Rosenkrantz Andrew B, Mendiratta-Lala Mishal, Bartholmai Brian J, Ganeshan Dhakshinamoorthy, Abramson Richard G, Burton Kirsteen R, Yu John-Paul J, Scalzetti Ernest M, Yankeelov Thomas E, Subramaniam Rathan M, Lenchik Leon
Department of Radiology, NYU Langone Medical Center, 550 First Avenue, New York, NY 10016.
Henry Ford Hospital, Abdominal and Cross-sectional Interventional Radiology, Detroit, Michigan.
Acad Radiol. 2015 Jan;22(1):33-49. doi: 10.1016/j.acra.2014.08.011. Epub 2014 Oct 22.
Quantitative imaging (QI) is increasingly applied in modern radiology practice, assisting in the clinical assessment of many patients and providing a source of biomarkers for a spectrum of diseases. QI is commonly used to inform patient diagnosis or prognosis, determine the choice of therapy, or monitor therapy response. Because most radiologists will likely implement some QI tools to meet the patient care needs of their referring clinicians, it is important for all radiologists to become familiar with the strengths and limitations of QI. The Association of University Radiologists Radiology Research Alliance Quantitative Imaging Task Force has explored the clinical application of QI and summarizes its work in this review. We provide an overview of the clinical use of QI by discussing QI tools that are currently used in clinical practice, clinical applications of these tools, approaches to reporting of QI, and challenges to implementing QI. It is hoped that these insights will help radiologists recognize the tangible benefits of QI to their patients, their referring clinicians, and their own radiology practice.
定量成像(QI)在现代放射学实践中的应用日益广泛,有助于对许多患者进行临床评估,并为一系列疾病提供生物标志物来源。QI通常用于指导患者的诊断或预后评估、确定治疗方案的选择或监测治疗反应。由于大多数放射科医生可能会应用一些QI工具来满足转诊临床医生对患者的护理需求,因此所有放射科医生熟悉QI的优势和局限性非常重要。大学放射科医生协会放射学研究联盟定量成像特别工作组探讨了QI的临床应用,并在本综述中总结了其工作。我们通过讨论目前临床实践中使用的QI工具、这些工具的临床应用、QI报告方法以及实施QI面临的挑战,对QI的临床应用进行了概述。希望这些见解将有助于放射科医生认识到QI对其患者、转诊临床医生以及自身放射学实践的切实益处。