...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopedic Research and Reviews >A comparative analysis of radiographer versus radiologist in the diagnosis of rotator cuff tears of the shoulder using ultrasound
【24h】

A comparative analysis of radiographer versus radiologist in the diagnosis of rotator cuff tears of the shoulder using ultrasound

机译：放射科医生与放射科医生的超声诊断肩袖撕裂的对比分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction: Rotator cuff pathology is a commonly encountered shoulder complaint, which is routinely investigated with ultrasound scan. Sensitivities and specificities for detecting tears have been reported to be between 79% and 100%. Our aim was to compare the scans performed by a radiographer versus a radiologist with that of surgery. Patients and methods: This study is a retrospective review of 184 cases over a 12-month period who underwent arthroscopy following an ultrasound scan for cuff disease. Single clinician collected data for cuff pathology based on the scan report and compared to intraoperative findings. StatsDirect was used for statistical analysis to determine sensitivities, specificities, and accuracy. Results: The radiologist had better sensitivity for partial-thickness tears by 33% (95% CI 4.4%–59.9%, P=0.018). The radiographer had better specificity by 24% (CI 11.9%–38.8%, P=0.0001). The radiographer had better accuracy at 55% versus radiologist at 23% and was better at quantifying the size of the tear. Intraoperative change in the plan occurred in 15% of cases in each group. Discussion: Our findings for specificity, sensitivity, and accuracy for full-thickness tears are comparable to the existing literature, but lower than most of the quoted papers for partial-thickness tears. Change in intraoperative plan as a result of differing findings at surgery is equal in each group. We found the radiographer to be better at sizing the full-thickness tears.
机译：简介：肩袖病理是常见的肩关节不适，通常通过超声扫描进行检查。据报道，检测眼泪的敏感性和特异性在79％至100％之间。我们的目的是将放射线技师和放射线技师进行的扫描与手术进行比较。患者和方法：本研究是对12个月内184例超声检查袖带病并进行关节镜检查的病例的回顾性回顾。单个临床医生根据扫描报告收集袖带病理学数据，并与术中发现的结果进行比较。 StatsDirect用于统计分析，以确定敏感性，特异性和准确性。结果：放射科医生对部分厚度眼泪的敏感性更高，为33％（95％CI 4.4％–59.9％，P = 0.018）。放射线照相师的特异性更高，为24％（CI 11.9％–38.8％，P = 0.0001）。放射技师的准确度为55％，而放射科医生的准确度为23％，并且在量化眼泪的大小上也更好。每组中有15％的病例发生了术中计划变更。讨论：我们对全层眼泪的特异性，敏感性和准确性的发现与现有文献相当，但低于大多数引用的部分全层眼泪的论文。每组因手术结果不同而导致的术中计划变化均相等。我们发现射线照相师在确定全层眼泪方面更好。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号