Computed Tomography Analysis Based on Imaging Manifestations of Pulmonary Lymphoma

2021 ◽  
Vol 11 (7) ◽  
pp. 1973-1978
Author(s):  
Fuping Xin ◽  
Qionghua Chen ◽  
Qingquan Lai ◽  
Zhenwei Lin ◽  
Meilan Wang

Objective: The imaging manifestations of lung lymphoma are complex and diverse. This paper discusses the pathological features of lung lymphoma and improves the clinical and radiologist’s understanding of the disease. Methods: Retrospective analysis of chest computed tomography (CT) image data of 58 patients with pulmonary lymphoma confirmed by clinical and histopathology. Results: CT diagnosis of 35 cases of pulmonary lymphoma, including 13 cases of mass nodular type, 15 cases of pneumonia consolidation type, 7 cases of mixed type, and the diagnostic accuracy rate was 60.34%. Airborne bronchial signs, normal vascular crossing signs, coexisting signs of multiple types of lesions, cross-lobe distribution signs, and ground glass signs are typical CT signs of pulmonary lymphoma. The average value of CT vital signs changes of the five types of lung lymphomas is 18%. The scan completion rate is 81%. The number of patients with five types of lung lymphoma were 17 cases of age <35 years old, and 18 cases for age >35 years old, with a balanced age distribution. Conclusions: CT examination is helpful for the diagnosis and differential diagnosis of pulmonary lymphoma.

Author(s):  
Christian Stöss ◽  
Maximilian Berlet ◽  
Stefan Reischl ◽  
Ulrich Nitsche ◽  
Marie-Christin Weber ◽  
...  

Abstract Purpose Despite primary conservative therapy for Crohn’s disease, a considerable proportion of patients ultimately needs to undergo surgery. Presumably, due to the increased use of biologics, the number of surgeries might have decreased. This study aimed to delineate current case numbers and trends in surgery in the era of biological therapy for Crohn’s disease. Methods Nationwide standardized hospital discharge data (diagnosis-related groups statistics) from 2010 to 2017 were used. All patients who were admitted as inpatient Crohn’s disease cases in Germany were included. Time-related development of admission numbers, rate of surgery, morbidity, and mortality of inpatient Crohn’s disease cases were analyzed. Results A total number of 201,165 Crohn’s disease cases were included. Within the analyzed time period, the total number of hospital admissions increased by 10.6% (n = 23,301 vs. 26,069). While gender and age distribution remained comparable, patients with comorbidities such as stenosis formation (2010: 10.1%, 2017: 13.4%) or malnutrition (2010: 0.8%, 2017: 3.2%) were increasingly admitted. The total number of all analyzed operations for Crohn’s disease increased by 7.5% (2010: n = 1567; 2017: n = 1694). On average, 6.8 ± 0.2% of all inpatient patients received ileocolonic resections. Procedures have increasingly been performed minimally invasive (2010: n = 353; 2017: n = 687). The number of postoperative complications remained low. Conclusion Despite the development of novel immunotherapeutics, the number of patients requiring surgery for Crohn’s disease remains stable. Interestingly, patients have been increasingly hospitalized with stenosis and malnutrition. The trend towards more minimally invasive operations has not relevantly changed the rate of overall complications.


2021 ◽  
Vol 27 (S1) ◽  
pp. 1028-1029
Author(s):  
Robert Palomino ◽  
Ke-Bin Low ◽  
Chunxin Ji ◽  
Ivan Petrovic ◽  
Florian Waltz ◽  
...  

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 439
Author(s):  
Donato Lacedonia ◽  
Giulia Scioscia ◽  
Angelamaria Giardinelli ◽  
Carla Maria Irene Quarato ◽  
Ennio Vincenzo Sassani ◽  
...  

Transthoracic ultrasound (TUS) is a readily available imaging tool that can provide a quick real-time evaluation. The aim of this preliminary study was to establish a complementary role for this imaging method in the approach of interstitial lung diseases (ILDs). TUS examination was performed in 43 consecutive patients with pulmonary fibrosis and TUS findings were compared with the corresponding high-resolution computed tomography (HRCT) scans. All patients showed a thickened hyperechoic pleural line, despite no difference between dominant HRCT patterns (ground glass, honeycombing, mixed pattern) being recorded (p > 0.05). However, pleural lines’ thickening showed a significant difference between different HRCT degree of fibrosis (p < 0.001) and a negative correlation with functional parameters. The presence of >3 B-lines and subpleural nodules was also assessed in a large number of patients, although they did not demonstrate any particular association with a specific HRCT finding or fibrotic degree. Results allow us to suggest a complementary role for TUS in facilitating an early diagnosis of ILD or helping to detect a possible disease progression or eventual complications during routine clinical practice (with pleural line measurements and subpleural nodules), although HRCT remains the gold standard in the definition of ILD pattern, disease extent and follow-up.


Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1263
Author(s):  
Zhaojun Wang ◽  
Jiangning Wang ◽  
Congtian Lin ◽  
Yan Han ◽  
Zhaosheng Wang ◽  
...  

With the rapid development of digital technology, bird images have become an important part of ornithology research data. However, due to the rapid growth of bird image data, it has become a major challenge to effectively process such a large amount of data. In recent years, deep convolutional neural networks (DCNNs) have shown great potential and effectiveness in a variety of tasks regarding the automatic processing of bird images. However, no research has been conducted on the recognition of habitat elements in bird images, which is of great help when extracting habitat information from bird images. Here, we demonstrate the recognition of habitat elements using four DCNN models trained end-to-end directly based on images. To carry out this research, an image database called Habitat Elements of Bird Images (HEOBs-10) and composed of 10 categories of habitat elements was built, making future benchmarks and evaluations possible. Experiments showed that good results can be obtained by all the tested models. ResNet-152-based models yielded the best test accuracy rate (95.52%); the AlexNet-based model yielded the lowest test accuracy rate (89.48%). We conclude that DCNNs could be efficient and useful for automatically identifying habitat elements from bird images, and we believe that the practical application of this technology will be helpful for studying the relationships between birds and habitat elements.


2021 ◽  
Vol 10 (4) ◽  
pp. 602
Author(s):  
Antoine Tardieu ◽  
Lobna Ouldamer ◽  
François Margueritte ◽  
Lauranne Rossard ◽  
Aymeline Lacorre ◽  
...  

The objective of our study is to evaluate the diagnostic performance of positron emission tomography/computed tomography (PET-CT) for the assessment of lymph node involvement in advanced epithelial ovarian, fallopian tubal or peritoneal cancer (EOC). This was a retrospective, bicentric study. We included all patients over 18 years of age with a histological diagnosis of advanced EOC who had undergone PET-CT at the time of diagnosis or prior to cytoreduction surgery with pelvic or para-aortic lymphadenectomy. We included 145 patients with primary advanced EOC. The performance of PET-CT was calculated from the data of 63 patients. The sensitivity of PET-CT for preoperative lymph node evaluation was 26.7%, specificity was 90.9%, PPV was 72.7%, and NPV was 57.7%. The accuracy rate was 60.3%, and the false-negative rate was 34.9%. In the case of primary cytoreduction (n = 16), the sensitivity of PET-CT was 50%, specificity was 87.5%, PPV was 80%, and NPV was 63.6%. The accuracy rate was 68.8%, and the false negative rate was 25%. After neoadjuvant chemotherapy (n = 47), the sensitivity of PET-CT was 18.2%, specificity was 92%, PPV was 66.7%, and NPV was 56.1%. The accuracy rate was 57.5%, and the false negative rate was 38.3%. Due to its high specificity, the performance of a preoperative PET-CT scan could contribute to the de-escalation and reduction of lymphadenectomy in the surgical management of advanced EOC in a significant number of patients free of lymph node metastases.


2020 ◽  
Vol 236 (4) ◽  
pp. 630-659 ◽  
Author(s):  
Thomas W. Dudgeon ◽  
Hillary C. Maddin ◽  
David C. Evans ◽  
Jordan C. Mallon

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