多田公式法与三维重建法评估脑膜瘤体积的对比研究
Comparative study between Tada formula method and three-dimensional reconstruction method for evaluating meningioma volume
杨鑫 1荔志云 2孙建军 2周杰 1蔡志标 1姚鹏飞1
作者信息
- 1. 中国人民解放军联勤保障部队第九四○医院神经外科,兰州 730000
- 2. 甘肃省中心医院神经外科,兰州 730000
- 折叠
摘要
目的 基于三维重建技术探讨多田公式法评估脑膜瘤体积的准确性与应用价值.方法 回顾性分析2014年1月至2022年5月在联勤保障部队第九四○医院神经外科经手术治疗的297例脑膜瘤患者的薄层磁共振影像.分别采用多田公式法与三维重建法评估脑膜瘤体积,分组统计分析多田公式评估脑膜瘤体积的准确性.结果 在整体样本与集中样本中,两种方法得出的脑膜瘤体积总体差异无统计学意义(P>0.05),Spearman相关系数分别为0.995和0.993,组内相关系数分别为0.992和0.989.在Bland-Altman图中,大部分数据点位于一致性界限以内.在与不同组别的比较中,多田公式法对不规则程度较高的脑膜瘤的体积评估准确性稍差,对幕上脑膜瘤的体积评估准确性优于幕下脑膜瘤.结论 多田公式法能较为准确地评估脑膜瘤的体积,临床可将多田公式法作为评估脑膜瘤体积的初测方法.
Abstract
Objective To investigate the accuracy and application value of the Tada formula in evalua-ting the meningioma volume based on 3D reconstruction technology.Methods The thin-slice magnetic reso-nance images of 297 patients with meningioma treated in the neurosurgery department of 940 Hospital of PLA Joint logistics Support Force from January 2014 to May 2022 were retrospectively analyzed.The meningioma volume was evaluated by the Tada formula method and three-dimensional reconstruction method respectively.The accuracy of the evaluation of meningeal tumor volume by the Tada formula was analyzed by grouping sta-tistics.Results In the whole sample and the concentrated sample,the obtained meningioma total volumes had no statistical difference between the two methods(P>0.05),the Spearman correlation coefficients were 0.995 and 0.993 respectively,and the intragroup correlation coefficients(ICC)were 0.992 and 0.989,respec-tively.In the Bland-Altman plot,most of the data points were within the limit of uniformity.Compared with different groups,the Tada formula had a slightly lower accuracy in the volume assessment of meningiomas with higher degree of irregularity,and a better accuracy in the volume assessment of supratentorial meningio-mas than subtentorial meningiomas.Conclusion The Tada formula could accurately evaluate the volume of meningioma,and it could be used as a preliminary method to evaluate meningioma volume in clinic
关键词
多田公式/三维重建/磁共振成像/脑膜瘤/体积Key words
Tada formula/three-dimensional reconstruction/magnetic resonance imaging/meningioma/volume引用本文复制引用
基金项目
甘肃省重点研发专项(17YF1FA136)
甘肃省自然科学基金(21JR7RA008)
出版年
2024