虛擬色素內(nèi)鏡在小腸黏膜病損成像中的應(yīng)用價值
發(fā)布時間:2018-06-12 17:00
本文選題:膠囊內(nèi)鏡 + 虛擬內(nèi)鏡 ; 參考:《中國內(nèi)鏡雜志》2015年06期
【摘要】:目的評價虛擬色素內(nèi)鏡在小腸黏膜病損成像中的應(yīng)用價值。方法采用單中心回顧性研究方法,將白光膠囊內(nèi)鏡獲取的49例100處小腸病損圖像,由兩位內(nèi)鏡專家分別在FIC E1、FIC E2、FIC E3及BF 4種條件下重建病損圖像,并與白光膠囊內(nèi)鏡獲取圖像進行比較。K appa系數(shù)評價兩位專家判別結(jié)果的一致性。100處小腸病損包括39處血管病損、49處潰瘍(糜爛)病損及12例處水腫(萎縮)病損。結(jié)果采用FIC E1、FIC E2、FIC E3和BF圖像重建條件后,小腸黏膜病損圖像質(zhì)量提高率分別為77%(77/100)、74%(74/100)、41%(41/100)和39%(39/100),兩位專家之間評價一致性程度分別為89%[k=0.833(P0.001),95%C I:0.741~0.925]、85%[k=0.764(P0.001),95%C I:0.654~0.874]、66%[k=0.486(P0.001),95%C I:0.345~0.627]及79%[k=0.593(P0.001),95%C I:0.438~0.748]。結(jié)論在常規(guī)SBC E-W L對小腸病損成像與表征不直觀情況下,可使用虛擬色素內(nèi)鏡檢查(尤其是FIC E1),可將虛擬色素內(nèi)鏡檢查作為常規(guī)白光SBC E檢查的補充,用以評估難以解讀的內(nèi)鏡圖像。
[Abstract]:Objective to evaluate the value of virtual pigment endoscopy in the imaging of intestinal mucosal lesions. Methods the images of 100 small bowel lesions in 49 cases of 100 cases obtained from Baiguang capsule endoscopy were reconstructed by two endoscope experts under four conditions of FIC E1FIC E2FIC E3 and BF, respectively. In comparison with the image obtained from the endoscopy of Baiguang capsule, the .K appa coefficient was used to evaluate the consistency of the two experts' discriminant results. There were 39 vascular lesions, 49 ulcers (erosion) and 12 edema (atrophy) lesions. 緇撴灉閲囩敤FIC E1,FIC E2,FIC E3鍜孊F鍥懼儚閲嶅緩鏉′歡鍚,
本文編號:2010394
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