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Radiology：非放射科医生看片子需不需要计算机辅助诊断系统呢？

2018-02-17 shaosai MedSci原创

计算机辅助诊断系统肺结节CT
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本研究旨在评估计算机辅助诊断（CAD）系统在胸部层析成像检出肺结节的价值，并将结果发表在Radiology上。

本研究旨在评估计算机辅助诊断（CAD）系统在胸部层析成像检出肺结节的价值，并将结果发表在Radiology上。

本研究共纳入了50例有肺结节及50例无肺结节并同日行胸部层析成像和多层螺旋CT的患者。由15名观察者（5名内科住院医、5名胸部放射科医生和5名腹部放射科医生）独立地评价100名患者有无肺结节，首次无CAD进行辅助，然后再纳入CAD进行诊断。以多层CT图像作为参考标准。利用ROC曲线进行统计学分析。

联合CAD，15名观察者的诊断能力要明显高于无CAD辅助时的表现（FOM， 0.74 vs 0.71； P = .02）。联合CAD平均真阳性率和假阳性率分别为0.47、0.20。进一步分析是，内科住院医联合CAD时的诊断能力要高于无CAD辅助时的诊断能力(FOM， 0.70 vs 0.62； P = .001)，然而对于胸部放射科医生和腹部放射科医生，联合CAD的FOM值较高但无统计学差异0.80vs.0.78 (P = .38)、0.74 vs. 0.73 (P = .65)。

本研究表明，CAD能够显着提高内科住院医生胸部层析成像图像中检出肺结节，但却只能够对胸部及腹部放射科医生提供少许帮助。

原始出处：

Yamada Y， Shiomi E， Hashimoto M. et al.Value of a Computer-aided Detection System Based on Chest Tomosynthesis Imaging for the Detection of Pulmonary Nodules.Radiology.DOI： 10.1148/radiol.2017170405

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    2018-02-19 12498f17m66暂无昵称

    #放射科医生#

    0

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    2018-03-13 bioon14

    #计算机#

    0

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    2018-10-02 lidong40

    #放射科#

    0

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    2018-02-18 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1985893, encodeId=b062198589383, content=<a href='/topic/show?id=12e55e395e8' target=_blank style='color:#2F92EE;'>#放射科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57395, encryptionId=12e55e395e8, topicName=放射科医生)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5742500212, createdName=12498f17m66暂无昵称, createdTime=Mon Feb 19 15:22:00 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1716389, encodeId=1fca1e1638911, content=<a href='/topic/show?id=d68d911542f' target=_blank style='color:#2F92EE;'>#计算机#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91154, encryptionId=d68d911542f, topicName=计算机)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=def632217870, createdName=bioon14, createdTime=Tue Mar 13 17:22:00 CST 2018, time=2018-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1927211, encodeId=14a3192e211a6, content=<a href='/topic/show?id=7ca65e394f5' target=_blank style='color:#2F92EE;'>#放射科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57394, encryptionId=7ca65e394f5, topicName=放射科)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6da1120, createdName=lidong40, createdTime=Tue Oct 02 17:22:00 CST 2018, time=2018-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288916, encodeId=6da728891609, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sun Feb 18 12:11:23 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288798, encodeId=5c9d288e982c, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a8f22260741, createdName=121832a9m88暂无昵称, createdTime=Sun Feb 18 03:27:19 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288792, encodeId=18e3288e9218, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Sun Feb 18 03:23:43 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288779, encodeId=4e7f288e7969, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Sun Feb 18 00:27:27 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288771, encodeId=f7c8288e71f0, content=了解了解.学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Sun Feb 18 00:16:07 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288754, encodeId=81cc288e5426, content=CAD能够显着提高内科住院医生胸部层析成像图像中检出肺结节.但却只能够对胸部及腹部放射科医生提供少许帮助., beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Sat Feb 17 22:35:33 CST 2018, time=2018-02-17, status=1, ipAttribution=)]
    2018-02-18 121832a9m88暂无昵称

    学习了

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1985893, encodeId=b062198589383, content=<a href='/topic/show?id=12e55e395e8' target=_blank style='color:#2F92EE;'>#放射科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57395, encryptionId=12e55e395e8, topicName=放射科医生)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5742500212, createdName=12498f17m66暂无昵称, createdTime=Mon Feb 19 15:22:00 CST 2018, time=2018-02-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1716389, encodeId=1fca1e1638911, content=<a href='/topic/show?id=d68d911542f' target=_blank style='color:#2F92EE;'>#计算机#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91154, encryptionId=d68d911542f, topicName=计算机)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=def632217870, createdName=bioon14, createdTime=Tue Mar 13 17:22:00 CST 2018, time=2018-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1927211, encodeId=14a3192e211a6, content=<a href='/topic/show?id=7ca65e394f5' target=_blank style='color:#2F92EE;'>#放射科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57394, encryptionId=7ca65e394f5, topicName=放射科)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6da1120, createdName=lidong40, createdTime=Tue Oct 02 17:22:00 CST 2018, time=2018-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288916, encodeId=6da728891609, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sun Feb 18 12:11:23 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288798, encodeId=5c9d288e982c, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a8f22260741, createdName=121832a9m88暂无昵称, createdTime=Sun Feb 18 03:27:19 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288792, encodeId=18e3288e9218, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Sun Feb 18 03:23:43 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288779, encodeId=4e7f288e7969, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Sun Feb 18 00:27:27 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288771, encodeId=f7c8288e71f0, content=了解了解.学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Sun Feb 18 00:16:07 CST 2018, time=2018-02-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288754, encodeId=81cc288e5426, content=CAD能够显着提高内科住院医生胸部层析成像图像中检出肺结节.但却只能够对胸部及腹部放射科医生提供少许帮助., beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Sat Feb 17 22:35:33 CST 2018, time=2018-02-17, status=1, ipAttribution=)]
    2018-02-18 秀红

    学习了

    0

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    2018-02-18 orangesking

    好

    0

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    2018-02-18 1dd8c52fm63(暂无匿称)

    了解了解.学习学习

    0

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    2018-02-17 有备才能无患

    CAD能够显着提高内科住院医生胸部层析成像图像中检出肺结节.但却只能够对胸部及腹部放射科医生提供少许帮助.

    0