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Accuracy between clinical and radiological diagnoses compared to surgical orbital biopsies

International Journal of Ophthalmology(English edition) 2023年第4期16卷 616-622页

作者： Audrey Tang Helen Hoi-Lam Ng Taras Gout Bernard Chang Nabil El-Hindy George Kalantzis School of Medicine Faculty of Medicine and HealthUniversity of LeedsLeedsLS2.9 JTUnited Kingdom Department of Ophthalmology St.James’s University HospitalLeeds Teaching Hospitals NHS TrustBeckett StreetLeedsLS97TFUnited Kingdom

AIM:To assess the concordance between diagnosing orbital lesions by clinical examination,orbital imaging,and histological evaluation,in order to help guide future research and clinical ***:A retrospective analysis was undertaken at a large regional tertiary referral centre of all surgical orbital biopsies performed over a 5-year period,from 1st January 2015 until 31st December *** and concordance between clinical,radiological and histological diagnoses are reported as percentage sensitivity and positive predictive ***:A total of 128 operations involving 111 patients were ***,sensitivities of 47.7%for clinical and 37.3%for radiological diagnoses were found when compared to the histological gold *** lesions that have characteristic clinical and radiological features had the highest sensitivity at 71.4%and 57.1%,*** conditions showed the lowest sensitivity in both clinical(30.3%)and radiological(18.2%)*** PPV for inflammatory conditions were 47.6%for clinical and 30.0%for radiological ***:Accurate diagnoses are difficult to reach by relying on clinical examination and imaging *** orbital biopsy with histological diagnosis should remain the gold standard approach for definitively identifying orbital *** larger scale prospective studies would help further refine concordance and guide future research avenues.

关键词： orbital biopsy orbital lesion histological diagnosis radiological diagnosis clinical diagnosis

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