Deep learning for diagnosis of malign pleural effusion on computed tomography images

Özçelik, Neslihan; Özçelik, Ali Erdem; Zirih, Nese Merve Güner; Selimoglu, Inci; Gümüş, Aziz

doi:10.1016/j.clinsp.2023.100210

Cited by 6 publications

(3 citation statements)

References 52 publications

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“…Imaging techniques: Advances in imaging techniques, particularly magnetic resonance imaging and computed tomography, represent significant strides in enhancing diagnostic capabilities when it comes to pleural effusions [ 35 , 36 ]. The improved image quality afforded by these technologies enables healthcare professionals to visualize pleural abnormalities with greater clarity and precision.…”

Section: Reviewmentioning

confidence: 99%

“…Computer-aided diagnostic analysis: Computer-aided diagnostic analysis has revolutionized the field of pleural diseases, specifically identifying cancer cells in pleural fluid [ 35 ]. Deep learning algorithms, trained with CT image data, demonstrate promising adequacies in discerning characteristics and diagnostic criteria for pleural effusion diagnosis.…”

Section: Reviewmentioning

confidence: 99%

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Unveiling Insights: A Comprehensive Review of the Role of Medical Thoracoscopy in Pleural Effusion Assessment

Ledwani,

Ghewade,

Jadhav

et al. 2024

Cureus

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Pleural effusion, characterized by abnormal fluid accumulation in the pleural cavity, poses diagnostic and therapeutic challenges across various medical conditions. This comprehensive review explores the role of medical thoracoscopy in assessing pleural effusions, providing insights into its historical context, procedural intricacies, diagnostic performance, safety considerations, and clinical applications. Medical thoracoscopy, a minimally invasive endoscopic procedure, offers advantages such as high diagnostic yield, therapeutic interventions, real-time assessment, and a minimally invasive nature. The review critically analyzes the procedure's advantages and disadvantages, including technical expertise, risk of complications, resource intensity, and patient selection criteria. Comparative analyses with alternative diagnostic modalities highlight the unique benefits of medical thoracoscopy in specific clinical scenarios. The diagnostic yield of medical thoracoscopy is examined, considering sensitivity and specificity in various contexts. Patient selection criteria, complications, and safety measures are discussed, emphasizing the importance of careful consideration in integrating thoracoscopy into clinical practice. The review further explores its clinical applications, including differentiating exudative and transudative effusions, identifying specific etiologies, and its role in treatment planning. In conclusion, medical thoracoscopy emerges as a valuable tool in the comprehensive management of pleural effusions, offering a nuanced approach to diagnosis and treatment. The evolving landscape of diagnostic modalities underscores the continued significance of medical thoracoscopy and potential advancements in the field.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Unveiling Insights: A Comprehensive Review of the Role of Medical Thoracoscopy in Pleural Effusion Assessment

Ledwani,

Ghewade,

Jadhav

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…In recent years, noninvasive imaging modalities such as ultrasonography (US) and computed tomography (CT) have become increasingly important in evaluating pleural effusions and diagnosing MPE. These modalities can provide valuable information about the nature and characteristics of pleural effusion, potentially guiding clinical decision making and reducing the need for invasive procedures [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Comparative Evaluation of Chest Ultrasonography and Computed Tomography as Predictors of Malignant Pleural Effusion: A Prospective Study

Shehata,

Almalki,

Basha

et al. 2024

Diagnostics

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Malignant pleural effusion (MPE) is a manifestation of advanced cancer that requires a prompt and accurate diagnosis. Ultrasonography (US) and computed tomography (CT) are valuable imaging techniques for evaluating pleural effusions; however, their relative predictive ability for a malignant origin remains debatable. This prospective study aimed to compare chest US with CT findings as predictors of malignancy in patients with undiagnosed exudative pleural effusion. Fifty-four adults with undiagnosed exudative pleural effusions underwent comprehensive clinical evaluation including chest US, CT, and histopathologic biopsy. Blinded radiologists evaluated the US and CT images for features suggestive of malignancy, based on predefined criteria. Diagnostic performance measures were calculated using histopathology as a reference standard. Of the 54 patients, 33 (61.1%) had MPEs confirmed on biopsy. No significant differences between US and CT were found in detecting parietal pleural abnormalities, lung lesions, chest wall invasion, or liver metastasis. US outperformed CT in identifying diaphragmatic pleural thickening ≥10 mm (33.3% vs. 6.1%, p < 0.001) and nodularity (45.5% vs. 3%, p < 0.001), whereas CT was superior for mediastinal thickening (48.5% vs. 15.2%, p = 0.002). For diagnosing MPE, diaphragmatic nodularity detected by US had 45.5% sensitivity and 100% specificity, whereas CT mediastinal thickening had 48.5% sensitivity and 90.5% specificity. Both US and CT demonstrate reasonable diagnostic performance for detecting MPE, with particular imaging findings favoring a malignant origin. US may be advantageous for evaluating diaphragmatic pleural involvement, whereas CT is more sensitive to mediastinal abnormalities.

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Local Anesthetic Thoracoscopy: A Focus on Indications, Techniques and Complications

Piazzolla,

De Pace,

Porcel

et al. 2024

Archivos de Bronconeumología

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Deep learning for diagnosis of malign pleural effusion on computed tomography images

Cited by 6 publications

References 52 publications

Unveiling Insights: A Comprehensive Review of the Role of Medical Thoracoscopy in Pleural Effusion Assessment

Unveiling Insights: A Comprehensive Review of the Role of Medical Thoracoscopy in Pleural Effusion Assessment

Comparative Evaluation of Chest Ultrasonography and Computed Tomography as Predictors of Malignant Pleural Effusion: A Prospective Study

Local Anesthetic Thoracoscopy: A Focus on Indications, Techniques and Complications

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