https://scholars.lib.ntu.edu.tw/handle/123456789/473736
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | Lo W.-C. | en_US |
dc.contributor.author | Cheng P.-W. | en_US |
dc.contributor.author | Shueng P.-W. | en_US |
dc.contributor.author | Hsieh C.-H. | en_US |
dc.contributor.author | YIH-LEONG CHANG | en_US |
dc.contributor.author | Liao L.-J. | en_US |
dc.creator | Lo W.-C.;Cheng P.-W.;Shueng P.-W.;Hsieh C.-H.;Yih-Leong Chang;Liao L.-J. | - |
dc.date.accessioned | 2020-03-07T06:56:12Z | - |
dc.date.available | 2020-03-07T06:56:12Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 1749-4478 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043693990&doi=10.1111%2fcoa.12998&partnerID=40&md5=1f638565092bbf49ef5cb2eff11c140d | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/473736 | - |
dc.description.abstract | Objective: To establish a real-time predictive scoring model based on sonographic characteristics for identifying malignant cervical lymph nodes (LNs) in cancer patients after neck irradiation. Methods: One-hundred forty-four irradiation-treated patients underwent ultrasonography and ultrasound-guided fine-needle aspirations (USgFNAs), and the resultant data were used to construct a real-time and computerised predictive scoring model. This scoring system was further compared with our previously proposed prediction model. Results: A predictive scoring model, 1.35 × (L axis) + 2.03 × (S axis) + 2.27 × (margin) + 1.48 × (echogenic hilum) + 3.7, was generated by stepwise multivariate logistic regression analysis. Neck LNs were considered to be malignant when the score was ? 7, corresponding to a sensitivity of 85.5%, specificity of 79.4%, positive predictive value (PPV) of 82.3%, negative predictive value (NPV) of 83.1%, and overall accuracy of 82.6%. When this new model and the original model were compared, the areas under the receiver operating characteristic curve (c-statistic) were 0.89 and 0.81, respectively (P <.05). Conclusions: A real-time sonographic predictive scoring model was constructed to provide prompt and reliable guidance for USgFNA biopsies to manage cervical LNs after neck irradiation. ? 2017 John Wiley & Sons Ltd | - |
dc.publisher | Blackwell Publishing Ltd | - |
dc.relation.ispartof | Clinical Otolaryngology | - |
dc.subject | fine-needle aspiration biopsy; head and neck; lymph node; prediction model; radiotherapy; ultrasound | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; aged; area under the curve; Article; cancer radiotherapy; cervical lymph node metastasis; diagnostic accuracy; diagnostic test accuracy study; echography; esophagus cancer; female; fine needle aspiration biopsy; head and neck cancer; human; larynx cancer; major clinical study; male; mouth cancer; multivariate logistic regression analysis; nasopharynx carcinoma; oropharynx carcinoma; prediction; predictive value; priority journal; receiver operating characteristic; reliability; scoring system; sensitivity and specificity; diagnostic imaging; head and neck tumor; lymph node; lymph node metastasis; middle aged; pathology; secondary; statistical model; Adult; Aged; Biopsy, Fine-Needle; Female; Head and Neck Neoplasms; Humans; Logistic Models; Lymph Nodes; Lymphatic Metastasis; Male; Middle Aged; Predictive Value of Tests; ROC Curve; Ultrasonography | - |
dc.title | A real-time prediction model for post-irradiation malignant cervical lymph nodes | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1111/coa.12998 | - |
dc.identifier.pmid | 28981204 | - |
dc.identifier.scopus | 2-s2.0-85043693990 | - |
dc.relation.pages | 477-482 | - |
dc.relation.journalvolume | 43 | - |
dc.relation.journalissue | 2 | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | no fulltext | - |
crisitem.author.dept | Pathology | - |
crisitem.author.dept | Pathology-NTUH | - |
crisitem.author.dept | Pathology-NTUCC | - |
crisitem.author.orcid | 0000-0001-5309-0554 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Cancer Center (NTUCC) | - |
顯示於: | 病理學科所 |
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