将死后 CT 上的心胸比率作为泰国人群中心脏肥大的筛查工具。

IF 0.8 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Forensic Imaging Pub Date : 2024-04-15 DOI:10.1016/j.fri.2024.200592
Chowditchapong Pongnaruechit, Panuwat Chutivongse, Koravik Meesilpavikkai
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引用次数: 0

摘要

引言在法医放射学中,根据死后计算机断层扫描(PMCT)图像计算出的心胸比例(CTR)可用于检测心脏肥大。本研究研究了一种新的测量方法,包括前后(AP)和横向的测量,并以泰国人群为参考水平。研究方法获得了116名在尸检前接受过PMCT检查的泰国死者样本。这些人被分为两组:心脏重量正常组和心脏超重组。体重超过平均值加一个标准差的心脏被归入超重组。在六个参考水平上计算 AP 和横向的 CTR。结果 诊断心脏肥大的 CTR 临界值如下:1)T7椎体中段横向的CTR值为0.5(灵敏度为75.6%,特异度为70.6%,ROC曲线下面积为0.81);2)T8椎体中段横向的CTR值为0.49(灵敏度为71%,特异度为81.4%,ROC曲线下面积为0.80)。截断值的选择取决于心脏的位置。AP方向的ROC曲线下面积在0.5-0.7之间,低于横向(0.7-0.9)。
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 cardiothoracic ratio on postmortem CT as a screening tool for cardiomegaly in the Thai population.

Introduction

In forensic radiology, the cardiothoracic ratio (CTR) calculated from postmortem computed tomography (PMCT) images can be used to detect cardiomegaly. In this study, a new measurement method is studied that involves measurement in the anteroposterior (AP) and transverse directions, with a reference level based on the Thai population.

Objective

To screen for cardiomegaly using the CTR calculated from PMCT images.

Research method

A sample size of 116 deceased Thai individuals who underwent PMCT before autopsy was obtained. Individuals were divided into two groups: normal heart weight and overweight heart. Hearts heavier than the mean plus one standard deviation were categorized into the overweight group. The CTR was calculated in both the AP and transverse directions at six reference levels. Receiver operating characteristic curves (ROC) were calculated to determine the CTR cutoff point for the diagnosis of cardiomegaly.

Results

The CTR cutoff values for diagnosing cardiomegaly were as follows: 1) CTR >0.5 in the transverse direction at the mid-vertebra of T7 (sensitivity, 75.6%; specificity, 70.6%; area under the ROC curve 0.81), 2) CTR >0.49 in the transverse direction at the mid-vertebra of T8 (sensitivity 71%, specificity 81.4%, area under the ROC curve 0.80). The selection of the cutoff values depended on the location of the heart. The area under the ROC curve in the AP direction was in the range 0.5-0.7, which is inferior compared to the transverse direction (0.7-0.9).

Conclusion

Calculating the CTR with a reference level on PMCT images can assist in the diagnosis of cardiomegaly.

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来源期刊
Forensic Imaging
Forensic Imaging RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.20
自引率
27.30%
发文量
39
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