Archivos De Bronconeumologia最新文献_第5页

The Pivotal Role of Baseline LDCT for Lung Cancer Screening in the Era of Artificial Intelligence.

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-22 DOI: 10.1016/j.arbres.2024.11.001

Giulia Raffaella De Luca, Stefano Diciotti, Mario Mascalchi

{"title":"The Pivotal Role of Baseline LDCT for Lung Cancer Screening in the Era of Artificial Intelligence.","authors":"Giulia Raffaella De Luca, Stefano Diciotti, Mario Mascalchi","doi":"10.1016/j.arbres.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.arbres.2024.11.001","url":null,"abstract":"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.","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":8.7,"publicationDate":"2024-11-22","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}

引用次数: 0

Walking Assistance in a Patient with Chronic Obstructive Pulmonary Disease Using a Powered Exoskeleton: A Case Report. 使用动力外骨骼辅助慢性阻塞性肺病患者行走：病例报告。

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.012

Zhongkai Kuai, Fei Zhao, Dan Zeng

引用次数: 0

Clinical and Social Characterization of Patients Hospitalized for COPD Exacerbation Using Machine Learning Tools. 利用机器学习工具分析慢性阻塞性肺疾病恶化住院患者的临床和社会特征

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.010

Manuel Casal-Guisande, Cristina Represas-Represas, Rafael Golpe, Alberto Fernández-García, Almudena González-Montaos, Alberto Comesaña-Campos, Alberto Ruano-Raviña, Alberto Fernández-Villar

{"title":"Clinical and Social Characterization of Patients Hospitalized for COPD Exacerbation Using Machine Learning Tools.","authors":"Manuel Casal-Guisande, Cristina Represas-Represas, Rafael Golpe, Alberto Fernández-García, Almudena González-Montaos, Alberto Comesaña-Campos, Alberto Ruano-Raviña, Alberto Fernández-Villar","doi":"10.1016/j.arbres.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.arbres.2024.10.010","url":null,"abstract":"Objective: This study aims to employ machine learning (ML) tools to cluster patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease (COPD) based on their diverse social and clinical characteristics. This clustering is intended to facilitate the subsequent analysis of differences in clinical outcomes.Methods: We analysed a cohort of patients with severe COPD from two Pulmonary Departments in north-western Spain using the k-prototypes algorithm, incorporating demographic, clinical, and social data. The resulting clusters were correlated with metrics such as readmissions, mortality, and place of death. Additionally, we developed an intelligent clinical decision support system (ICDSS) using a supervised ML model (Random Forest) to assign new patients to these clusters based on a reduced set of variables.Results: The cohort consisted of 524 patients, with an average age of 70.30±9.35 years, 77.67% male, and an average FEV1 of 44.43±15.4. Four distinct clusters (A-D) were identified with varying clinical-demographic and social profiles. Cluster D showed the highest levels of dependency, social isolation, and increased rates of readmissions and mortality. Cluster B was characterized by prevalent cardiovascular comorbidities. Cluster C included a younger demographic, with a higher proportion of women and significant psychosocial challenges. The ICDSS, using five key variables, achieved areas under the ROC curve of at least 0.91.Conclusions: ML tools effectively facilitate the social and clinical clustering of patients with severe COPD, closely related to resource utilization and prognostic profiles. The ICDSS enhances the ability to characterize new patients in clinical settings.","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":8.7,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685869","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}

引用次数: 0

Respiratory Diseases in Women. 女性呼吸系统疾病

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.009

MeiLan K Han, Michal Shteinberg, Deborah Assayag, Florence Schleich, Martino Pengo, Victoria M Scicluna, Carolina Lombardi, Miriam Barrecheguren, Luis Jara-Palomares

引用次数: 0

A Thoracic Complication of an Abdominal Procedure: Massive Hemothorax Following Percutaneous Transhepatic Portal Vein Angioplasty. 腹部手术的胸腔并发症：经皮肝门静脉血管成形术后的大面积血胸。

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.016

Luis Gorospe, Rut Romera-Sánchez, Gemma María Muñoz-Molina

引用次数: 0

Regional Disparities and Trends in Venous Thromboembolism Mortality in Spain (1999-2022). 西班牙静脉血栓栓塞症死亡率的地区差异和趋势（1999-2022 年）。

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.015

Lucia Cayuela, Anna Michela Gaeta, Remedios Otero, Luis Jara-Palomares, Isabel Mendo Pedrajas, Aurelio Cayuela

{"title":"Regional Disparities and Trends in Venous Thromboembolism Mortality in Spain (1999-2022).","authors":"Lucia Cayuela, Anna Michela Gaeta, Remedios Otero, Luis Jara-Palomares, Isabel Mendo Pedrajas, Aurelio Cayuela","doi":"10.1016/j.arbres.2024.10.015","DOIUrl":"https://doi.org/10.1016/j.arbres.2024.10.015","url":null,"abstract":"Aim: This study aims to analyze trends in venous thromboembolism (VTE) mortality in the Spanish Autonomous Communities (ACs) from 1999 to 2022, with a focus on identifying regional disparities and informing targeted public health interventions.Methods: Age-standardized mortality rates (ASMRs) were calculated using the European standard population as a reference. Joinpoint regression analysis was employed to identify significant changes in mortality trends, and geographical analysis was conducted using Bayesian inference to assess regional variations in mortality risk.Results: From 1999 to 2022, Spain recorded 59,515 VTE-related deaths, with a higher proportion in women (59.4%) compared to men (40.6%). On a nationwide scale, VTE ASMRs showed a general decline for both men and women, with rates decreasing from 11.0 to 5.1 per 100,000 in men and from 9.2 to 4.4 per 100,000 in women. However, this decline was not uniform across all regions or demographic groups. Notably, mortality rates among younger individuals, particularly men, increased during the study period, highlighting the need for targeted interventions. Analysis revealed significant regional disparities, with higher mortality risks observed in Extremadura, Aragon, Navarre, and Andalusia, particularly for women.Conclusions: This study provides valuable insights into the complex landscape of VTE mortality in Spain. While the overall decline in mortality is encouraging, persistent regional disparities and rising rates among younger individuals underscore the need for ongoing surveillance and targeted interventions.","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":8.7,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643693","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}

引用次数: 0

The New Tobacco Companies Offensive: The Nicotine Pouches. 烟草公司的新攻势：尼古丁袋

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.017

José Ignacio de Granda-Orive, Carlos A Jiménez-Ruiz, Mina Gaga

引用次数: 0

A New Method Using Diaphragmatic Ultrasound to Monitor the Work of Breathing During Assisted and Controlled Non-Invasive Ventilation. 使用膈肌超声监测辅助和控制性无创通气过程中呼吸功的新方法。

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.014

Alba Naya-Prieto, María de Los Ángeles Zambrano, Maria Del Pilar Carballosa, Itziar Fernández Ormaechea, Carlos López Chang, Pablo Zazu López, Pedro Piñero Gutierrez, María Jesús Rodríguez-Nieto, Germán Peces-Barba Romero, Victoria Del Pozo, Sarah Heili-Frades

引用次数: 0

Silicone-induced Lymphadenopathy Mimicking Metastatic Lung Cancer. 模拟转移性肺癌的硅酮诱发淋巴腺病

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.013

Sara González-Castro, Natalia Cadavid-Fernández, Luis Gorospe Sarasúa

引用次数: 0

Ultrasonography-Guided Mediastinal Cryobiopsy in the Diagnosis of Mediastinal Diseases: Case Reports of 200 Cases. 超声引导下纵隔冷冻活组织检查在纵隔疾病诊断中的应用：200例病例报告

IF 8.7 3区医学

Archivos De Bronconeumologia Pub Date : 2024-11-02 DOI: 10.1016/j.arbres.2024.10.011

Esperanza Salcedo Lobera, Mario Garcia Garcia, Macarena Arroyo Varela, Rocio Bautista Moreno

引用次数: 0