TY -的T1 -脑CT的可靠性评价由中风神经学神经学家在远程医疗JF -乔-神经病学SP - 332 LP - 338 - 10.1212 / WNL。首页0 b013e31827f07d0六世- 80 - 4盟Volker Puetz盟Ulf Bodechtel AU -约翰内斯·c·戈贝尔盟Imanuel Dzialowski AU -亚历山大Kunz盟-马丁Wolz盟Hjoerdis Hentschel AU -托尔斯滕Schultheiss AU -杰西卡Kepplinger盟Hauke施耐德AU -触须魏德曼盟克劳迪娅Wojciechowski AU -海因茨Reichmann盟联盟秘书长Ruediger冯- Georg恩盟Kummer领军Y1 - 2013/01/22 UR - //www.ez-admanager.com/content/80/4/332.abstract N2 -目的:确定标准的可靠性和治疗影响脑CT评估和量化与阿尔伯塔省中风早期缺血性变化共同项目早期CT评分(方面)中风神经学家在中风东部萨首页克森网络(SOS-NET),它提供了对急性缺血性中风患者telemedical磋商。方法:连续两个神经放射重新评估所有CT扫描的SOS-NET病人2009年盲法临床信息提供参考标准。我们定义不符CT结果假阳性或假阴性启德和大脑病理结果和方面的偏差在1点。我们随后讨论了临床不符CT发现选取临床信息的影响。加权卡帕(κw)数据被用来确定interobserver协议方面。结果:582名患者,完整的成像数据可供536名患者(351年脑缺血性事件,105年原发性颅内出血,和80年中风模仿)。神经放射检测到不符CT发现43例(8.0%),被评为临床相关的9例(1.7%)。中风神经学家推荐8患者静脉溶栓,尽管广泛的启德集团(≤5)方面。其中一个病人症状性颅内出血。在1 nonthrombolyzed病人,中风神经学家错过了硬脑膜下血肿。 The interobserver agreement on ASPECTS between stroke neurologists and expert readers was substantial (κw = 0.62; 95% confidence interval 0.54–0.71).Conclusions: Clinically relevant misinterpretation of the CT scans was rare in our acute telestroke service. ASPECTS is a reliable tool to assess the extent of EIC by stroke neurologists in telemedicine in real time.ASPECTS=Alberta Stroke Program Early CT Score; DICOM=Digital Imaging and Communications in Medicine; DUSC=Dresden University Stroke Center; ECASS-II=European Cooperative Acute Stroke Study II; EIC=early ischemic changes; HMCA=hyperdense middle cerebral artery; ICH=intracranial hemorrhage; mRS=modified Rankin Scale; NIHSS=NIH Stroke Scale; NPV=negative predictive value; PPV=positive predictive value; sICH=symptomatic intracranial hemorrhage; SOS-NET=Stroke Eastern Saxony Network; TRACTORS=Teleradiology Assessment of Computerized Tomographs Online Reliability Study ER -
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