MDCT quantification is the dominant parameter in decision-making regarding chest tube drainage for stable patients with traumatic pneumothorax.

Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society
Wenli CaiMarc A de Moya

Abstract

It is commonly believed that the size of a pneumothorax is an important determinant of treatment decision, in particular regarding whether chest tube drainage (CTD) is required. However, the volumetric quantification of pneumothoraces has not routinely been performed in clinics. In this paper, we introduced an automated computer-aided volumetry (CAV) scheme for quantification of volume of pneumothoraces in chest multi-detect CT (MDCT) images. Moreover, we investigated the impact of accurate volume of pneumothoraces in the improvement of the performance in decision-making regarding CTD in the management of traumatic pneumothoraces. For this purpose, an occurrence frequency map was calculated for quantitative analysis of the importance of each clinical parameter in the decision-making regarding CTD by a computer simulation of decision-making using a genetic algorithm (GA) and a support vector machine (SVM). A total of 14 clinical parameters, including volume of pneumothorax calculated by our CAV scheme, was collected as parameters available for decision-making. The results showed that volume was the dominant parameter in decision-making regarding CTD, with an occurrence frequency value of 1.00. The results also indicated that the...Continue Reading

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Citations

Apr 4, 2013·Current Opinion in Pulmonary Medicine·Wenli Cai, Marc de Moya
Dec 4, 2012·Revista portuguesa de pneumologia·M M El HammoumiE H Kabiri
Mar 26, 2015·Cirugía española·Heura Llaquet BayoSalvador Navarro Soto
Apr 19, 2020·European Radiology Experimental·Sebastian RöhrichGeorg Langs
Sep 10, 2019·World Journal of Emergency Surgery : WJES·Ashraf F HefnyFikri M Abu-Zidan

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