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根据放射性外观,区分由菌体引起的肺结节与由肺癌引起的肺结节

Michael W Peterson^1,2, Ratnali Jain¹, Kurt Hildebrandt³

¹Fresno Department of Medicine, University of California (San Francisco), San Francisco, CA 93701, USA.

Journal of fungi (Basel, Switzerland)

|June 27, 2023

概括

放射性发现,如腔腔结节,卫星结节和慢性肺病,可以帮助区分菌性肺炎 (真菌性肺感染) 和肺癌. 这种差异化可以减少不必要的侵入性手术和患者的成本.

科学领域:

肺部病理学肺部病理学
放射学放射学是一门学科.
传染性疾病传染性疾病

背景情况:

菌 (coccidioidomycosis) 是一种流行性真菌感染,导致肺结节,在CT扫描上往往无法与早期肺癌区分.
从肺癌中区分结相关的肺结节是具有挑战性的,经常导致侵入性和昂贵的诊断评估.

研究的目的:

在胸部CT扫描上识别放射性特征,可以区分由菌菌菌病引起的肺结节与由肺癌引起的肺结节.

主要方法:

对302名生物检测证明是菌瘤或支气管癌的患者的胸部CT扫描进行了回顾性审查.
两位经验丰富的放射科医生对诊断失明,评估了放射特征,以确定其诊断效用.

主要成果:

单变体和多变体分析确定了肺癌和菌感染之间的显著差异,包括年龄,结节直径,结节腔化,卫星结节和慢性肺病.
腔腔结节,卫星结节和慢性肺病在临床决策中表现出足够的歧视力.

结论:

评估特定的放射性发现 (腔腔结节,卫星结节,慢性肺病) 可以显著改善菌菌和肺癌之间的差异化.
这种方法可以减少对不必要的入侵性研究的需求,从而降低在特有地区的成本和患者风险.

关键词:

胸部CT扫描胸部CT扫描科奇结节 (cocci nodule) 是一个结节.偶然发生的结节.肺癌是一种肺癌.肺癌查肺癌查肺癌查肺部结节肺部结节肺部的菌性菌性菌性菌谷部热病的病例谷部热的病例

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