AI can prescreen chest CT studies for pneumothorax
An artificial intelligence (AI) algorithm can be highly sensitive for detecting...Read more on AuntMinnie.comRelated Reading: Big data for sale: A solution to spur AI research Summers: Radiologists shouldn't be intimidated by AI Education is needed to harness power of AI in radiology Google AI algorithm shows promise for chest x-rays AI can help distinguish lung nodules on CT scans
We have read the article by Chiappetta et al. (2018) on the possibility of using lung ultrasound (LUS) as the exam of choice instead of chest X-ray to detect possible complications after thoracic surgery. Despite the results reported by the authors (even if based on a small sample), the ultrasound diagnosis of pneumothorax in these patients is not always so sensitive and specific.
α1-antitrypsin (AAT) is an acute phase protein, major inhibitor of neutrophil proteases and considered as a regulatory protein of broad immune and inflammatory responses. Inherited AAT deficiency predisposes to an early-onset pulmonary emphysema and pneumothorax, and is a common indication for lung transplantation. Both preclinical and clinical experience show that therapy with plasma purified AAT is beneficial for emphysema patients with AAT deficiency but also useful for a broad spectrum of inflammatory and immune-mediated diseases.
Publication date: Available online 15 March 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Bilal Kirmani, Joseph ZachariasAbstractThe insertion of a chest drain, either using the Seldinger technique or as a cut-down for a wide bore tube, is common and relatively straightforward. An appreciation of the anatomy, procedural technique and potential complications is important. The process is outlined here.
Conclusions: TTP was deemed likely to be safe and effective for patients able to tolerate general anesthesia. In patients with IP, especially those treated with steroids, the indication of talc pleurodesis should be cautiously considered. PMID: 30863586 [PubMed]
This study aims to investigate correlation between the radiation dose and fluoroscopic CT exposure factors to establish the low dose parameters for performing percutaneous lung biopsies, as well as the relationship of the mean diameter and depth of lesions with radiation dose, procedure time, success and complication rates. MATERIALS AND METHODS: This is a retrospective study to analyse lung biopsies performed using intermittent CT fluoroscopic technique with 18 G semi-automated coaxial gun on 256 slice scanner. A total of 50 patients were included in the study. Biopsy was done in three mAs and KVp settings (30 and 7...
AbstractFollowing cardiac surgical procedures, multiple drainage systems remain in place inside the patient ’s chest to prevent the development of pericardial effusion or pneumothorax. Therefore, postoperative bleeding must be diligently observed. Currently, observation of the exudate rate is performed through periodical visual inspection of the reservoir. To improve postoperative monitoring, a measurem ent system based on load cells was developed to automatically detect bleeding rates. A reservoir retaining bracket was instrumented with a load cell. The signal was digitized by a microcontroller and then processed an...
Publication date: Available online 12 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Thomas Galetin, Erich Stoelben
ConclusionDual localization with microcoil placement and dye marking is safe and supports successful VATS resection of small deep-seated lung nodules.
Conclusions: In MIPLE, the PP could reduce blood loss due to the two-lung ventilation under artificial pneumothorax and was associated with lower surgical stress than LLDP.