中美甲状腺摄131I率计算方法一致性研究

The Consistency Study of Thyroid 131I Uptake Measurements by Using the Different Equations of China and Unite State

  • 摘要: 为了探讨美国核医学会和中国卫生部诊疗常规方法测定甲状腺摄131I率结果的一致性,对2011年4月在本科就诊的122例甲状腺相关疾病患者分别采用美国甲状腺摄131I率指南和中国中华医学会出版的临床诊疗指南核医学分册常规方法测定6 h和24 h摄131I率,并对结果进行分析。结果显示,两种方法所测6 h和24 h甲状腺摄131I率均值无显著性差别(P>0.05);两种方法测定结果呈高度正相关,相关系数分别为1.000和0.999(P<0.000 1);BlandAltman作图法证实,中美两种方法所测数据具有较高的一致性。以上结果表明,美国和中国常规方法测定甲状腺摄131I率结果具有高度一致性,两种方法可以相互替代,中国方法操作更为简便,实用性更强。

     

    Abstract: To investigate the consistency of thyroid 131I uptake measurements by using the different equations advocated by the Society of Nuclear Medicine(SNM) and Ministry of Public Health of PRC. The thyroid 131I uptake measurements by using the different equations advocated by SNM and SFDA were carried out in 122 consecutive patients in April 2011.The Spearman correlation analysis and Bland-Altman analysis were adopted to evaluate the consistency of quantitative measurements. Spearman correlation analysis showed that the 6 h and 24 h thyroid 131I uptake measurements were highly correlated between the two methods(r=1.000 and 0.999 respectively, P<0.000 1). The Bland-Altman analysis showed that the consistency was perfect between the two methods. These results suggest that the thyroid 131I uptake measurements advocated by SNM and Ministry of Public Health of PRC are highly correlated and good at the clinical consistency, and the latter is more simpler and has better practicality.

     

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