A Comparison of Sinus Computed Tomography (CT) Staging Systems for Outcomes Research

A Comparison of Sinus Computed Tomography (CT) Staging Systems for Outcomes Research
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用于结果研究的鼻窦计算机断层扫描 (CT) 分期系统比较

DOI:
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发表时间:
1994
期刊:
影响因子:
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通讯作者:
R. Metson
R. Metson
中科院分区:
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文献类型:
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作者:
R. Gliklich;R. Metson

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鼻窦疾病预后研究的成功将在一定程度上取决于符合严格统计标准的计算机断层扫描(CT)分期系统的使用。这样的分级系统必须证明人口按规模均匀分布,评分者之间和评分者内部的一致性较高,以及无法分类的扫描比例较低。评估了四种推荐的鼻窦CT分类系统的这些参数。每个系统由四名蒙面评分员使用,在两个不同的场合对42次连续的术前CT扫描进行评分。其中一个系统是基于病变的部位,而不是鼻窦混浊的程度,并给出了鼻窦疾病(黏膜增厚2 mm或更大)的明确定义。该系统具有最高的评分者间一致性(κ=0.61,范围=0.38至0.61)和最低的不可分类扫描百分比(0.6%,范围=0.6至14.2%)。这种特殊的鼻窦CT分期系统的统计属性支持将其用于鼻窦疾病的预后研究。
The success of outcomes research for sinus disease will depend in part on the utilization of a computed tomography (CT) staging system that meets rigorous statistical criteria. Such a staging system must demonstrate an even distribution of population by scale, a high inter-rater and intra-rater agreement, and a low percentage of unclassifiable scans. Four proposed sinus CT classification systems were evaluated for these parameters. Each system was used by four masked raters to rate 42 consecutive preoperative CT scans on two separate occasions. One of these systems is based on the site of disease rather than the degree of sinus opacification and gives a clear definition of sinus disease (2 mm or greater of mucosal thickening). This system had the highest inter-rater agreement (κ = 0.61, range = 0.38 to 0.61) and the lowest percentage of unclassifiable scans (0.6%, range = 0.6 to 14.2%). The statistical attributes of this particular sinus CT staging system support its use for outcomes research in sinus disease.
DOI: 10.2500/108854186779045593
发表时间: 1995-12
期刊: Allergy proceedings : the official journal of regional and state allergy societies
影响因子: --
作者:
R. Patterson;R. Deswarte;P. Greenberger;L. Grammer;J. Brown;A. Choy
通讯作者: R. Patterson;R. Deswarte;P. Greenberger;L. Grammer;J. Brown;A. Choy