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REVIEW
Gianmaria Cammarota, Rosanna Vaschetto, Luigi Vetrugno, Salvatore M Maggiore
PURPOSE OF REVIEW: This review explores lung recruitment monitoring, covering techniques, challenges, and future perspectives. RECENT FINDINGS: Various methodologies, including respiratory system mechanics evaluation, arterial bold gases (ABGs) analysis, lung imaging, and esophageal pressure (Pes) measurement are employed to assess lung recruitment. In support to ABGs analysis, the assessment of respiratory mechanics with hysteresis and recruitment-to-inflation ratio has the potential to evaluate lung recruitment and enhance mechanical ventilation setting...
June 1, 2024: Current Opinion in Critical Care
#2
JOURNAL ARTICLE
Gianmaria Cammarota, Rosanna Vaschetto, Luigi Vetrugno, Salvatore M Maggiore
PURPOSE OF REVIEW: This review explores lung recruitment monitoring, covering techniques, challenges, and future perspectives. RECENT FINDINGS: Various methodologies, including respiratory system mechanics evaluation, arterial bold gases (ABGs) analysis, lung imaging, and esophageal pressure (Pes) measurement are employed to assess lung recruitment. In support to ABGs analysis, the assessment of respiratory mechanics with hysteresis and recruitment-to-inflation ratio has the potential to evaluate lung recruitment and enhance mechanical ventilation setting...
March 28, 2024: Current Opinion in Critical Care
#3
JOURNAL ARTICLE
Georgi Yankov, Magdalena Alexieva, Silvia Ivanova, Stefka Yankova, Evgeni Mekov
Primary pulmonary synovial sarcoma is an extremely rare and aggressive neoplasm that primarily affects young people and has a poor prognosis. Establishing this diagnosis requires the exclusion of a wide number of other neoplasms with multimodal clinical, imaging, histological, immunohistochemical, and cytogenetic assessment. We present a case of synovial sarcoma of the left lung in a 44-year-old man, diagnosed immunohistochemically after left lower lobectomy with atypical resection of the 5th segment. Imaging, diagnostic workup, histological and immunohistochemical characteristics, surgical treatment, and prognosis are discussed...
April 30, 2024: Folia Medica
#4
REVIEW
Dimcho Argirov, Boyko Yavorov, Vladimir Aleksiev, Anastas Chapkunov, Filip Shterev, Stanislav Kartev, Petar Uchikov, Zaprin Vazhev
Evaluation of patients with peripheral lung lesions and lesions of the chest wall and mediastinum is challenging. The nature of the lesion identified by imaging studies can be determined by histological evaluation of biopsies. An important place in this direction is the ever-increasing popularity among thoracic surgeons of the transthoracic biopsy with a cutting needle under ultrasound control (US-TTCNB).
April 30, 2024: Folia Medica
#5
JOURNAL ARTICLE
Babar Yasin, Hasan Saeed, Muhammad Awais Ahmad, Sara Najam, Mehwish Niazi, Humza Tariq, Allah Yar Yahya Khan, Shoaib Khaliq, Syeda Gul E Zehra Zaidi, Haseeb Mehmood Qadri
Background Lung carcinoma is a leading cause of death worldwide. Histological subtype of lung adenocarcinoma is an important indicator of patient's outcome as it is helpful in surgical planning and guidance of prognosis. Objective To determine the diagnostic efficacy of computerized tomography-guided core needle biopsy (CNB) in identifying the histopathological subtype of lung adenocarcinoma. Methods and materials This is a retrospective, descriptive study including clinical data of 73 patients irrespective of their age and gender, who underwent computerized tomography-guided CNB for lung masses at the Department of Pathology, Aznostics - the Diagnostic Centre, Lahore, Pakistan from January 01, 2019 to June 30, 2023...
March 2024: Curēus
#6
JOURNAL ARTICLE
Gabriel Juliá-Serdá, Javier Navarro-Esteva, Laura Doreste-Salgado, Ibrahim Véliz-Flores, Rubén Pestana-Santana, Jesús María González-Martín, Felipe Rodríguez-de Castro
INTRODUCTION: The main objective of this study was to estimate survival and changes in lung function in patients with chronic hypersensitivity pneumonitis (HP), both fibrotic (f-HP) and nonfibrotic (nf-HP), and to compare them with those in patients with idiopathic pulmonary fibrosis (IPF). METHODS: HP was diagnosed based on antigen exposure, HRCT (high-resolution CT scan), BAL (bronchoalveolar lavage), and histology. According to HRCT, HP was classified into fibrotic and non-fibrotic phenotypes...
March 2024: Curēus
#7
JOURNAL ARTICLE
J A Sanchez Giralt, G Tusman, M Wallin, M Hallback, A Perez Lucendo, M Sanchez Galindo, B Abad Santamaria, E Paz Calzada, P Garcia Garcia, D Rodriguez Huerta, A Canabal Berlanga, Fernando Suarez-Sipmann
RATIONALE: End-expiratory lung volume (EELV) is reduced in mechanically ventilated patients, especially in pathologic conditions. The resulting heterogeneous distribution of ventilation increases the risk for ventilation induced lung injury. Clinical measurement of EELV however, remains difficult. OBJECTIVE: Validation of a novel continuous capnodynamic method based on expired carbon dioxide (CO2 ) kinetics for measuring EELV in mechanically ventilated critically-ill patients...
April 30, 2024: Critical Care: the Official Journal of the Critical Care Forum
#8
JOURNAL ARTICLE
Amanda Grant-Orser, Charlotte Pooler, Nathan Archibald, Charlene Fell, Giovanni Ferrara, Kerri A Johannson, Meena Kalluri
OBJECTIVES: The diagnostic process for patients with interstitial lung diseases (ILD) remains complex. The aim of this study was to characterise the diagnostic care pathway and identify barriers and potential solutions to access a timely and accurate ILD diagnosis. DESIGN: This mixed-method study was comprised of a quantitative chart review, patient and physician surveys and focus groups. RESULTS: Chart review was completed for 97 patients...
April 30, 2024: BMJ Open Respiratory Research
#9
JOURNAL ARTICLE
Kyoichi Kaira, Hisao Imai, Atsuto Mouri, O U Yamaguchi, Hiroshi Kagamu
BACKGROUND/AIM: Spontaneous regression (SR) of cancer, which indicates the natural disappearance of malignant tumors, is rare. Little is known about the mechanisms underlying SR; however, immunological reactions, infections, injuries, and medications have been presumed. Among previously reported cases of SR, lung cancer cases have been extremely limited. CASE REPORT: Here, we present a case of lymph node metastasis exacerbation after SR of a primary adenocarcinoma following a biopsy...
2024: In Vivo
#10
JOURNAL ARTICLE
Kyoichi Kaira, Hiroaki Amano, Hisao Imai, Hirokazu Okada, Hiroshi Kagamu
BACKGROUND/AIM: Membranous nephropathy (MN) is a nephrotic syndrome with both idiopathic and secondary etiologies. The mechanism of cancer-associated MN is presumed to involve the immunological production of antibodies against a tumor antigen, although little is known about the detailed mechanism. Lung cancer is a major neoplasm associated with cancer-associated MN. However, the simultaneous occurrence of secondary MN in patients with cancer of unknown primary (CUP) remains unclear. CASE REPORT: Here, we present a case of secondary MN in a 72-year-old female as a paraneoplastic syndrome in CUP...
2024: In Vivo
#11
JOURNAL ARTICLE
Lijing Sun, Mengyi Zhang, Yu Lu, Wenjun Zhu, Yang Yi, Fei Yan
The latest developments in deep learning have demonstrated the importance of CT medical imaging for the classification of pulmonary nodules. However, challenges remain in fully leveraging the relevant medical annotations of pulmonary nodules and distinguishing between the benign and malignant labels of adjacent nodules. Therefore, this paper proposes the Nodule-CLIP model, which deeply mines the potential relationship between CT images, complex attributes of lung nodules, and benign and malignant attributes of lung nodules through a comparative learning method, and optimizes the model in the image feature extraction network by using its similarities and differences to improve its ability to distinguish similar lung nodules...
April 26, 2024: Computers in Biology and Medicine
#12
JOURNAL ARTICLE
Huajian Peng, Meijing Wang, Shuyu Lu, Jun Liu, Yanan Zhang, Zongwang Fu, Changqian Li, Yihua Huang, Jianji Guo, Zhanyu Xu, Nuo Yang
BACKGROUND: The feasibility and safety of enhanced recovery after surgery (ERAS) for percutaneous computed tomography (CT)-guided microwave ablation (MWA) for treating lung nodules remain unclear. METHODS AND MATERIALS: A total of 409 patients with lung tumors treated at the Department of Thoracic Surgery, First Affiliated Hospital of Guangxi Medical University from August 2020 to May 2023 were enrolled. Perioperative data, including baseline characteristics, operation time, postoperative pain score (visual analog scale [VAS]), hospitalization expenses, postoperative complications, total hospital stay, and patient satisfaction, were observed and recorded...
April 1, 2024: Journal of Cancer Research and Therapeutics
#13
JOURNAL ARTICLE
Yu Yu, Jing Zhu, Shibiao Sang, Yi Yang, Bin Zhang, Shengming Deng
OBJECTIVE: It is crucially essential to differentially diagnose single-nodule pulmonary metastases (SNPMs) and second primary lung cancer (SPLC) in patients with colorectal cancer (CRC), which has important clinical implications for treatment strategies. In this study, we aimed to establish a feasible differential diagnosis model by combining 18F-fluorodeoxyglucose positron-emission tomography (18F-FDG PET) radiomics, computed tomography (CT) radiomics, and clinical features. MATERIALS AND METHODS: CRC patients with SNPM or SPLC who underwent 18F-FDG PET/CT from January 2013 to July 2022 were enrolled in this retrospective study...
April 1, 2024: Journal of Cancer Research and Therapeutics
#14
JOURNAL ARTICLE
Linlin Wu, Miaomiao Hu, Peishun Li, Qirong Man, Qianqian Yuan, Xusheng Zhang, Yuanyuan Qiu, Lili Chen, Jing Fan, Kaixian Zhang
PURPOSE: To retrospectively study the therapeutic effect and safety performance of the combination strategies of the computed tomography (CT)-guided microwave ablation (MWA) and percutaneous vertebroplasty (PVP) as a treatment for painful non-small cell lung cancer (NSCLC) with spinal metastases. MATERIALS AND METHODS: A retrospective review included 71 patients with 109 vertebral metastases who underwent microwave ablation combined with percutaneous vertebroplasty by the image-guided and real-time temperature monitoring...
April 1, 2024: Journal of Cancer Research and Therapeutics
#15
JOURNAL ARTICLE
Donald McLean, Olivia Delfino, Marie Vozzo, Rachael Moorin
INTRODUCTION: While there are many papers on maternal and foetal radiation doses from computed tomography pulmonary angiography (CTPA) and ventilation/perfusion (V/Q) lung scanning examinations for diagnosing pulmonary embolism in pregnant patients, few have used clinical data to examine the patient lifetime attributable risk (LAR) of different cancer types. This paper aims to estimate the cancer risk from maternal radiation doses from CTPA and V/Q examinations and associated foetal doses...
April 30, 2024: Journal of Medical Imaging and Radiation Oncology
#16
JOURNAL ARTICLE
Valliappan Muthu, Ritesh Agarwal, Shivaprakash Mandya Rudramurthy, Deepak Thangaraju, Manoj Radhakishan Shevkani, Atul K Patel, Prakash Srinivas Shastri, Ashwini Tayade, Sudhir Bhandari, Vishwanath Gella, Jayanthi Savio, Surabhi Madan, Vinaykumar Hallur, Venkata Nagarjuna Maturu, Arjun Srinivasan, Nandini Sethuraman, Raminder Pal Singh Sibia, Sanjay Pujari, Ravindra Mehta, Tanu Singhal, Puneet Saxena, Varsha Gupta, Vasant Nagvekar, Parikshit Prayag, Dharmesh Patel, Immaculata Xess, Pratik Savaj, Inderpaul Singh Sehgal, Naresh Panda, Gayathri Devi Rajagopal, Riya Sandeep Parwani, Kamlesh Patel, Anuradha Deshmukh, Aruna Vyas, Raghava Rao Gandra, Srinivas Kishore Sistla, Priyadarshini A Padaki, Dharshni Ramar, Manoj Kumar Panigrahi, Saurav Sarkar, Bharani Rachagulla, Pattabhiraman Vallandaramam, Krishna Prabha Premachandran, Sunil Pawar, Piyush Gugale, Pradeep Hosamani, Sunil Narayan Dutt, Satish Nair, Hariprasad Kalpakkam, Sanjiv Badhwar, Kiran Kumar Kompella, Nidhi Singla, Amrita Prayag, Gagandeep Singh, Poorvesh Dhakecha, Arunaloke Chakrabarti
No abstract text is available yet for this article.
May 1, 2024: Lung India: Official Organ of Indian Chest Society
#17
MULTICENTER STUDY
Bina Choi, Alejandro A Díaz, Ruben San José Estépar, Nicholas Enzer, Victor Castro, MeiLan K Han, George R Washko, Raúl San José Estépar, Samuel Y Ash
Background Acute respiratory disease (ARD) events are often thought to be airway-disease related, but some may be related to quantitative interstitial abnormalities (QIAs), which are subtle parenchymal abnormalities on CT scans associated with morbidity and mortality in individuals with a smoking history. Purpose To determine whether QIA progression at CT is associated with ARD and severe ARD events in individuals with a history of smoking. Materials and Methods This secondary analysis of a prospective study included individuals with a 10 pack-years or greater smoking history recruited from multiple centers between November 2007 and July 2017...
April 2024: Radiology
#18
EDITORIAL
Brent P Little
No abstract text is available yet for this article.
April 2024: Radiology
#19
JOURNAL ARTICLE
Ying-Ying Zhou, Zhi-Jun Chen
Objective To establish a model for predicting the growth of pulmonary ground-glass nodules (GGN) based on the clinical visualization parameters extracted by the 3D reconstruction technique and to verify the prediction performance of the model. Methods A retrospective analysis was carried out for 354 cases of pulmonary GGN followed up regularly in the outpatient of pulmonary nodules in Zhoushan Hospital of Zhejiang Province from March 2015 to December 2022.The semi-automatic segmentation method of 3D Slicer was employed to extract the quantitative imaging features of nodules...
April 2024: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
#20
JOURNAL ARTICLE
Yimei Liu, Meining Chen, Jianlan Fang, Liangjie Xiao, Songran Liu, Qiwen Li, Bo Qiu, Runda Huang, Jun Zhang, Yinglin Peng
BACKGROUND: The aim of the study was to establish a weighted comprehensive evaluation model (WCEM) of image registration for cone-beam computed tomography (CBCT) guided lung cancer radiotherapy that considers the geometric accuracy of gross target volume (GTV) and organs at risk (OARs), and assess the registration accuracy of different image registration methods to provide clinical references. METHODS: The planning CT and CBCT images of 20 lung cancer patients were registered using diverse algorithms (bony and grayscale) and regions of interest (target, ipsilateral, and body)...
April 30, 2024: Thoracic Cancer
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