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Congress: ECR25
Poster Number: C-13356
Type: Poster: EPOS Radiologist (scientific)
Authorblock: L. Zhuo, J. Hao, J. Wang, X. Yin; Baoding,Hebei Province/CN
Disclosures:
Liyong Zhuo: Nothing to disclose
Jiawei Hao: Nothing to disclose
Jianing Wang: Nothing to disclose
Xiaoping Yin: Nothing to disclose
Keywords: Artificial Intelligence, Lung, CT, Computer Applications-Detection, diagnosis, Acute, Epidemiology
Purpose To develop and validate a radiomics-based model for the early prediction of delayed radiological recovery from Mycoplasma pneumoniae pneumonia (MPP).
Read more Methods and materials Mycoplasma pneumoniae is a significant cause of respiratory infections in both children and adults. In recent years, the global spread of infection and increasing resistance to macrolide antibiotics have increased the risk of Mycoplasma pneumoniae pneumonia (MPP) progressing to severe or refractory forms, thereby posing a serious threat to human health. These cases are often accompanied by severe complications, such as plastic bronchitis, pleural effusion, pulmonary embolism, and extrapulmonary complications, including myocardial damage, liver dysfunction, kidney injury, anemia, and encephalitis. Patients with...
Read more Results A total of 576 eligible patients were included in the study. Multivariate logistic regression analysis revealed that D-dimer levels (odds ratio [OR]: 4.06, 95% confidence interval [CI]: 2.52–6.55; p < 0.001), the systemic immune-inflammation index (SII) (OR: 6.61, 95% CI: 2.08–21.00; p = 0.001), and the consolidation pattern (OR: 2.82, 95% CI = 1.52–5.24; p = 0.001) were significantly associated with delayed recovery. With the training set, the integrated model outperformed the radiomics model in terms of predictive efficacy (AUC:...
Read more Conclusion The MPP delayed recovery prediction model, based on 16 radiomics features, D-dimer, SII, and a consolidation pattern, showed excellent predictive performance. It can be used by clinicians as an effective tool for early identification and intervention.
Read more References Waites KB, Xiao L, Liu Y, Balish MF, Atkinson TP. Mycoplasma pneumoniae from the Respiratory Tract and Beyond. Clin Microbiol Rev 2017; 30 (3): 747-809. doi: 10.1128/cmr.00114-16. Kutty PK, Jain S, Taylor TH, Bramley AM, Diaz MH, Ampofo K, et al. Mycoplasma pneumoniae Among Children Hospitalized With Community-acquired Pneumonia. Clin Infect Dis 2019; 68 (1): 5-12. doi: 10.1093/cid/ciy419. Moynihan KM, Barlow A, Nourse C, Heney C, Schlebusch S, Schlapbach LJ. Severe Mycoplasma Pneumoniae Infection in Children Admitted to Pediatric Intensive Care. Pediatr...
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