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Clinical and Radiological Assessment of Patients with Lung Cancer Using Chest CT Scan: An Observational Study in a Barcelona Hospital, Spain 使用胸部 CT 扫描对肺癌患者进行临床和放射学评估:西班牙巴塞罗那一家医院的观察研究
Pub Date : 2024-04-25 DOI: 10.59345/sjrir.v2i1.121
Stephanie Banos
Introduction: Lung cancer is one of the most common and deadliest types of cancer in the world. Chest CT scan is an important diagnostic tool for detecting and evaluating lung cancer. This study aimed to assess the clinical and radiological characteristics of patients with lung cancer who underwent chest CT scans at Barcelona Hospital, Spain. Methods: This research is a retrospective observational study involving 1059 patients diagnosed with lung cancer who underwent chest CT scans between 2018-2023. Patient data were collected from electronic medical records, including demographic information, clinical symptoms, CT scan findings, and histopathological diagnosis results. Results: The most common clinical symptom was cough (83.0%), followed by shortness of breath (58.8%), chest pain (45.6%), coughing up blood (20.3%), and weight loss (17, 9%). The most common CT scan finding was lung nodules (80.6%), followed by consolidation (39.7%) and pleural effusion (26.9%). The most common histopathologic diagnosis was adenocarcinoma (40.4%), followed by squamous cell carcinoma (29.5%), large cell carcinoma (17.9%), and neuroendocrine cell carcinoma (12.3%). Conclusion: This study provides an overview of the clinical and radiological characteristics of patients with lung cancer who underwent chest CT scans at the Barcelona Hospital, Spain. The findings of this study may help doctors in diagnosing and managing patients with lung cancer.
导言:肺癌是世界上最常见、最致命的癌症之一。胸部 CT 扫描是检测和评估肺癌的重要诊断工具。本研究旨在评估在西班牙巴塞罗那医院接受胸部 CT 扫描的肺癌患者的临床和放射学特征。研究方法本研究是一项回顾性观察研究,涉及 2018-2023 年间接受胸部 CT 扫描的 1059 名确诊肺癌患者。患者数据来自电子病历,包括人口统计学信息、临床症状、CT扫描结果和组织病理学诊断结果。结果显示最常见的临床症状是咳嗽(83.0%),其次是气短(58.8%)、胸痛(45.6%)、咳血(20.3%)和体重减轻(17.9%)。最常见的 CT 扫描结果是肺结节(80.6%),其次是合并症(39.7%)和胸腔积液(26.9%)。最常见的组织病理学诊断是腺癌(40.4%),其次是鳞状细胞癌(29.5%)、大细胞癌(17.9%)和神经内分泌细胞癌(12.3%)。结论本研究概述了在西班牙巴塞罗那医院接受胸部 CT 扫描的肺癌患者的临床和放射学特征。本研究的结果可帮助医生诊断和管理肺癌患者。
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引用次数: 0
Comparison of Ultrasound and MRI in Detecting Breast Cancer: A Retrospective Study in Mumbai Hospitals, India 超声波与核磁共振成像在检测乳腺癌方面的比较:印度孟买医院的回顾性研究
Pub Date : 2024-04-22 DOI: 10.59345/sjrir.v2i1.120
Rajendra Singh, Aneel Kumar
Introduction: Breast cancer is the most common cancer in women throughout the world. Early detection of breast cancer is very important to increase the chances of cure. Ultrasonography (USG) and magnetic resonance imaging (MRI) are two imaging methods commonly used to detect breast cancer. The aim of this study was to compare the accuracy of ultrasound and MRI in detecting breast cancer in female patients at Mumbai Hospital, India. Methods: A retrospective study was conducted on 2435 female patients who underwent ultrasound and MRI examinations at Mumbai Hospital, India between 2018 and 2023. Patient data was collected from electronic medical records and analyzed to compare the accuracy of ultrasound and MRI in detecting breast cancer. Results: The research results show that MRI is more accurate than ultrasound in detecting breast cancer. MRI sensitivity was 95.2%, while ultrasound sensitivity was 78.3%. The specificity of MRI was 98.7%, while the specificity of USG was 94.3%. The positive predictive value of MRI was 95.2%, while the positive predictive value of USG was 87.5%. The negative predictive value of MRI was 98.7%, while the negative predictive value of USG was 94.3%. Conclusion: MRI is recommended as the primary imaging method for detecting breast cancer in female patients. Ultrasound can be used as a complementary method to MRI.
导言乳腺癌是全世界妇女最常见的癌症。早期发现乳腺癌对提高治愈率非常重要。超声波(USG)和磁共振成像(MRI)是两种常用于检测乳腺癌的成像方法。本研究旨在比较超声波和磁共振成像在检测印度孟买医院女性患者乳腺癌方面的准确性。研究方法对 2018 年至 2023 年期间在印度孟买医院接受超声波和核磁共振成像检查的 2435 名女性患者进行了回顾性研究。研究人员从电子病历中收集患者数据并进行分析,以比较超声波和核磁共振成像检测乳腺癌的准确性。结果显示研究结果表明,磁共振成像在检测乳腺癌方面比超声波更准确。磁共振成像的灵敏度为 95.2%,而超声波的灵敏度为 78.3%。磁共振成像的特异性为 98.7%,而超声波的特异性为 94.3%。核磁共振成像的阳性预测值为 95.2%,而 USG 的阳性预测值为 87.5%。磁共振成像的阴性预测值为 98.7%,而 USG 的阴性预测值为 94.3%。结论:建议将磁共振成像作为检测女性乳腺癌的主要成像方法。超声波可作为核磁共振成像的辅助方法。
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引用次数: 0
Utilization of Biopsy-Guided CT Scan in Diagnosing Liver Cancer: A Case Study 活组织检查引导的 CT 扫描在肝癌诊断中的应用:病例研究
Pub Date : 2024-04-22 DOI: 10.59345/sjrir.v2i1.119
Cindy Susanti, Agnes Mariska
Introduction: Liver cancer is one of the most common types of cancer in Indonesia and has a high mortality rate. Early diagnosis of liver cancer is very important to increase the patient's chances of recovery. Biopsy-guided CT scan is an effective method for diagnosing liver cancer. Case presentation: We report the case of a 55 year old man with a history of chronic hepatitis B who presented with complaints of right upper abdominal pain and weight loss. Physical examination revealed hepatomegaly and ascites. Investigations, including abdominal ultrasound and liver function tests, showed a mass in the liver. CT scan of the abdomen with contrast showed a hypodense mass in the right hepatic lobe. A CT-guided liver biopsy was performed and the histopathological diagnosis was hepatocellular carcinoma (HCC). The patient then underwent partial resection hepatectomy and chemotherapy. Conclusion: Biopsy-guided CT scan is a valuable tool for the diagnosis of HCC in patients with chronic hepatitis B.
导言肝癌是印度尼西亚最常见的癌症之一,死亡率很高。肝癌的早期诊断对增加患者的康复机会非常重要。活组织检查引导下的 CT 扫描是诊断肝癌的有效方法。病例介绍:我们报告了一名 55 岁男性的病例,他有慢性乙型肝炎病史,主诉右上腹痛和体重减轻。体检发现肝肿大和腹水。腹部超声波和肝功能检测等检查显示肝脏内有肿块。腹部造影剂 CT 扫描显示右肝叶有一个低密度肿块。在 CT 引导下进行了肝活检,组织病理学诊断为肝细胞癌(HCC)。患者随后接受了肝部分切除术和化疗。结论活组织检查引导下的 CT 扫描是诊断慢性乙型肝炎患者 HCC 的重要工具。
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引用次数: 0
Factors Contributing to the Accuracy of PET Scans in Detecting Cancer Metastases in Cairo Hospitals, Egypt 影响埃及开罗医院 PET 扫描检测癌症转移准确性的因素
Pub Date : 2024-04-22 DOI: 10.59345/sjrir.v2i1.118
Fatmah Sayeed
Introduction: Positron emission tomography  (PET) has become an important diagnostic tool in oncology, providing metabolic information that can aid in the detection and evaluation of cancer. However, the accuracy of PET scans in detecting cancer metastases can be influenced by various factors, including the type of cancer, location of metastases, and image acquisition protocol. This study aims to evaluate the factors that influence the accuracy of PET scans in detecting cancer metastases in patients at Cairo Hospital, Egypt. Methods: Patient data were collected retrospectively. A total of 5000 research subjects participated in this study. Data were analyzed to identify factors associated with false-positive or false-negative PET scan results. Results: Patients with lung or colorectal cancer were 2.45 times more likely to experience accurate positive PET scan results than patients with other types of cancer. Patients with metastases in lymph nodes were 1.93 times more likely to experience accurate positive PET scan results than patients with metastases in solid organs. Patients with a long PET scan image acquisition protocol were 1.78 times more likely to experience accurate positive PET scan results than patients with a short image acquisition protocol. Conclusion: PET scan is a valuable diagnostic tool in oncology, but its accuracy in detecting cancer metastases can be influenced by various factors. These factors should be considered when interpreting PET scan results and to improve cancer diagnosis and management.
简介正电子发射断层扫描(PET)已成为肿瘤学的重要诊断工具,可提供有助于检测和评估癌症的代谢信息。然而,PET 扫描检测癌症转移灶的准确性会受到多种因素的影响,包括癌症类型、转移灶位置和图像采集方案。本研究旨在评估影响埃及开罗医院 PET 扫描检测癌症转移患者准确性的因素。研究方法回顾性收集患者数据。共有 5000 名研究对象参与了这项研究。对数据进行分析,以确定与 PET 扫描结果假阳性或假阴性相关的因素。研究结果肺癌或结直肠癌患者PET扫描结果呈准确阳性的几率是其他类型癌症患者的2.45倍。淋巴结转移患者获得 PET 扫描准确阳性结果的几率是实体器官转移患者的 1.93 倍。采用长PET扫描图像采集方案的患者获得准确阳性PET扫描结果的几率是采用短图像采集方案患者的1.78倍。结论PET 扫描是肿瘤学中一种有价值的诊断工具,但其检测癌症转移的准确性会受到各种因素的影响。在解释 PET 扫描结果时应考虑这些因素,以改进癌症诊断和管理。
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引用次数: 0
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Sriwijaya Journal of Radiology and Imaging Research
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