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首页> 外文期刊>Anticancer Research: International Journal of Cancer Research and Treatment >Nephrometry Scores: The Effect of Imaging on Routine Read-out and Prediction of Outcome of Nephron-sparing Surgery
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Nephrometry Scores: The Effect of Imaging on Routine Read-out and Prediction of Outcome of Nephron-sparing Surgery

机译:肾测定评分:成像对营养术后常规读出与预测的效果

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摘要

Background/Aim: This study investigated the impact of available preoperative imaging on the reliability and predictive accuracy of RENAL and PADUA nephrometry-scoring systems for renal tumors. Patients and Methods: Five urologists determined RENAL and PADUA scores using preoperative imaging data (computed tomography and magnetic resonance imaging) of 100 patients admitted for partial nephrectomy with the following combinations: T0: transverse planes without excretory phase (EP), TC0: transverse and coronal planes without EP, TC1: transverse and coronal planes with EP. Reference standard was obtained by a uro-radiologist. Ischemia time was used as surrogate for surgical complexity. Results: Assignment of EP significantly reduced interobserver-variability among urologists (p0.0001). Predictive accuracy for surgical complexity or correct assignment to nephrometry risk groups did not depend on image planes or EP. Conclusion: Interobserver variability, but not predictive accuracy of nephrometric systems, is affected by additional usage of EP.
机译:背景/目的:本研究调查了可用术前成像对肾肿瘤肾和帕多瓦肾浊度评分系统的可靠性和预测准确性的影响。患者和方法:五个泌尿科医生使用术前成像数据(计算断层扫描和磁共振成像)的肾病和帕多瓦分数100名患者的部分肾切除术,下列组合:T0:横平面没有排泄阶段(EP),TC0:横向没有EP的冠状架,TC1:与EP的横向和冠状平面。由Uro放射科医生获得参考标准。缺血时间用作手术复杂性的替代品。结果:EP的分配显着降低了泌尿科学家之间的interobserver - 变异性(P <0.0001)。对肾小尘风险群体的手术复杂性或正确分配的预测准确性并不依赖于图像飞机或EP。结论:Interobserver变异性,但不是吞咽系统的预测准确性,受到EP的额外使用的影响。

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