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受生物启发的彩色多普勒超声心动图技术性能,用于提高胎儿先天性心脏病的诊断精度。

Bio inspired technological performance in color Doppler ultrasonography and echocardiography for enhanced diagnostic precision in fetal congenital heart disease.

作者信息

Zhang Kang, Zhong Jing

机构信息

Department of Ultrasound and Imaging, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei 441000, China.

Department of Ultrasound and Imaging, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei 441000, China.

出版信息

SLAS Technol. 2024 Dec;29(6):100207. doi: 10.1016/j.slast.2024.100207. Epub 2024 Oct 11.

Abstract

The aim of this experiment is to investigate the bioinspired diagnostic performance of color Doppler ultrasound (CDUS) and two-dimensional (2D) echocardiography (ECG) for fetal congenital heart disease (FCHD). The research subjects were 33 expectant mothers with a diagnosis of FCHD at Xiangyang No. 1 People's Hospital between January 2017 and January 2021. The accuracy, sensitivity, and specificity of the two detection techniques were computed to ascertain and compare the diagnostic efficiency after CDUS and ECG examinations of all pregnant women. According to the findings, the prenatal CDUS detection rate was 92.61% higher than the 2D ECG detection rate (64.32%). The CDUS had an accuracy of 93.94%, sensitivity of 93.55%, and specificity of 100%, detecting 29 true positives, 0 false positives, 2 false negatives, and 2 true negatives. At 84.85% accuracy, 88.89% sensitivity, and 80% specificity, the 2D ECG identified 16 true positives, 3 false positives, 2 false positives, and 12 true negatives. There was a statistically significant (P < 0.05) difference between the accuracy, sensitivity, and specificity of 2D ECG and CDUS. In summary, CDUS was more effective than 2D ECG in diagnosing prenatal FCHD, and it also had a lower rate of missed and incorrect diagnoses.

摘要

本实验旨在研究彩色多普勒超声(CDUS)和二维(2D)超声心动图(ECG)对胎儿先天性心脏病(FCHD)的仿生诊断性能。研究对象为2017年1月至2021年1月期间在襄阳市第一人民医院被诊断为FCHD的33名孕妇。计算两种检测技术的准确性、敏感性和特异性,以确定并比较所有孕妇经CDUS和ECG检查后的诊断效率。根据研究结果,产前CDUS检测率为92.61%,高于二维ECG检测率(64.32%)。CDUS的准确率为93.94%,敏感性为93.55%,特异性为100%,检测出29例假阳性、0例假阴性、2例假阴性和2例假阴性。二维ECG的准确率为84.85%,敏感性为88.89%,特异性为80%,识别出16例假阳性、3例假阳性、2例假阳性和12例假阴性。二维ECG与CDUS在准确性、敏感性和特异性方面存在统计学显著差异(P < 0.05)。综上所述,CDUS在产前FCHD诊断中比二维ECG更有效,漏诊和误诊率也更低。

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