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低诊断率与 CT 肺动脉造影高使用者相关。

Association of Lower Diagnostic Yield With High Users of CT Pulmonary Angiogram.

机构信息

Department of Radiology, McGill University Health Centre, Montréal, Québec, Canada.

Clinical Practice Assessment Unit, Department of Medicine, McGill University Health Centre, Montréal, Québec, Canada.

出版信息

JAMA Intern Med. 2018 Mar 1;178(3):412-413. doi: 10.1001/jamainternmed.2017.7552.

DOI:10.1001/jamainternmed.2017.7552
PMID:29309487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5885908/
Abstract

This study examines interphysician variability of diagnostic yield in computed tomographic pulmonary angiogram for pulmonary emboli.

摘要

本研究考察了计算机断层肺动脉造影在诊断肺栓塞中的诊断收益的医师间变异性。

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本文引用的文献

1
RESPECT-ED: Rates of Pulmonary Emboli (PE) and Sub-Segmental PE with Modern Computed Tomographic Pulmonary Angiograms in Emergency Departments: A Multi-Center Observational Study Finds Significant Yield Variation, Uncorrelated with Use or Small PE Rates.RESPECT-ED：急诊科采用现代计算机断层扫描肺动脉造影检测肺栓塞（PE）和亚段PE的发生率：一项多中心观察性研究发现显著的检出率差异，与使用情况或小PE发生率无关。
PLoS One. 2016 Dec 5;11(12):e0166483. doi: 10.1371/journal.pone.0166483. eCollection 2016.
2
Radiation doses to emergency department patients undergoing computed tomography.急诊室接受计算机断层扫描患者的辐射剂量。
CJEM. 2014 Nov;16(6):477-84. doi: 10.1017/s1481803500003493.
3
Variation in the utilization and positivity rates of CT pulmonary angiography among emergency physicians at a tertiary academic emergency department.三级学术急诊科急诊医生对CT肺动脉造影的使用情况及阳性率差异。
Emerg Radiol. 2015 Jun;22(3):221-9. doi: 10.1007/s10140-014-1265-6. Epub 2014 Sep 11.
4
CT pulmonary angiography utilization in the emergency department: diagnostic yield and adherence to current guidelines.急诊科CT肺动脉造影的应用：诊断率及对现行指南的遵循情况
Am J Med Qual. 2015 Nov-Dec;30(6):571-7. doi: 10.1177/1062860614543302. Epub 2014 Jul 18.
5
Emergency department variation in utilization and diagnostic yield of advanced radiography in diagnosis of pulmonary embolus.急诊科在肺栓塞诊断中先进影像学检查的使用及诊断率差异
J Emerg Med. 2014 Jun;46(6):791-9. doi: 10.1016/j.jemermed.2013.12.002. Epub 2014 Mar 11.