Observer variation in the clinical and radiological assessment of hepatosplenomegaly.
作者信息
Blendis L M, McNeilly W J, Sheppard L, Williams R, Laws J W
出版信息
Br Med J. 1970 Mar 21;1(5698):727-30. doi: 10.1136/bmj.1.5698.727.
Abstract
The size of the liver and spleen of 32 patients was assessed by four clinicians from a clinical examination and by four radiologists from a plain radiograph of the abdomen. The latter assessment was found to be subject to less variation than the former, particularly in regard to the liver. Large livers and spleens were more easily seen radiologically than small ones. Most of the variation among the radiologists arose because of the 6% and 24% of cases in which the liver and spleen, respectively, were poorly seen on the radiograph. It is concluded that a plain radiograph of the abdomen, including the diaphragm and with the costal margin indicated, is a useful adjunct to clinical examination.
摘要
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本文引用的文献
1
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2
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Am J Roentgenol Radium Ther Nucl Med. 1964 Apr;91:903-9.
3
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Australas Ann Med. 1953 May;2(1):78-80. doi: 10.1111/imj.1953.2.1.78.
4
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Proc R Soc Med. 1952 Sep;45(9):577-84.
5
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Lancet. 1952 Sep 13;2(6733):505-9. doi: 10.1016/s0140-6736(52)90291-2.
6
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Proc R Soc Med. 1969 Aug;62(8):794-6. doi: 10.1177/003591576906200808.
7
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8
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9
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