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先进成像技术:应用与误用

Advanced imaging: use and misuse.

作者信息

Lamb Christopher R, David Frédéric H

机构信息

Department of Veterinary Clinical Sciences, The Royal Veterinary College, Hawkshead Lane, North Mymms, Hertfordshire AL9 7TA, UK.

出版信息

J Feline Med Surg. 2012 Jul;14(7):483-97. doi: 10.1177/1098612X12451550.

Abstract

SUMMARY

The primary purpose of diagnostic imaging is to enable clinicians to make correct decisions about a patient's diagnosis and severity of its condition and, thereby, to contribute to effective and efficient treatment. Advanced imaging modalities are inherently better detectors of morphological lesions than radiography; hence, they offer the possibility of more accurate diagnosis and staging, with correspondingly better patient outcomes. However, there is a lack of evidence that better outcomes are being realised for veterinary patients. Furthermore, increased use of advanced imaging carries the possibility of increased misuse, primarily through unnecessary studies that contribute little to patient management other than increased costs.

SCOPE

This article is intended to be relevant to all veterinary species. Advanced imaging of cats is not sufficiently developed as a specific discipline that a balanced review could be based purely on feline examples or references.

摘要

摘要

诊断成像的主要目的是使临床医生能够对患者的诊断及其病情严重程度做出正确决策,从而有助于进行有效且高效的治疗。与传统X线摄影相比,先进的成像方式本质上是更好的形态学病变探测器;因此,它们提供了更准确诊断和分期的可能性,相应地患者预后也更好。然而,目前缺乏证据表明兽医患者能因此获得更好的预后。此外,增加先进成像的使用可能会导致更多的滥用,主要是通过不必要的检查,这些检查除了增加成本外,对患者管理几乎没有帮助。

范围

本文旨在适用于所有兽医物种。猫的先进成像作为一门特定学科尚未得到充分发展,以至于无法纯粹基于猫的实例或参考文献进行全面的综述。

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