本文選題：CT + 前瞻性心電門(mén)控��； 參考：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:對(duì)CT前瞻性心電門(mén)控技術(shù)診斷先天性心臟病進(jìn)行Meta分析,評(píng)價(jià)在先天性心臟病的診斷價(jià)值。方法:檢索國(guó)內(nèi)外發(fā)表的CT前瞻性心電門(mén)控技術(shù)診斷先天性心臟病的文獻(xiàn)進(jìn)行Meta分析。提取資料,運(yùn)用Meta-disc1.4軟件進(jìn)行異質(zhì)性檢驗(yàn),根據(jù)是否存在異質(zhì)性選用不同的效應(yīng)模型進(jìn)行合并。繪制森林圖,計(jì)算合并后的敏感度、特異度、似然比以及曲線下面積(area under curve,AUC)。納入的文獻(xiàn)的質(zhì)量評(píng)價(jià)根據(jù)Cochrane協(xié)作網(wǎng)的質(zhì)量評(píng)價(jià)工具(Quality Assessment for Diagnostic Accuracy Studies,QUADAS)進(jìn)行。結(jié)果:共12篇文獻(xiàn)被納入,總計(jì)1431處先天性心臟病畸形。CT前瞻性心電門(mén)控技術(shù)對(duì)先天性心臟病診斷靈敏度及特異度均不存在異質(zhì)性,采用固定效應(yīng)模型合并后的總敏感度為0.96(95%CI:0.94~0.97)、總特異度為1(95%CI:1.00~1.00)、陽(yáng)性似然比為365.94(95%CI:231.18~579.26)、陰性似然比0.04(95%CI:0.03~0.05)。SROC曲線下面積為99.86%,Q*指數(shù)=0.9879。結(jié)論:CT前瞻性心電門(mén)控技術(shù)對(duì)診斷先天性心臟病診斷有較高的敏感度和特異度,同時(shí),受試者工作特征曲線下面積較大,對(duì)于先天性心臟病具有較高的和穩(wěn)定的診斷性能。
[Abstract]:Objective: to evaluate the diagnostic value of CT prospective ECG gated technique in the diagnosis of congenital heart disease (CHD) by Meta analysis. Methods: Meta analysis was performed on CT prospective ECG gated diagnosis of congenital heart disease published at home and abroad. The data were extracted, the heterogeneity was tested by Meta-disc1.4 software, and different effect models were selected according to the existence of heterogeneity. The sensitivity, specificity, likelihood ratio and area under the curve were calculated. The quality evaluation of the included documents was conducted according to the quality Assessment for Diagnostic Accuracy study Quadas of the Cochrane collaboration Network. Results: a total of 12 articles were included and 1431 congenital heart malformations. Ct prospective ECG gating technique had no heterogeneity in the diagnostic sensitivity and specificity of congenital heart disease. The total sensitivity, specificity, positive likelihood ratio and negative likelihood ratio of the fixed effect model were 0.96 ~ 95 CI: 0.94 ~ 0.97, 1 ~ 95 CI: 1.00 ~ 1.00 ~ 1.00, 365.945.94 ~ 95CI: 231.181.181 ~ 579.26 and the area under the 0.04(95%CI:0.03~0.05).SROC curve was 99.86Q* ~ 0.9879, respectively. ConclusionThe sensitivity and specificity of the prospective ECG gating technique in the diagnosis of congenital heart disease are high. At the same time, the area under the operating characteristic curve of the subjects is larger, which has a high and stable diagnostic performance for the congenital heart disease.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R816.2;R541.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 趙瑾;李萬(wàn)江;李真林;;70kV聯(lián)合原始數(shù)據(jù)域迭代重建技術(shù)在小兒先天性心臟病CT掃描中的應(yīng)用價(jià)值[J];華西醫(yī)學(xué);2016年08期

2 劉志敏;宋蕾;于彤;高軍;蔣玲;劉勇;彭蕓;;低濃度對(duì)比劑心臟CT掃描方案在兒童中的應(yīng)用[J];首都醫(yī)科大學(xué)學(xué)報(bào);2016年02期

3 程巍;蘭斌;張靜;李真林;余建群;何帥;黎英;;雙源CT大螺距掃描技術(shù)在小兒先天性心臟病診斷的臨床應(yīng)用[J];四川大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2015年02期

4 王華;高劍波;褚雯;蔡巍巍;;超聲聯(lián)合CT診斷復(fù)雜先天性心臟病的價(jià)值探討[J];中華超聲影像學(xué)雜志;2014年02期

5 張曉凡;曾立紅;王志偉;王芳;;128層螺旋CT前門(mén)控技術(shù)在小兒復(fù)雜性先天性心臟病中的應(yīng)用[J];中華放射學(xué)雜志;2013年08期

6 紀(jì)曉鵬;陳立光;王錫明;程召平;聶佩;喬紅艷;李海鷗;楊世鋒;;雙源CT前瞻性心電觸發(fā)大螺距掃描在小兒先天性心臟病診斷中的初步應(yīng)用[J];中華放射學(xué)雜志;2012年10期

7 紀(jì)曉鵬;王錫明;程召平;聶佩;楊世鋒;喬紅艷;張海洲;趙宏磊;;雙源CT前瞻性心電門(mén)控低劑量技術(shù)在小兒先天性心臟病中的應(yīng)用[J];實(shí)用放射學(xué)雜志;2012年03期

8 段艷華;王錫明;程召平;烏大尉;武樂(lè)斌;;雙源CT前瞻性心電門(mén)控心胸聯(lián)合掃描在兒童先天性心臟病診斷中的應(yīng)用[J];中華醫(yī)學(xué)雜志;2012年03期

9 田新華;劉建華;弓婷婷;耿麗莉;孫勇;;256層螺旋CT心電門(mén)控成像在診斷先天性心臟病中的臨床應(yīng)用[J];吉林大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2011年05期

10 呂建利;伊迎春;韓波;張建軍;莊建新;孫毅平;趙立健;王錫明;段艷華;王安彪;李紅昕;;雙源螺旋CT在小兒先天性心臟病診斷中的應(yīng)用價(jià)值[J];山東大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2010年07期

，

本文編號(hào)：1831590