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Pediatric Surgery International

Erschienen in:

02.07.2021 | Original Article

Computer-aided quantitative MSCT measurements may be useful for congenital lung malformations surgical approach selection

verfasst von: Weili Yang, Cong Shen, Nan Yu, Youmin Guo, Weikang Pan, Peng Li, Ya Gao, Xin Chen, Jiwen Cheng

Erschienen in: Pediatric Surgery International | Ausgabe 9/2021

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Abstract

Purpose

To examine the association between the MSCT quantitative measurements of congenital lung malformations (CLM) and the selection of surgical approaches (lobectomy vs. lung-sparing surgery).

Methods

This retrospective study evaluated CLM surgical cases at our institution from 2016 to 2018. MSCT quantitative measurements were generated by a semi-automated approach: the volume of the lesion (V_lesion), the volume of the lesion-involved lobe (V_lobe), the volume of the lesion-involved lung (V_lung) and the volume of the total lung (V_{total lung}). The proportions of V_lesion to V_lobe (P_lesion/lobe), V_lesion to V_lung (P_lesion/lung), and V_lesion to V _{total lung} (P_{lesion/total lung}) were calculated. We used Logistics regression to examine whether quantitative measurements were associated with the selection of surgical approaches.

Results

151 patients were included (median age at surgery 6 months). 82 patients underwent lung-sparing surgery, and 69 patients underwent lobectomy. V_lesion (OR 1.51, 95% CI 1.09–2.07), P_lesion/lobe (OR 1.78, 95% CI 1.16–2.72), P_lesion/lung (OR 1.63, 95% CI 1.13–2.35), and P_{lesion/total lung} (OR 1.58, 95% CI 1.12–2.22) were positively associated with the selection of lobectomy.

Conclusion

The application of quantified MSCT analysis may provide insight into the quantitative characteristics of CLM, which could be potentially useful for surgical approach selection.

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Titel: Computer-aided quantitative MSCT measurements may be useful for congenital lung malformations surgical approach selection
verfasst von: Weili Yang
Cong Shen
Nan Yu
Youmin Guo
Weikang Pan
Peng Li
Ya Gao
Xin Chen
Jiwen Cheng
Publikationsdatum: 02.07.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 9/2021
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-021-04949-4

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Computer-aided quantitative MSCT measurements may be useful for congenital lung malformations surgical approach selection

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Methods

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