[1]蓝彩凤,刘永峰,林敏,等.三维超声VOCAL技术：一种精确测量子宫肌瘤体积的方法[J].中国医学物理学杂志,2024,41(10):1249-1255.[doi:DOI:10.3969/j.issn.1005-202X.2024.10.009]
　LAN Caifeng,LIU Yongfeng,LIN Min,et al.Three-dimensional ultrasound virtual organ computer-aided analysis technique: an accurate method for uterine myoma volume measurement[J].Chinese Journal of Medical Physics,2024,41(10):1249-1255.[doi:DOI:10.3969/j.issn.1005-202X.2024.10.009]
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三维超声VOCAL技术：一种精确测量子宫肌瘤体积的方法()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
41卷
期数:
2024年第10期
页码:
1249-1255
栏目:
医学影像物理
出版日期:
2024-10-25

文章信息/Info

Title:
Three-dimensional ultrasound virtual organ computer-aided analysis technique: an accurate method for uterine myoma volume measurement
文章编号:
1005-202X（2024）10-1249-07
作者:
蓝彩凤; 刘永峰; 林敏; 李晓连; 李水平
福建医科大学附属龙岩第一医院超声科， 福建 龙岩 364000
Author(s):
LAN Caifeng;  LIU Yongfeng;  LIN Min;  LI Xiaolian;  LI Shuiping
Department of Ultrasound, Longyan First Hospital, Fujian Medical University, Longyan 364000, China
关键词:
子宫肌瘤; 三维超声; VOCAL技术; 二维超声; 肌瘤体积
Keywords:
Keywords: uterine myoma three-dimensional ultrasound virtual organ computer-aided analysis technique two-dimensional ultrasound myoma volume
分类号:
R318；R445.1
DOI:
DOI:10.3969/j.issn.1005-202X.2024.10.009
文献标志码:
A
摘要:
目的：评估二维超声（2D-US）、三维超声VOCAL技术（3D-VOCAL）对子宫肌瘤体积（UMV）测量的精确性。方法：选取2022年10月~2023年4月于福建医科大学附属龙岩第一医院行子宫肌瘤外科手术治疗的患者45例，术前运用2D-US、3D-VOCAL对UMV进行测量，与手术切除后的实际肌瘤体积进行比较，评估两种超声技术测量UMV的准确性及重复性。结果：3D-VOCAL测量肌瘤体积的一致性（ICC=0.992）高于2D-US（ICC=0.976），且3D-VOCAL在不同大小肌瘤中的ICC均高于2D-US（均P<0.001）。2D-US、3D-VOCAL、手术术后3组间UMV测值的体积在最大径<8 cm差异无统计学意义（P>0.05），而3组间在最大径≥8 cm差异有统计学意义（P<0.05）；进一步两两分析显示，在最大径≥8 cm UMV中，2D-US与手术术后的UMV测值差异有统计学意义（P<0.05），3D-VOCAL与手术术后的UMV测值差异无统计学意义（P>0.05）。3D-VOCAL在不同观察者间及观察者内的一致性均优于2D-US。结论：3D-VOCAL对于术前UMV的测量优于2D-US，是一种简便、高效的可靠方法，为临床随访提供理论依据。
Abstract:
Abstract: Objective To evaluate the accuracies of two-dimensional ultrasound (2D-US) and three-dimensional ultrasound virtual organ computer-aided analysis (3D-VOCAL) in measuring uterine myoma volume (UMV). Methods Forty-five patients who underwent surgical treatment for uterine myoma at Longyan First Hospital, Fujian Medical University from October 2022 to April 2023 were selected. Preoperative measurements of UMV were performed using 2D-US and 3D-VOCAL, and the measurement results were compared with the actual UMV after surgical resection to assess the accuracies and repeatabilities of the two ultrasound techniques in measuring UMV. Results The UMV measurement consistency of 3D-VOCAL (ICC=0.992) was higher than that of 2D-US (ICC=0.976), and the ICC values of 3D-VOCAL were higher than those of 2D-US in UM of different sizes (all P<0.001). Statistically significant differences among 2D-US, 3D-VOCAL and postoperative measurement results was found in UM with a maximum diameter ≥8 cm (P<0.05), but not in UMV and UM with a maximum diameter <8 cm (P>0.05), and the further analysis showed that in UM with a maximum diameter ≥8 cm, the UMV measured by 2D-US differed from postoperative measurement results (P<0.05). The differences between 3D-VOCAL measurement results and postoperative measurement results were trivial (P>0.05). There were greater intra- and interobserver agreements by 3D-VOCAL than 2D-US in UMV measurement. Conclusion 3D-VOCAL which is superior to 2D-US in preoperative UMV measurement is a simple, efficient, and reliable method, and it can provide theoretical bases for clinical follow-up.

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备注/Memo

备注/Memo:
【收稿日期】2024-05-12 【基金项目】福建省自然科学基金（2023J011899） 【作者简介】蓝彩凤，主治医师，研究方向：妇产及心脏超声，E-mail: 39415756@qq.com 【通信作者】李水平，硕士，副主任医师，研究方向：腹部妇科浅表及超声介入，E-mail: caolina2016@163.com
更新日期/Last Update: 2024-10-29