急性憩室炎患者值得重新评估计算机断层扫描报告吗?

IF 1.8 3区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY Digestive Surgery Pub Date : 2024-01-01 Epub Date: 2024-01-10 DOI:10.1159/000536158
Leena-Mari Mäntymäki, Juha Grönroos, Anu Aronen, Jukka Karvonen, Mika Ukkonen
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引用次数: 0

摘要

引言 由于评估急性憩室炎(AD)的病情严重程度对于确定最佳治疗方案和是否需要进行后续检查至关重要,因此我们希望研究首次 CT 报告是否与日间复查报告一致,以及首次报告的价值是否会随着放射科医生经验的变化而改变。方法 纳入来自三级转诊中心的AD连续患者。急诊科的 CT 图像由放射科住院医生或放射科顾问医生进行初步分析,然后由腹部放射科顾问医生进行再次分析。报告之间的差异会被记录下来。结果 在 562 例 AD 患者中,有 439 例重新分析了 CT 图像。在 22 份报告(5.0%)中,最终报告与初始报告有显著差异,20 例患者的治疗方法发生了改变。在无并发症急性憩室炎(UAD)的报告中,4.0%的病例的重新分析改变了最初的评估,而在并发症急性憩室炎(CAD)的报告中,9.1%的病例的重新分析改变了最初的评估。顾问放射科医生和常驻放射科医生之间的比较没有显著差异。结论 虽然住院医生和顾问医生之间没有统计学差异,但由经验丰富的腹部放射顾问医生在正常工作时间重新进行分析时,5% 的病例的最终报告会有显著差异。因此,我们得出结论,在 AD 中重新评估 CT 报告是值得的。
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Is reassessment of Computed Tomography Reports Worthwhile in Acute Diverticulitis?

Introduction: Since the assessment of the disease severity in acute diverticulitis (AD) is of utmost importance to determine the optimal treatment and the need for follow-up investigations, we wanted to investigate whether the first CT report is compatible with daytime reassessment report and whether the value of initial report changes according to the experience of the radiologist.

Methods: Consecutive patients from tertiary referral centre with AD were included. CT images done in the emergency department were initially analysed by either resident radiologists or consultant radiologists and then later reanalysed by consultant abdominal radiologists. Discrepancies between reports were noted.

Results: Of total of 562 patients with AD, CT images were reanalysed in 439 cases. In 22 reports (5.0%) the final report was significantly different from the initial report and management changed in 20 cases. In reports of uncomplicated acute diverticulitis, reanalysis changed initial assessment in 4.0% of the cases and in complicated acute diverticulitis (CAD) in 9.1%. When consultant and resident radiologists were compared, there was no significant difference.

Conclusion: Although no statistical difference could be noted between residents and consultants, the final report was significantly different in overall 5% of the cases when reanalysed at normal working hours by an experienced consultant abdominal radiologist. Therefore, we conclude that reassessment of CT reports is worthwhile in AD.

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来源期刊
Digestive Surgery
Digestive Surgery 医学-外科
CiteScore
4.90
自引率
3.70%
发文量
25
审稿时长
3 months
期刊介绍: ''Digestive Surgery'' presents a comprehensive overview in the field of gastrointestinal surgery. Interdisciplinary in scope, the journal keeps the specialist aware of advances in all fields that contribute to improvements in the diagnosis and treatment of gastrointestinal disease. Particular emphasis is given to articles that evaluate not only recent clinical developments, especially clinical trials and technical innovations such as new endoscopic and laparoscopic procedures, but also relevant translational research. Each contribution is carefully aligned with the need of the digestive surgeon. Thus, the journal is an important component of the continuing medical education of surgeons who want their practice to benefit from a familiarity with new knowledge in all its dimensions.
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