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搏动性耳鸣影像学选择临床实践指南：一项基于证据的专家共识

Clinical practice guidance for imaging selection in pulsatile tinnitus: an evidence-based expert consensus.

指南共识耳科IF 3.7Q1

文献信息

PMID42880154
原文在 PubMed 查看原文 ↗
发表日期2026
作者Lanyue Chen
查看其他 10 位作者

Han Wang；Dexin Yu；Yongmei Li；Hongzan Sun；Bing Zhang；Zhicheng Huang；Yunlong Yue；Xiaoyi Duan；Bo Gao；Zhaohui Liu

作者单位Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. Electronic address: chenlanyue1019@163.com.
查看其他 10 条单位信息

Department of Radiology & Faculty of Medical Imaging Technology, Shanghai General Hospital, College of Health Science and Technology, Shanghai Jiao Tong University School of Medicine, Shanghai, 200080, China. Electronic address: han.wang@shsmu.edu.cn.；Department of Radiology, Qilu Hospital of Shandong University, Jinan, 250012, China. Electronic address: yudexin0330@sina.com.；Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. Electronic address: lymzhang70@aliyun.com.；Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. Electronic address: sunhz@sj-hospital.org.；Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210008, China. Electronic address: zhangbing_nanjing@nju.edu.cn.；Department of Radiology, Huguang Campus, Jilin Provincial Cancer Hospital, Changchun, 130012, China. Electronic address: 33088401@qq.com.；Department of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China. Electronic address: yunlongwxh@sina.com.；PET-CT Center, The First Affiliated Hospital of Xian Jiaotong University, Xian, 710061, China. Electronic address: duanxy@mail.xjtu.edu.cn.；Department of Radiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China. Electronic address: gygb2004@gmc.edu.cn.；Department of Radiology, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. Electronic address: lzhtrhos@163.com.

期刊European journal of radiology
SCI 分区Q1
IF3.7
研究类型指南共识 · 临床
所属专科耳科

中文摘要

搏动性耳鸣（PT）是一种与患者心跳同步的节律性声音，其诊断具有挑战性，病因涵盖广泛的血管性和非血管性因素。持续性症状可严重影响心理健康，然而通过针对性的放射学影像学检查，在超过75%的病例中可识别出特定的致病异常。不恰当的影像学选择常导致误诊、治疗效果降低和医疗成本增加。影像学方案的选择必须基于全面的初始临床评估，包括详细的病史、体格检查手法和耳镜检查。本基于证据的专家共识指南受中国医院协会医学影像中心分会委托，旨在为PT患者影像学检查方式的策略性选择提供结构化建议。该指南明确区分了基于比较诊断文献的建议与在缺乏高级别比较证据时源自正式专家共识的建议。

英文摘要

Pulsatile tinnitus (PT) is a rhythmic sound synchronized with the patient's heartbeat that represents a complex diagnostic challenge with a broad spectrum of vascular and non-vascular etiologies. Persistent symptoms can severely impact mental health, yet a specific causative abnormality can be identified via targeted radiological imaging in more than 75% of cases. Improper imaging selection frequently leads to misdiagnosis, reduced therapeutic efficacy, and increased healthcare costs. The choice of imaging protocol must be guided by a thorough initial clinical evaluation, including detailed medical history, physical maneuvers, and otoscopic examinations. Commissioned by the Medical Imaging Center Branch of the Chinese Hospital Association, this evidence-based expert consensus guidance aims to provide structured recommendations for the strategic selection of imaging modalities in PT patients. The guidance explicitly distinguishes recommendations grounded in comparative diagnostic literature from those derived from formal expert consensus where high-level comparative evidence is limited.