Computer assisted interpretation of Tc-99m mercaptoacetyltriglycine diuretic scintigraphy enhances resident performance.
Computer assisted interpretation of Tc-99m mercaptoacetyltriglycine diuretic scintigraphy enhances resident performance.
复制标题
DOI：
10.1097/mnm.0000000000001691
复制
发表时间：
2023-06-01
影响因子：
1.5
通讯作者：
Manatunga, Amita
中科院分区：
文献类型：
--
作者：
Taylor, Andrew T.;Fazlur Rahman, A. K. M.;Folks, Russell D.;Moncayo, Valeria;Savir-Baruch, Bital;Plaxton, Nicholas;Polsani, Aruna;Halkar, Raghuveer K.;Dubovsky, Eva V.;Garcia, Ernest V.;Manatunga, Amita
关键词：
iRENEX是一个软件模块，它结合了科学和临床数据来解释99mTc-巯基乙酰甘油三酯（MAG3）利尿剂研究，并提供其结论的原因。我们的目标是比较iRENEX的解释与专家医生的解释，使用iRENEX来评估住院医生的表现，并确定iRENEX是否可以提高有经验的住院医生的诊断准确性。从存档数据库中随机选择50例疑似梗阻患者（平均年龄±SD， 58.7±15.8岁，60%为女性）的基线和速尿99mTc-MAG3数据，由iRENEX、3名专家读者和4名住院满1年的核医学住院医师独立解释。所有评分者都可以访问扫描数据和包含临床信息的文本文件，并对每个肾脏进行评分，评分范围从+1.0到- 1.0。评分≥0.20为梗阻，评分越高越有信心。+0.19 ~−0.19评分不确定；评分≤- 0.20表示无梗阻。几个月后，居民们用iRENEX重新解释了这些研究。受试者工作特征（ROC）分析和一致性相关系数（CCC）量化一致性。专家的CCC高于居民，分别为0.84和0.39,P < 0.001。当居民用iRENEX重新解释研究时，他们的CCC从0.39提高到0.73,P < 0.001。ROC分析显示，使用iRENEX的居民区分梗阻和非梗阻肾脏的能力显著提高（P = 0.036）。iRENEX的解释与专家的解释相当。iRENEX减少了经验丰富的住院医生之间的观察者之间的差异，并使住院医生和专家的解释更好地达成一致。
iRENEX is a software module that incorporates scintigraphic and clinical data to interpret 99mTc- mercaptoacetyltriglycine (MAG3) diuretic studies and provide reasons for their conclusions. Our objectives were to compare iRENEX interpretations with those of expert physicians, use iRENEX to evaluate resident performance and determine if iRENEX could improve the diagnostic accuracy of experienced residents. Baseline and furosemide 99mTc-MAG3 acquisitions of 50 patients with suspected obstruction (mean age ± SD, 58.7 ± 15.8 years, 60% female) were randomly selected from an archived database and independently interpreted by iRENEX, three expert readers and four nuclear medicine residents with one full year of residency. All raters had access to scintigraphic data and a text file containing clinical information and scored each kidney on a scale from +1.0 to −1.0. Scores ≥0.20 represented obstruction with higher scores indicating greater confidence. Scores +0.19 to −0.19 were indeterminate; scores ≤−0.20 indicated no obstruction. Several months later, residents reinterpreted the studies with access to iRENEX. Receiver operating characteristic (ROC) analysis and concordance correlation coefficient (CCC) quantified agreement. The CCC among experts was higher than that among residents, 0.84, versus 0.39, respectively, P < 0.001. When residents reinterpreted the studies with iRENEX, their CCC improved from 0.39 to 0.73, P < 0.001. ROC analysis showed significant improvement in the ability of residents to distinguish between obstructed and non-obstructed kidneys using iRENEX (P = 0.036). iRENEX interpretations were comparable to those of experts. iRENEX reduced interobserver variability among experienced residents and led to better agreement between resident and expert interpretations.
影响因子：
1.3
作者：
Folks RD;Savir-Baruch B;Garcia EV;Verdes L;Taylor AT
通讯作者：
Taylor AT
影响因子：
1.3
作者：
Folks RD;Manatunga D;Garcia EV;Taylor AT
通讯作者：
Taylor AT
DOI：
10.1007/s00259-012-2151-7
发表时间：
2012-09
影响因子：
9.1
作者：
Garcia, Ernest V.;Taylor, Andrew;Folks, Russell;Manatunga, Daya;Halkar, Raghuveer;Savir-Baruch, Bital;Dubovsky, Eva
通讯作者：
Dubovsky, Eva