Medicine,
Год журнала:
2024,
Номер
103(49), С. e40821 - e40821
Опубликована: Дек. 6, 2024
To
explore
the
clinical
manifestations
and
factors
leading
to
misdiagnosis
in
pulmonary
embolism
(PE)
patients
a
cardiology
department.
We
retrospectively
analyzed
74
diagnosed
with
PE
at
our
hospital
from
March
2018
2022,
comparing
them
136
suspected
of
but
excluded
by
computed
tomography
angiography
during
same
period.
Both
groups
received
basic
care,
including
disease
counseling,
nutritional
planning,
monitoring.
compared
general
information,
manifestations,
risk
factors,
auxiliary
examinations
identify
correlations
between
specific
factors.
The
male-to-female
ratio
group
was
approximately
3:4,
which
statistically
significant
control
(
P
<
.05),
though
its
impact
on
incidence
low.
Common
symptoms
included
chest
tightness,
shortness
breath,
sweating,
pain,
no
difference
>
.05).
Notable
deep
vein
thrombosis
(DVT)
(43.24%),
prolonged
bed
rest
(32.43%),
lower
limb
varicose
veins
(18.92%),
trauma
(21.62%),
infections
(62.16%),
coronary
heart
(37.84%),
respiratory
failure
chronic
obstructive
(13.51%).
DVT
significantly
associated
Multivariate
logistic
regression
identified
(OR
=
118.528,
95%
CI:
6.959–2018.906,
.001)
212.766,
6.584–6875.950,
.003)
as
independent
predictive
for
PE.
Clinical
strongly
correlated
rales,
cyanosis,
tachycardia,
hypotension,
elevated
D-dimer,
positive
N-terminal
pro-brain
natriuretic
peptide,
sinus
tachycardia
echocardiogram.
may
present
abdominal
symptoms,
warranting
reexamination
Misdiagnosis
typically
involve
breath.
Lower
are
reliable
predictors
Frontiers in Cardiovascular Medicine,
Год журнала:
2024,
Номер
11
Опубликована: Янв. 22, 2024
Background
Segmentation
of
cardiac
structures
is
an
important
step
in
evaluation
the
heart
on
imaging.
There
has
been
growing
interest
how
artificial
intelligence
(AI)
methods—particularly
deep
learning
(DL)—can
be
used
to
automate
this
process.
Existing
AI
approaches
segmentation
have
mostly
focused
MRI.
This
systematic
review
aimed
appraise
performance
and
quality
supervised
DL
tools
for
CT.
Methods
Embase
Medline
databases
were
searched
identify
related
studies
from
January
1,
2013
December
4,
2023.
Original
research
published
peer-reviewed
journals
after
eligible
inclusion
if
they
presented
DL-based
non-coronary
great
vessels
The
data
extracted
included
information
about
structure(s)
being
segmented,
study
location,
architectures
reported
metrics
such
as
Dice
similarity
coefficient
(DSC).
was
assessed
using
Checklist
Artificial
Intelligence
Medical
Imaging
(CLAIM).
Results
18
2020
included.
DSC
scores
median
achieved
most
commonly
segmented
left
atrium
(0.88,
IQR
0.83–0.91),
ventricle
(0.91,
0.89–0.94),
myocardium
(0.83,
0.82–0.92),
right
0.83–0.90),
0.85–0.92),
pulmonary
artery
(0.92,
0.87–0.93).
Compliance
with
CLAIM
variable.
In
particular,
only
58%
showed
compliance
dataset
description
criteria
did
not
test
or
validate
their
models
external
(81%).
Conclusion
Supervised
applied
various
Most
similar
measured
by
values.
limited
size
nature
training
datasets,
inconsistent
descriptions
ground
truth
annotations
lack
testing
clinical
settings.
Systematic
Review
Registration
[
www.crd.york.ac.uk/prospero/
],
PROSPERO
[CRD42023431113].
Medical Physics,
Год журнала:
2023,
Номер
50(10), С. 6354 - 6365
Опубликована: Май 29, 2023
Delineation
of
the
clinical
target
volume
(CTV)
and
organs-at-risk
(OARs)
is
important
in
cervical
cancer
radiotherapy.
But
it
generally
labor-intensive,
time-consuming,
subjective.
This
paper
proposes
a
parallel-path
attention
fusion
network
(PPAF-net)
to
overcome
these
disadvantages
delineation
task.The
PPAF-net
utilizes
both
texture
structure
information
CTV
OARs
by
employing
U-Net
capture
high-level
information,
an
up-sampling
down-sampling
(USDS)
low-level
accentuate
boundaries
OARs.
Multi-level
features
extracted
from
networks
are
then
fused
together
through
module
generate
result.The
dataset
contains
276
computed
tomography
(CT)
scans
patients
with
staging
IB-IIA.
The
images
provided
West
China
Hospital
Sichuan
University.
Simulation
results
demonstrate
that
performs
favorably
on
(e.g.,
rectum,
bladder
etc.)
achieves
state-of-the-art
accuracy,
respectively,
for
In
terms
Dice
Similarity
Coefficient
(DSC)
Hausdorff
Distance
(HD),
88.61%
2.25
cm
CTV,
92.27%
0.73
96.74%
0.68
bladder,
96.38%
0.65
left
kidney,
96.79%
0.63
right
93.42%
0.52
femoral
head,
93.69%
0.51
87.53%
1.07
small
intestine,
91.50%
0.84
spinal
cord.The
proposed
automatic
well
segmentation
tasks,
which
has
great
potential
reducing
burden
radiation
oncologists
increasing
accuracy
delineation.
future,
University
will
further
evaluate
delineation,
making
this
method
helpful
practice.
Medical
image
segmentation
is
an
essential
component
of
computer-aided
diagnosis.
While
U-Net
has
been
widely
used
in
this
field,
its
performance
can
be
limited
by
incomplete
feature
information
transfer
and
the
imbalance
between
foreground
background
pixel
classes
medical
images.
To
improve
utilization
address
challenges,
such
as
missing
target
regions
insufficient
edge
detail
preservation,
study
proposes
a
method
that
integrates
path
enhancement,
residual
attention,
zone-based
chunking
training.
The
proposed
introduces
enhancement
structure
consisting
bottom-up
aggregation
branch
(PAB)
multilevel
fusion
complementary
(FEB).
PAB
aims
to
transmission
semantic
positional
information,
while
FEB
provides
richer
representation
for
mask
prediction.
Additionally,
block
with
directional
frontier
support
combinatorial
attention
designed
focus
on
important
content
units
boundary
features.
further
refine
segmentation,
strategy
employed
enhance
extraction
fine-grained
details
through
localized
processing.
was
evaluated
extensive
ablation
experiments,
demonstrating
consistent
across
multiple
trials.
When
applied
lung
nodule
computed
tomography
(CT)
images,
showed
reduction
mis-segmented
regions.
experimental
results
suggest
approach
accuracy
stability
compared
baseline
methods.
Overall,
shows
promise
tasks,
particularly
applications
requiring
precise
delineation
complex
structures.
Current Opinion in Pulmonary Medicine,
Год журнала:
2024,
Номер
30(5), С. 464 - 472
Опубликована: Июль 9, 2024
Purpose
of
review
Pulmonary
hypertension
is
a
heterogeneous
condition
with
significant
morbidity
and
mortality.
Computer
tomography
(CT)
plays
central
role
in
determining
the
phenotype
pulmonary
hypertension,
informing
treatment
strategies.
Many
artificial
intelligence
tools
have
been
developed
this
modality
for
assessment
hypertension.
This
article
reviews
latest
CT
applications
related
diseases.
Recent
findings
Multistructure
segmentation
both
nonpulmonary
cohorts
using
state-of-the-art
UNet
architecture.
These
segmentations
correspond
well
those
trained
radiologists,
giving
clinically
valuable
metrics
significantly
less
time.
Artificial
lung
parenchymal
accurately
identifies
quantifies
disease
patterns
by
integrating
multiple
radiomic
techniques
such
as
texture
analysis
classification.
gives
information
on
burden
prognosis.
There
are
many
accurate
to
detect
acute
embolism.
Detection
chronic
embolism
proves
more
challenging
further
research
required.
Summary
numerous
being
identify
quantify
relevant
parameters
cohorts.
potentially
provide
efficient
clinical
information,
impacting
decision-making.