CAJ | 학술논문

目的：研究临床信息对于影像学医生CT报告的临床影响。方法收集2013年1月-2013年10月该院行头部、胸腹部以及盆腔CT扫描检查的患者142例，采用盲法阅片和CT报告，分析CT报道结果。结果该组142例患者中，57例（40.14%）患者因获取临床信息而导致诊断报告改变，3名医生的CT报告更改率分别为17.86%、17.14%、20.07%，不同医生的报告改变率差异无统计学意义（P>0.05）；经随访显示有45例(78.95%)临床诊断报告更为准确；另12例(21.05%)报告更改不准确。结论临床信息可导致影像医生的CT报告改变，影像信息结合准确可靠的临床信息有利于提高影像诊断准确率。
목적：연구림상신식대우영상학의생CT보고적림상영향。방법수집2013년1월-2013년10월해원행두부、흉복부이급분강CT소묘검사적환자142례，채용맹법열편화CT보고，분석CT보도결과。결과해조142례환자중，57례（40.14%）환자인획취림상신식이도치진단보고개변，3명의생적CT보고경개솔분별위17.86%、17.14%、20.07%，불동의생적보고개변솔차이무통계학의의（P>0.05）；경수방현시유45례(78.95%)림상진단보고경위준학；령12례(21.05%)보고경개불준학。결론림상신식가도치영상의생적CT보고개변，영상신식결합준학가고적림상신식유리우제고영상진단준학솔。
Objective To investigate the influence of clinical information on medical CT image report. Methods 142 cases under-went head, chest and abdomen and pelvic CT scan in our hospital between January and October 2013 were collected. The blind reading and CT reports were used to analyze the results of CT report. Results Of the 142 cases in this group, the diagnostic reports of 57 cases (40.14%) were changed due to access to clinical information, the CT report change rate of 3 doctors was 17.86%, 17.14% and 20.07%, respectively, and there was no significant difference in the report change rate between different doctors (P>0.05);the follow-up showed that the clinical diagnostic reports of 45 cases(78.95%) were more accurate;the report change of other 12 cases (21.05%) were inaccurate. Conclusion Clinical information can lead to the changes in CT reports of image doctors, im-age information combined with accurate and reliable clinical information will help to improve the accuracy of imaging diagnosis.