在中国低剂量CT查中,支气管切除,气道壁加厚和肺气的同时发生
Zhenhui Nie1, Marleen Vonder1, Maaike de Vries1,2
1Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
European radiology
|January 8, 2025
概括
在低剂量CT肺癌查中,近一半的参与者有诸如肺气等偶然的肺部发现. 这些发现与年龄较大,男性性别,吸烟史和呼吸系统症状有关.
科学领域:
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 肺癌查低剂量计算机断层扫描 (LDCT) 的偶然发现很常见.
- 常见的偶发性肺部发现 (肺瘤,支气管,气道壁加厚) 的同时发生和相关风险因素需要在不同人群中进行调查.
研究的目的:
- 为了确定偶发性肺气,支气管切除和气道壁加厚的患病率.
- 在接受LDCT查的中国城市人口中,确定与这些偶然的肺部发现相关的风险因素.
主要方法:
- 分析了来自中国NELCIN-B3城市人口研究的978名参与者 (40-74岁) 的队列.
- 审查了LDCT扫描以检查肺气,支气管和气道壁厚度,并根据严重程度对肺气进行分级.
- 后勤回归模型评估了参与者特征与偶然肺部发现的存在之间的关联.
主要成果:
- 48%的参与者至少有一次偶然的肺部发现.
- 患病率包括肺气 (19.9%),支气管切除 (9.2%) 和气道壁加厚 (35.7%).
- 年龄较大,男性性别,吸烟史 (目前和以前) 和呼吸道症状显著与偶然发现风险增加有关.
结论:
- 在接受LDCT肺癌查的人中,很大一部分人有偶发的肺部异常.
- 这些发现强调了在查计划中识别和评估偶然的肺部发现的重要性.
- 年龄,性别,吸烟和呼吸道症状是与这些常见的偶然发现相关的关键风险因素.
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