https://scholars.lib.ntu.edu.tw/handle/123456789/583287
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | CHING-KAI LIN | en_US |
dc.contributor.author | LIH-YU CHANG | en_US |
dc.contributor.author | KAI-LUN YU | en_US |
dc.contributor.author | Wen Y.-F. | en_US |
dc.contributor.author | Fan H.-J. | en_US |
dc.contributor.author | CHAO-CHI HO | en_US |
dc.date.accessioned | 2021-09-17T05:41:26Z | - |
dc.date.available | 2021-09-17T05:41:26Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 1844-4172 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046830747&doi=10.11152%2fmu-1282&partnerID=40&md5=f43cc1d411253e9d3341d889619b5c51 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/583287 | - |
dc.description.abstract | Aim: The aim of this study was to identify easy and relatively effective ultrasound criteria for metastatic mediastinal lymph node prediction. Materials and methods: A retrospective chart review of patients who underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) from March 2014 to September 2016 was performed. We used the following EBUS sonographic features for metastatic lymph node prediction: 1) length of the short axis, 2) shape, 3) margin, 4) echogenicity, 5) central hilar structure, and 6) coagulation necrosis sign. These sonographic findings were compared with the final pathology results or clinical follow-up. Results: A total of 227 lymph nodes were retrospectively evaluated in 133 lung cancer patients; 72% of the lymph nodes had been proven to be malignant metastasis. Logistic regression analysis revealed that the length of the short axis, shape, margin, and echogenicity were independent predictive factors for metastasis. We developed a sum score based on these four sonographic features. A larger sum score trended toward a greater possibility of malignancy. If all four predictive factors were preserved, the diagnostic accuracy, the value of the specificity and the positive predictive value of the sonographic feature would be higher than 90%. Conclusions: The sonographic features of EBUS are valuable tools in predicting metastatic lymph nodes in lung cancer patients. ? 2017, Societatea Romana de Ultrasonografie in Medicina si Biologie. | en_US |
dc.publisher | Societatea Romana de Ultrasonografie in Medicina si Biologie | en_US |
dc.relation.ispartof | Medical Ultrasonography | en_US |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; aged; Article; cancer patient; clinical evaluation; clinical feature; controlled study; diagnostic accuracy; diagnostic test accuracy study; endobronchial ultrasonography; female; follow up; histopathology; human; logistic regression analysis; lung cancer; lymph node metastasis; major clinical study; male; mediastinum lymph node; medical record review; prediction; predictive value; retrospective study; scoring system; sensitivity and specificity; transbronchial aspiration; bronchoscopy; diagnostic imaging; differential diagnosis; echography; endoscopic ultrasonography; fine needle aspiration biopsy; interventional ultrasonography; lung tumor; lymph node; lymph node metastasis; mediastinum; middle aged; pathology; procedures; very elderly; Adult; Aged; Aged, 80 and over; Biopsy, Fine-Needle; Bronchoscopy; Diagnosis, Differential; Endosonography; Female; Humans; Lung Neoplasms; Lymph Nodes; Lymphatic Metastasis; Male; Mediastinum; Middle Aged; Retrospective Studies; Ultrasonography; Ultrasonography, Interventional | - |
dc.title | Differentiating metastatic lymph nodes in lung cancer patients based on endobronchial ultrasonography features | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.11152/mu-1282 | - |
dc.identifier.pmid | 29730680 | - |
dc.identifier.scopus | 2-s2.0-85046830747 | - |
dc.relation.pages | 154-158 | en_US |
dc.relation.journalvolume | 20 | en_US |
dc.relation.journalissue | 2 | en_US |
item.fulltext | no fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.cerifentitytype | Publications | - |
item.openairetype | journal article | - |
item.grantfulltext | none | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.dept | Medicine-NTUCC | - |
crisitem.author.dept | Internal Medicine-NTUHHC | - |
crisitem.author.dept | Internal Medicine-NTUH | - |
crisitem.author.dept | Internal Medicine-NTUHHC | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.dept | Internal Medicine-NTUH | - |
crisitem.author.orcid | 0000-0001-5171-4116 | - |
crisitem.author.orcid | 0000-0002-1318-5548 | - |
crisitem.author.orcid | 0000-0002-6506-9661 | - |
crisitem.author.orcid | 0000-0002-8156-2413 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Cancer Center (NTUCC) | - |
crisitem.author.parentorg | NTU Hsin-Chu Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | NTU Hsin-Chu Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
顯示於: | 醫學系 |
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