Bankier A, Herold C J, Fleischmann D, Janata-Schwatczek K
Universitätsklinik für Radiodiagnostik, L. Boltzman Institut für Radiologische und Physikalische Tumordiagnostik, Wien.
Radiologe. 1998 Apr;38(4):248-55. doi: 10.1007/s001170050351.
Debate about the potential implementation of Spiral-CT in diagnostic algorithms of pulmonary embolism are often focussed on sensitivity and specificity in the context of comparative methodologic studies. We intend to investigate whether additional factors might influence this debate.
On the basis of the current literature and of own experience we study the influence of factors such as availability, acceptance, patient-outcome, and cost effectiveness-studies on the potential implementation of Spiral-CT in diagnostic algorithms of pulmonary embolism. This information is analyzed together with data from comparative methodologic studies.
The factors availability, acceptance, patient-outcome, and cost-effectiveness-studies do have substantial influence on the implementation of Spiral-CT in the diagnostic algorithms of pulmonary embolism. Incorporation of these factors into the discussion might lead to more flexible and more patient-oriented algorithms for the diagnosis of pulmonary embolism.
Availability of equipment, acceptance among clinicians, patient-outcome, and cost-effectiveness evaluations should be implemented into the debate about potential implementation of Spiral-CT in routine diagnostic imaging algorithms of pulmonary embolism.
关于螺旋CT在肺栓塞诊断算法中潜在应用的争论，在比较方法学研究背景下往往聚焦于敏感性和特异性。我们旨在研究是否有其他因素可能影响这一争论。
基于当前文献和自身经验，我们研究诸如可用性、接受度、患者预后以及成本效益研究等因素对螺旋CT在肺栓塞诊断算法中潜在应用的影响。这些信息与比较方法学研究的数据一同进行分析。
可用性、接受度、患者预后以及成本效益研究等因素确实对螺旋CT在肺栓塞诊断算法中的应用有重大影响。将这些因素纳入讨论可能会产生更灵活、更以患者为导向的肺栓塞诊断算法。
设备可用性、临床医生的接受度、患者预后以及成本效益评估应纳入关于螺旋CT在肺栓塞常规诊断成像算法中潜在应用的争论中。
