Application of Multi-Slice Computed Tomography for the Preoperative Diagnosis and Classification of Pulmonary Cystic Echinococcosis
Pulmonary cystic echinococcosis remains a serious threat to public health. A standardized, imaging-based classification method for pulmonary echinococcosis has not yet been developed despite the existence of a standardized ultrasound classification method and treatment plan for hepatic cystic echino...
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MDPI AG
2021-03-01
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| Series: | Pathogens |
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| Online Access: | https://www.mdpi.com/2076-0817/10/3/353 |
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| author | Lizhong Wu Pema Longlong Mu Mingjue Si Jie Xu Guojie Ciren Lingling Cai |
| author_facet | Lizhong Wu Pema Longlong Mu Mingjue Si Jie Xu Guojie Ciren Lingling Cai |
| author_sort | Lizhong Wu |
| collection | DOAJ |
| description | Pulmonary cystic echinococcosis remains a serious threat to public health. A standardized, imaging-based classification method for pulmonary echinococcosis has not yet been developed despite the existence of a standardized ultrasound classification method and treatment plan for hepatic cystic echinococcosis. Chest computed tomography (CT) images from 34 cases of pulmonary cystic echinococcosis with 46 lesions were used for classification based on the World Health Organization (WHO) standardized ultrasound classification of hepatic cystic echinococcosis. CT findings were compared with intraoperative observations and postoperative pathological results to assess accuracy. Pulmonary cystic echinococcosis was common in women (14/34, 41.2%) and children (14/34, 41.2%) with a single cyst (28/46, 60.9%). Most lesions were classified as cystic echinococcosis 1(CE1, 19/46) or cystic echinococcosis 3(CE3, 21/46). Blood leukocytosis was mostly observed in CE3 lesions (100%, 9/9) (<i>p</i> < 0.05). The preoperative CT diagnosis of pulmonary cystic echinococcosis had an accuracy rate of 100%. The preoperative CT typing, and postoperative pathological typing had a coincidence rate of 97.8% (45/46). Our study provided a classification method based on CT imaging for pulmonary cystic echinococcosis that can be used during pre-surgical planning to reduce patient’s postoperative complications and mortality. |
| first_indexed | 2024-03-10T13:11:09Z |
| format | Article |
| id | doaj.art-e4804275424e4a24ac39371bbcb48df8 |
| institution | Directory Open Access Journal |
| issn | 2076-0817 |
| language | English |
| last_indexed | 2024-03-10T13:11:09Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pathogens |
| spelling | doaj.art-e4804275424e4a24ac39371bbcb48df82023-11-21T10:45:59ZengMDPI AGPathogens2076-08172021-03-0110335310.3390/pathogens10030353Application of Multi-Slice Computed Tomography for the Preoperative Diagnosis and Classification of Pulmonary Cystic EchinococcosisLizhong Wu0Pema1Longlong Mu2Mingjue Si3Jie Xu4Guojie Ciren5Lingling Cai6Department of Radiology, People’s Hospital of Shigatse City, Shigatse 857000, ChinaDepartment of Radiology, People’s Hospital of Shigatse City, Shigatse 857000, ChinaDepartment of Radiology, People’s Hospital of Shigatse City, Shigatse 857000, ChinaDepartment of Radiology, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 201999, ChinaDepartment of Infectious Disease, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 201999, ChinaDepartment of Radiology, People’s Hospital of Shigatse City, Shigatse 857000, ChinaDepartment of Radiology, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 201999, ChinaPulmonary cystic echinococcosis remains a serious threat to public health. A standardized, imaging-based classification method for pulmonary echinococcosis has not yet been developed despite the existence of a standardized ultrasound classification method and treatment plan for hepatic cystic echinococcosis. Chest computed tomography (CT) images from 34 cases of pulmonary cystic echinococcosis with 46 lesions were used for classification based on the World Health Organization (WHO) standardized ultrasound classification of hepatic cystic echinococcosis. CT findings were compared with intraoperative observations and postoperative pathological results to assess accuracy. Pulmonary cystic echinococcosis was common in women (14/34, 41.2%) and children (14/34, 41.2%) with a single cyst (28/46, 60.9%). Most lesions were classified as cystic echinococcosis 1(CE1, 19/46) or cystic echinococcosis 3(CE3, 21/46). Blood leukocytosis was mostly observed in CE3 lesions (100%, 9/9) (<i>p</i> < 0.05). The preoperative CT diagnosis of pulmonary cystic echinococcosis had an accuracy rate of 100%. The preoperative CT typing, and postoperative pathological typing had a coincidence rate of 97.8% (45/46). Our study provided a classification method based on CT imaging for pulmonary cystic echinococcosis that can be used during pre-surgical planning to reduce patient’s postoperative complications and mortality.https://www.mdpi.com/2076-0817/10/3/353pulmonary cystic echinococcosismulti-slice computed tomographypreoperative diagnosisCT-image derived classification |
| spellingShingle | Lizhong Wu Pema Longlong Mu Mingjue Si Jie Xu Guojie Ciren Lingling Cai Application of Multi-Slice Computed Tomography for the Preoperative Diagnosis and Classification of Pulmonary Cystic Echinococcosis Pathogens pulmonary cystic echinococcosis multi-slice computed tomography preoperative diagnosis CT-image derived classification |
| title | Application of Multi-Slice Computed Tomography for the Preoperative Diagnosis and Classification of Pulmonary Cystic Echinococcosis |
| title_full | Application of Multi-Slice Computed Tomography for the Preoperative Diagnosis and Classification of Pulmonary Cystic Echinococcosis |
| title_fullStr | Application of Multi-Slice Computed Tomography for the Preoperative Diagnosis and Classification of Pulmonary Cystic Echinococcosis |
| title_full_unstemmed | Application of Multi-Slice Computed Tomography for the Preoperative Diagnosis and Classification of Pulmonary Cystic Echinococcosis |
| title_short | Application of Multi-Slice Computed Tomography for the Preoperative Diagnosis and Classification of Pulmonary Cystic Echinococcosis |
| title_sort | application of multi slice computed tomography for the preoperative diagnosis and classification of pulmonary cystic echinococcosis |
| topic | pulmonary cystic echinococcosis multi-slice computed tomography preoperative diagnosis CT-image derived classification |
| url | https://www.mdpi.com/2076-0817/10/3/353 |
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