Sistema de reporte estandarizado de hallazgos angiográficos coronarios obtenidos por tomografía computarizada
Fecha
2019-06-20
Autores
León Mesa, Miguel Ángel
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Editor
Universidad Central “Marta Abreu” de Las Villas
Resumen
La tomografía computarizada ha tomado auge en los últimos tiempos, y con ella su utilización en el diagnóstico de diferentes enfermedades. Emparejado a este desarrollo, varias sociedades de profesionales han propuestos guías, documentos de consenso o reportes para aprovechar al máximo los resultados devenidos de las tomografías y maximizar su aprovechamiento con fines diagnósticos y para la toma de decisiones en cuanto a los pacientes. La exploración de enfermedades cardiovasculares usando la angiografía coronaria (AC) es una de muchas aplicaciones realizadas usando la tomografía computarizada (TC). Para maximizar el impacto clínico de la angiografía coronaria usando TC (ACTC), los protocolos de imágenes deben ser optimizados con respecto a la calidad de imagen, precisión diagnóstica, y dosis de radiación. La estandarización del reporte final que se obtiene del estudio ayuda a disminuir la variabilidad entre los médicos y las sugerencias para el manejo de los pacientes. Pero es difícil lograr la salida de los reportes de forma estándar cuando los resultados son almacenados en historias clínicas clásicas y su posterior consulta se hace engorrosa. Es por eso que el objetivo de este trabajo es desarrollar una herramienta computacional que permita almacenar, gestionar, analizar y reportar la información de los pacientes que hacen uso del tomógrafo que se encuentra ubicado en el Cardiocentro “Ernesto Che Guevara” en la provincia de Villa Clara, siguiendo las pautas marcadas por el Sistema de Reporte y Datos para Enfermedad Arterial Coronaria (CAD-RADS) aplicable a la Angiografía Coronaria por Tomografía Computarizada establecido por expertos de la Sociedad de Tomografía Computada Cardiovascular, pertenecientes al American College of Radiology.
The computed tomography has taken boom in recent times, and with it its use in the diagnosis of different diseases. Paired with this development, several professional societies have proposed guidelines, consensus documents or reports to take full advantage of the results of the tomographies and maximize their use for diagnostic purposes and for making decisions regarding patients. The exploration of cardiovascular diseases using coronary angiography (CA) is one of many applications performed using computed tomography (CT). To maximize the clinical impact of coronary angiography using CT (ACTC), imaging protocols should be optimized with regard to image quality, diagnostic accuracy, and radiation dose. The standardization of the final report obtained from the study helps to reduce the variability among physicians and the suggestions for the management of patients. But it is difficult to achieve the output of the reports in a standard way when the results are stored in classic clinical histories and their subsequent consultation becomes cumbersome. That is why the objective of this work is to develop a computational tool that allows storing, managing, analyzing, and reporting the information of patients who use the tomography that is located in the Cardiocentro "Ernesto Che Guevara" in the province of Villa Clara, following the guidelines set by the Reporting and Data System for Coronary Artery Disease (CAD-RADS) applicable to Coronary Angiography by Computed Tomography established by experts of the Society of Cardiovascular Computed Tomography, belonging to the American College of Radiology.
The computed tomography has taken boom in recent times, and with it its use in the diagnosis of different diseases. Paired with this development, several professional societies have proposed guidelines, consensus documents or reports to take full advantage of the results of the tomographies and maximize their use for diagnostic purposes and for making decisions regarding patients. The exploration of cardiovascular diseases using coronary angiography (CA) is one of many applications performed using computed tomography (CT). To maximize the clinical impact of coronary angiography using CT (ACTC), imaging protocols should be optimized with regard to image quality, diagnostic accuracy, and radiation dose. The standardization of the final report obtained from the study helps to reduce the variability among physicians and the suggestions for the management of patients. But it is difficult to achieve the output of the reports in a standard way when the results are stored in classic clinical histories and their subsequent consultation becomes cumbersome. That is why the objective of this work is to develop a computational tool that allows storing, managing, analyzing, and reporting the information of patients who use the tomography that is located in the Cardiocentro "Ernesto Che Guevara" in the province of Villa Clara, following the guidelines set by the Reporting and Data System for Coronary Artery Disease (CAD-RADS) applicable to Coronary Angiography by Computed Tomography established by experts of the Society of Cardiovascular Computed Tomography, belonging to the American College of Radiology.
Descripción
Palabras clave
Sistema de Reporte y Datos para Enfermedad Arterial Coronaria (CAD-RADS), Tomografía Computarizada, Sistema de Gestión de Base de Datos, Cardiocentro “Ernesto Che Guevara”