RT期刊文章SR电子T1脑CT的可靠性评估中风神经学家在远程医疗摩根富林明神经学神经学乔FD Lippincott Williams &威尔金斯SP 332 338 10.1212 / WNL OP。首页0 b013e31827f07d0 VO 80是4 A1 Volker Puetz A1 Ulf Bodechtel A1约翰内斯·c·戈贝尔A1 Imanuel Dzialowski A1亚历山大Kunz A1马丁Wolz A1 Hjoerdis Hentschel A1 Thorsten Schultheiss A1杰西卡Kepplinger A1 Hauke施耐德A1触须魏德曼A1克劳迪娅Wojciechowski A1亨氏Reichmann A1 Georg联盟秘书长Ruediger·冯·恩A1 Kummer领军年2013 UL //www.ez-admanager.com/content/80/4/332.abstract AB目的:确定标准的可靠性和治疗影响脑CT评估和量首页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偏差方面> 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
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