临床变量和放射学特征用于预测CT指导的胸腔内核过渡针活检患者的肺胸部
Yu-Sen Huang1, Jenny Ling-Yu Chen1, Wei-Chun Ko1
1From the Department of Medical Imaging (Y.S.H., W.C.K., Y.C.C.) and Statistical Consulting Unit (Y.H.C., C.H.C.), National Taiwan University Hospital, No. 7 Chung-Shan S. Rd, Taipei 100, Taiwan; Department of Radiology, National Taiwan University College of Medicine, Taipei, Taiwan (Y.S.H., J.L.Y.C., Y.C.C.); and Department of Radiation Oncology, National Taiwan University Cancer Center, Taipei, Taiwan (J.L.Y.C.).
Radiology. Cardiothoracic imaging
|May 23, 2024
概括
一种结合临床数据和CT放射学的新模型在CT指导核心针活检后准确预测中度肺胸,提高了患者的安全性.
科学领域:
- 医疗成像医学成像
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 通过CT指导的核心针活检是诊断肺病变的常见程序.
- 肺胸炎是一种潜在的并发症,需要准确预测风险分层.
- 现有的预测方法可能无法充分利用详细的成像特征.
研究的目的:
- 开发和验证中度肺胸病的预测模型.
- 该模型整合了临床因素和CT纹理分析放射学特征.
- 目标是提高CT指导核心针活检的患者的预测准确度.
主要方法:
- 对424名接受培训和45名接受外部验证的患者进行了回顾性分析.
- 从穿过的肺膜中提取纹理分析放射学特征.
- 开发一个逻辑回归模型,对所选特征进行逆向淘汰和线性融合.
主要成果:
- 中度肺胸发生在12.0%的培训队列和8.9%的外部队列中.
- 肺和较长的针道长度与较高的肺胸病发病率有关.
- 组合模型的AUC为0.78 (训练) 和0.86 (外部),准确率分别为71.9%和73.3%.
结论:
- 一个结合的临床和放射学模型有效地预测了中度肺胸.
- 这种综合方法提供了实际的诊断性能和准确性.
- 该模型有助于对接受CT指导核心针活检的患者进行风险评估.
关键词:
活检/针吸收 活检/针吸收这就是为什么CTCTCTCTCTCT核心针活检 活检 核心针活检肺部胸部 肺部胸部无线电学 (Radiomics) 是一种无线电学.纹理分析 纹理分析胸部 胸部 胸部 胸部更多相关视频
相关概念视频
01:27Pneumothorax-II
139
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
139
01:30Radiological Investigation I: X-ray and CT
227
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
227
01:26Pneumothorax-I
195
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
195
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
111
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
111
01:26Endoscopic Studies II: Thoracocentesis
250
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
250