Preoperative and postoperative imaging features in thoracic surgery: insights from a single-center study.

Q3 Medicine
Raluca Oltean, Liviu Oltean, Andreea Nelson Twakor, Teodor Horvat
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引用次数: 0

Abstract

Thoracic surgery encompasses a broad spectrum of procedures with varying levels of risk. Preoperative imaging plays a critical role in evaluating anatomical pathology, but its predictive value for postoperative complications remains underexplored. This study aimed to assess whether specific radiologic features identified before surgery can predict key adverse outcomes, including ICU admission, in-hospital mortality, and length of hospital stay. We conducted a retrospective cohort study of 227 adult patients who underwent thoracic surgeries, including lobectomy, esophagectomy, thymectomy, and mediastinotomy, between 2019 and 2024. Preoperative imaging findings from chest radiographs, CT, PET-CT, MRI, and bronchoscopy were coded and analyzed. Outcomes included ICU admission, in-hospital mortality, and hospitalization duration. Univariate and multivariate logistic regressions were used to assess associations between imaging features and outcomes. Non-parametric tests and visual network plots were also applied. Common imaging findings included emphysema (29.1%), pleural effusion (12.8%), and nodules/metastases (7.9%). ICU admission occurred in 15% of patients, and in-hospital mortality occurred in 7.5%. Certain radiologic features, such as mediastinal lymphadenopathy (OR = 2.03) and nodules/metastases, showed a trend toward increased ICU admission. Conversely, features like bronchogram and no abnormalities were associated with a lower risk. Visual network analyses supported these trends. Preoperative imaging features, particularly those related to mediastinal or tumor burden, may offer predictive value for identifying patients at elevated postoperative risk. Incorporating radiologic markers into preoperative assessment could improve surgical planning and triage for intensive monitoring.

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胸外科手术术前和术后影像学特征:来自单中心研究的见解。
胸外科手术包括一系列风险程度不同的手术。术前影像学在评估解剖病理方面起着至关重要的作用,但其对术后并发症的预测价值仍未得到充分探讨。本研究旨在评估术前确定的特定放射学特征是否可以预测主要不良结局,包括ICU入院、住院死亡率和住院时间。我们对227名在2019年至2024年间接受胸腔镜手术的成年患者进行了回顾性队列研究,包括肺叶切除术、食管切除术、胸腺切除术和纵隔切开术。对术前胸片、CT、PET-CT、MRI和支气管镜的影像学结果进行编码和分析。结果包括ICU入院、住院死亡率和住院时间。采用单因素和多因素logistic回归来评估影像学特征与预后之间的关系。非参数测试和视觉网络图也被应用。常见的影像学表现包括肺气肿(29.1%)、胸腔积液(12.8%)和结节/转移(7.9%)。ICU住院率为15%,住院死亡率为7.5%。某些放射学特征,如纵隔淋巴结病(OR = 2.03)和结节/转移,显示出ICU入院率增加的趋势。相反,如支气管征和无异常的特征与较低的风险相关。视觉网络分析支持这些趋势。术前影像学特征,特别是与纵隔或肿瘤负荷相关的影像学特征,可能对识别术后风险升高的患者提供预测价值。将放射学指标纳入术前评估可以改善手术计划和分诊,以加强监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medicine and Life
Journal of Medicine and Life Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
202
期刊介绍: The Journal of Medicine and Life publishes peer-reviewed articles from various fields of medicine and life sciences, including original research, systematic reviews, special reports, case presentations, major medical breakthroughs and letters to the editor. The Journal focuses on current matters that lie at the intersection of biomedical science and clinical practice and strives to present this information to inform health care delivery and improve patient outcomes. Papers addressing topics such as neuroprotection, neurorehabilitation, neuroplasticity, and neuroregeneration are particularly encouraged, as part of the Journal''s continuous interest in neuroscience research. The Editorial Board of the Journal of Medicine and Life is open to consider manuscripts from all levels of research and areas of biological sciences, including fundamental, experimental or clinical research and matters of public health. As part of our pledge to promote an educational and community-building environment, our issues feature sections designated to informing our readers regarding exciting international congresses, teaching courses and relevant institutional-level events.
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