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胎儿腹部成像:美国超声医学学会/美国放射学会指南的效果如何?

Imaging the fetal abdomen: how efficacious are the AIUM/ACR guidelines?

作者信息

Levine D, Callen P W, Goldstein R B, Damato N M, Groffsky J L, Filly R A

机构信息

Department of Radiology, University of California, San Francisco, USA.

出版信息

J Ultrasound Med. 1995 May;14(5):335-41; quiz 375-6. doi: 10.7863/jum.1995.14.5.335.

DOI:10.7863/jum.1995.14.5.335
PMID:7609010
Abstract

This study was performed to evaluate the efficacy of the American Institute of Ultrasound in Medicine/American College of Radiology guidelines for the detection of fetal abdominal abnormalities. In Part 1 of the study, images from 100 fetuses with sonographically diagnosed abdominal anomalies were masked except for one view of the abdominal circumference, stomach, renal area, bladder, and cord insertion. Ninety-six cases were recognized as abnormal by two sonologists. In Part 2, sonograms of 70 normal fetuses and 30 abnormal fetuses were similarly masked and shown to a sonographer and a fourth year radiology resident. Each identified 29 of 30 abnormal cases. Among fetuses with abdominal anomalies detectable at a prenatal diagnostic center, the majority of abnormal fetuses could be identified by evaluation of the five AIUM/ACR recommended views.

摘要

本研究旨在评估美国医学超声学会/美国放射学会指南在检测胎儿腹部异常方面的有效性。在研究的第1部分中,来自100例经超声诊断为腹部异常胎儿的图像被遮挡,仅保留腹围、胃、肾区、膀胱和脐带插入处的一个视图。两位超声科医生将96例识别为异常。在第2部分中,70例正常胎儿和30例异常胎儿的超声图像同样被遮挡,并展示给一名超声检查技师和一名放射科四年级住院医师。两人分别识别出30例异常病例中的29例。在产前诊断中心可检测出腹部异常的胎儿中,通过评估美国医学超声学会/美国放射学会推荐的五个视图,大多数异常胎儿能够被识别出来。

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