Archivos De Bronconeumologia最新文献

{"title":"Weaning From Mechanical Ventilation in Chronic Critically Ill Patients","authors":"Margarita Márquez Doblas , Rafael Sánchez Baíllo , Gonzalo Hernández Martínez","doi":"10.1016/j.arbres.2025.02.002","DOIUrl":"10.1016/j.arbres.2025.02.002","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 6","pages":"Pages 323-324"},"PeriodicalIF":8.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facial Blushing Treated by Thoracic Sympathectomy: Visual Evidence","authors":"Álvaro Fuentes-Martín , José Soro-García , Ángel Cilleruelo-Ramos","doi":"10.1016/j.arbres.2025.02.003","DOIUrl":"10.1016/j.arbres.2025.02.003","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 6","pages":"Pages 384-385"},"PeriodicalIF":8.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Pivotal Role of Baseline LDCT for Lung Cancer Screening in the Era of Artificial Intelligence","authors":"Giulia Raffaella De Luca ,&nbsp;Stefano Diciotti ,&nbsp;Mario Mascalchi","doi":"10.1016/j.arbres.2024.11.001","DOIUrl":"10.1016/j.arbres.2024.11.001","url":null,"abstract":"<div><div>In this narrative review, we address the ongoing challenges of lung cancer (LC) screening using chest low-dose computerized tomography (LDCT) and explore the contributions of artificial intelligence (AI), in overcoming them. We focus on evaluating the initial (baseline) LDCT examination, which provides a wealth of information relevant to the screening participant's health. This includes the detection of large-size prevalent LC and small-size malignant nodules that are typically diagnosed as LCs upon growth in subsequent annual LDCT scans. Additionally, the baseline LDCT examination provides valuable information about smoking-related comorbidities, including cardiovascular disease, chronic obstructive pulmonary disease, and interstitial lung disease (ILD), by identifying relevant markers. Notably, these comorbidities, despite the slow progression of their markers, collectively exceed LC as ultimate causes of death at follow-up in LC screening participants. Computer-assisted diagnosis tools currently improve the reproducibility of radiologic readings and reduce the false negative rate of LDCT. Deep learning (DL) tools that analyze the radiomic features of lung nodules are being developed to distinguish between benign and malignant nodules. Furthermore, AI tools can predict the risk of LC in the years following a baseline LDCT. AI tools that analyze baseline LDCT examinations can also compute the risk of cardiovascular disease or death, paving the way for personalized screening interventions. Additionally, DL tools are available for assessing osteoporosis and ILD, which helps refine the individual's current and future health profile. The primary obstacles to AI integration into the LDCT screening pathway are the generalizability of performance and the explainability.</div></div>","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 6","pages":"Pages 359-367"},"PeriodicalIF":8.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Spirometry With CT Scan as a Screening Tool in COPD Patients for Referral to Lung Volume Reduction Expert Centers","authors":"Karin Klooster,&nbsp;Jens T. Bakker,&nbsp;Jorine E. Hartman,&nbsp;Dirk-Jan Slebos","doi":"10.1016/j.arbres.2025.01.017","DOIUrl":"10.1016/j.arbres.2025.01.017","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 6","pages":"Pages 374-376"},"PeriodicalIF":8.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Impact of Breathing Small Particles (PM2.5). Health Criteria or Administrative Criteria: A Citizen Science Project","authors":"Ángel López-Encuentra ,&nbsp;Esther Gil Cid ,&nbsp;Víctor Abraira ,&nbsp;on behalf of the Coordinadora Vecinal Distrito Latina (COVELA), the Asociación Madres por el Clima Lourdes","doi":"10.1016/j.arbres.2025.02.008","DOIUrl":"10.1016/j.arbres.2025.02.008","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 6","pages":"Pages 382-383"},"PeriodicalIF":8.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimate of the Eligible Population for Lung Cancer Screening in Galicia: An Analysis of Potential Scenarios","authors":"Cristina Candal-Pedreira ,&nbsp;Alberto Ruano-Ravina ,&nbsp;María Isolina Santiago-Pérez ,&nbsp;Raquel Almazán Ortega ,&nbsp;Ángel Gómez-Amorín ,&nbsp;Carmen Durán-Parrondo ,&nbsp;Lucía Martín-Gisbert","doi":"10.1016/j.arbres.2025.02.009","DOIUrl":"10.1016/j.arbres.2025.02.009","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 6","pages":"Pages 377-379"},"PeriodicalIF":8.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of Lung Cancer Screening in Europe: A Pro/con Debate","authors":"Alberto Ruano-Ravina ,&nbsp;Harry J. de Koning","doi":"10.1016/j.arbres.2025.03.022","DOIUrl":"10.1016/j.arbres.2025.03.022","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 6","pages":"Pages 330-333"},"PeriodicalIF":8.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lung Diffusing Capacity Improves the Prognostic Validity of the GOLD Spirometric Staging in COPD.","authors":"Ciro Casanova, Enrique Gonzalez-Dávila, Juan P de Torres, Carlos Cabrera, Borja G Cosio, Denis E O'Donnel, Cristina Martínez-Gonzalez, Ingrid Solanes, Antonia Fuster, Carolina Gotera, Alicia Marin, Carlos Amado, Marta Iscar, José M Marin, José Alberto Neder, Nuria Feu, Joan B Soriano, José Luis López-Campos, Miguel Divo, Germán Peces-Barba, Bartolomé R Celli","doi":"10.1016/j.arbres.2025.05.004","DOIUrl":"https://doi.org/10.1016/j.arbres.2025.05.004","url":null,"abstract":"<p><strong>Rationale: </strong>The lung diffusing capacity for carbon monoxide (DLco), a metric of gas transfer, provides physiological information distinct from spirometry. While DLco independently predicts mortality in COPD, its integration into the GOLD spirometric staging (% FEV₁) to improve risk assessment, remains unexplored.</p><p><strong>Objectives: </strong>To determine if DLco enhances the predictive power of GOLD spirometric classification for all-cause and respiratory mortality.</p><p><strong>Methods: </strong>We followed 469 patients (mean age 64 years, 58% FEV₁) with complete lung function tests in the Spanish multicenter CHAIN study for up to 10 years, with mortality as the main outcome. Patients were dichotomized based on DLco impairment (<50% cutoff). A Cox proportional hazard model evaluated the added value of DLco to GOLD FEV₁ spirometric staging for all-cause and respiratory mortality. Validation of the results was conducted in the Kingston COPD Canadian cohort (N=300 patients).</p><p><strong>Results: </strong>Over time, 184 (39.2%) patients died, 84 (17.9%) from respiratory causes. Adjusted analyses showed DLco<50% independently predicted all-cause [HR=1.83 (95%CI 1.32-2.54, p<0.001)] and respiratory [HR=2.27 (95%CI 1.43-3.60, p<0.001)] mortality. Incorporating DLco<50% increased mortality risk compared to FEV₁ alone, particularly in GOLD stages 3 and 4, where survival time decreased by 1.23 years (p=0.002) and 1.25 years (p=0.004) for all-cause and respiratory deaths, respectively. These findings were validated in the Canadian cohort.</p><p><strong>Conclusions: </strong>Adding DLco to FEV₁ enhances the prognostic accuracy of the GOLD spirometric severity classification, especially for patients in GOLD stages 3-4 at higher risk of adverse outcomes.</p><p><strong>Clinicaltrials: </strong>gov Identifier: NCT01122758.</p>","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Syphilitic Aortitis: A Mimicker of Mediastinal Mass.","authors":"Arvindran Alaga, Kezreen Kaur Dhaliwal","doi":"10.1016/j.arbres.2025.05.007","DOIUrl":"https://doi.org/10.1016/j.arbres.2025.05.007","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expression Profiles of Nintedanib-Targeting Molecules in Progressive Pulmonary Fibrosis and Idiopathic Pulmonary Fibrosis.","authors":"Xin Zhang, Chengxin Liu, Yufen She, Xiaomin Fu, Xia Tong, Lanlan Zhang","doi":"10.1016/j.arbres.2025.05.001","DOIUrl":"https://doi.org/10.1016/j.arbres.2025.05.001","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}