 159 removed due to duplication. The title and abstract of 144 studies were assessed and excluded if they did not meet the inclusion criteria. Thirty-one out of the 144 articles were selected for a thorough full-text screening. Twenty-one articles were included in the review after the complete text screening.

Conclusion: The different conditions of patients undergoing INR procedures pose a barrier to the standardization of DRLs; nevertheless, they are extremely important for monitoring and optimising radiological practices.

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介入神经放射学程序中的诊断参考水平--系统综述。

导言：由于介入神经放射学（INR）手术的复杂性和多变性，确定诊断参考水平（DRLs）是一项挑战：本系统综述的主要目的是分析和比较 INR 中透视引导手术的 DRL：观察性研究报告 INR 手术中的 DRL，特别是脑动脉造影、脑动脉瘤栓塞、脑血栓切除、动静脉畸形 (AVM) 栓塞、动静脉瘘 (AVF)、视网膜母细胞瘤栓塞和脊髓动脉造影。利用 Scopus、PubMed 和 Web of Science 数据库对 2017 年至 2023 年间发表的相关研究进行了全面的文献检索：通过广泛的文献检索，共发现 303 篇文章，其中 159 篇因重复而被删除。对 144 项研究的标题和摘要进行了评估，如果不符合纳入标准，则将其排除。从 144 篇文章中选出 31 篇进行全文筛选。经过全文筛选，21 篇文章被纳入综述：接受 INR 手术的患者情况各不相同，这对 DRL 的标准化构成了障碍；然而，DRL 对于监测和优化放射学实践却极为重要。

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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来源期刊

Neuroradiology 医学-核医学

CiteScore

5.30

自引率

3.60%

发文量

214

审稿时长

4-8 weeks

期刊介绍： Neuroradiology aims to provide state-of-the-art medical and scientific information in the fields of Neuroradiology, Neurosciences, Neurology, Psychiatry, Neurosurgery, and related medical specialities. Neuroradiology as the official Journal of the European Society of Neuroradiology receives submissions from all parts of the world and publishes peer-reviewed original research, comprehensive reviews, educational papers, opinion papers, and short reports on exceptional clinical observations and new technical developments in the field of Neuroimaging and Neurointervention. The journal has subsections for Diagnostic and Interventional Neuroradiology, Advanced Neuroimaging, Paediatric Neuroradiology, Head-Neck-ENT Radiology, Spine Neuroradiology, and for submissions from Japan. Neuroradiology aims to provide new knowledge about and insights into the function and pathology of the human nervous system that may help to better diagnose and treat nervous system diseases. Neuroradiology is a member of the Committee on Publication Ethics (COPE) and follows the COPE core practices. Neuroradiology prefers articles that are free of bias, self-critical regarding limitations, transparent and clear in describing study participants, methods, and statistics, and short in presenting results. Before peer-review all submissions are automatically checked by iThenticate to assess for potential overlap in prior publication.