在Mycobacterium avium复杂肺部疾病中治疗后的放射性严重性和死亡率
Joong-Yub Kim1,2, Seowoo Lee3, Hyungin Park3
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, and.
Annals of the American Thoracic Society
|October 3, 2023
概括
在Mycobacterium avium复杂肺病 (MAC-PD) 治疗后的放射性严重程度预测了生存率. 改善的成像得分与降低的死亡率相关,无论培养转换,提供预后见解.
科学领域:
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
- 人工智能在医学中的应用
背景情况:
- 影像对Mycobacterium avium复杂肺病 (MAC-PD) 管理至关重要.
- 在MAC-PD治疗后放射性变化的预后价值仍然不清楚.
研究的目的:
- 为了评估深度神经网络能够得分MAC-PD放射性严重性的能力.
- 调查治疗后放射性严重性,与基线的变化和长期患者预后之间的关联.
主要方法:
- 从至少六个月治疗的MAC-PD患者的胸部放射图的回顾性分析.
- 深度神经网络严重性得分与放射科医生的评估和真菌菌培养状态的相关性.
- 考克斯的比例危险回归分析了X光学分数,改善和死亡率之间的关联.
主要成果:
- 深度神经网络得分与放射科医生分级和真菌菌菌培养结果相关联.
- 在治疗期间观察到放射性严重性得分的显著下降.
- 较高的治疗后严重性得分和较低的基线改善独立地与死亡率增加有关.
结论:
- 在MAC-PD患者中,治疗后的放射性严重程度和改善与长期生存有关.
- 深度神经网络可以有效地评估MAC-PD的放射性严重性.
- 放射变化为MAC-PD提供了有价值的预后信息.
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