|
English
|
正體中文
|
简体中文
|
Items with full text/Total items : 18076/20274 (89%)
Visitors : 4904085
Online Users : 800
|
|
|
Loading...
|
Please use this identifier to cite or link to this item:
https://ir.cnu.edu.tw/handle/310902800/32688
|
標題: | Predictors of Initial Smear-Negative Active Pulmonary Tuberculosis with Acute Early Stage Lung Injury by High-Resolution Computed Tomography and Clinical Manifestations: An Auxiliary Model in Critical Patients |
作者: | Yeh, Jun-Jun(葉俊濬) |
貢獻者: | Ditmanson Med Fdn, Chia Yi Christian Hosp, Dept Pulm Med, Sect Thorac Imaging & Family Med Chia Nan Univ Pharm & Sci, China Med Univ Pingtung Christian Hosp Heng Chun Christian Hosp |
關鍵字: | RESPIRATORY-DISTRESS-SYNDROME CRITICAL CARE IMAGE QUALITY CT DIAGNOSIS CHEST PHYSICIAN VALIDATION FEATURES |
日期: | 2019-03 |
上傳時間: | 2020-07-29 13:55:21 (UTC+8) |
出版者: | NATURE PUBLISHING GROUP |
摘要: | This study evaluated the diagnostic use of high-resolution computed tomography (HRCT), chest X-ray (CXR), and clinical manifestations (CM) to identify initial smear-negative (iSN) active pulmonary tuberculosis (aPTB) [iSN-aPTB] in patients with iSN-pulmonary diseases (PD) and acute lung injury (ALI). In the derivation cohort, the [iSN-PD] with ALI patients were divided into the [iSN-aPTB] (G1, n = 26) and [non-aPTB-PD] (G2, n= 233) groups. Lung morphology, number, and lobar (segmental) distribution were evaluated using CXR and HRCT. A multivariate analysis was performed to identify independent variables associated with G1, which were used to generate predictive score models for G1. The predictive model was validated in a separate population of patients (n = 372) with [iSN-PD] and (ALI). The validated model for [HRCT (CXR + Hypoalbuminemia)] had 93.5% (25.8%) sensitivity, 99.5% (89.4%) specificity, and a negative predictive value of 99.5% (93.0%). For [iSN-aPTB], the post-test probability in the derivation cohort (prevalence =10%), validation cohort (prevalence = 8.3%), and the given prevalence (prevalence = 1%) was 88.7%, 94.4%, and 41.5%, respectively. The HRCT model effectively identified the [iSN-aPTB] subjects among the [iSN-PD] with ALI, regardless of CM. The [non-aPTB-PD] were also correctly classified by the HRCT and [CXR + Hypoalbuminemia] models. |
關聯: | Scientific Reports, v.9, 4527 |
Appears in Collections: | [嬰幼兒保育系] 期刊論文
|
Files in This Item:
File |
Description |
Size | Format | |
index.html | | 0Kb | HTML | 1307 | View/Open |
|
All items in CNU IR are protected by copyright, with all rights reserved.
|