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Non-invasive tissue characterization of lung tumors using integrated backscatter intravascular ultrasound: An ex vivo comparative study with pathological diagnosis.
https://asahi-u.repo.nii.ac.jp/records/6993
https://asahi-u.repo.nii.ac.jp/records/69937ac4e407-87d8-4ade-a800-2d47dd5f9508
Item type | 朝日大学 教育・研究業績(1) | |||||
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公開日 | 2017-10-12 | |||||
タイトル | ||||||
タイトル | Non-invasive tissue characterization of lung tumors using integrated backscatter intravascular ultrasound: An ex vivo comparative study with pathological diagnosis. | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_1843 | |||||
資源タイプ | other | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
業績分類 | ||||||
値 | 学術雑誌論文 | |||||
教員氏名 |
竹村, 元三
× 竹村, 元三 |
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発行、発表雑誌等、又は発表学会等の名称 | ||||||
値 | Chest. | |||||
巻 | ||||||
値 | 149 | |||||
号 | ||||||
値 | 5 | |||||
掲載ページ | ||||||
値 | 1276-1284 | |||||
単著、共著の別 | ||||||
値 | 共著 | |||||
発行又は発表の年月 | ||||||
日付 | 2016-05 | |||||
PubMed番号 | ||||||
値 | 26513315 | |||||
概要 | ||||||
値 | Endobronchial ultrasonography (EBUS) facilitates a lung cancer diagnosis. However, qualitative tissue characterization of lung tumors is difficult using EBUS. Integrated backscatter (IBS) is an ultrasound technique that calculates the power of the ultrasound signal to characterize tissue components in coronary arteries. We hypothesized that qualitative diagnosis of lung tumors is possible using the IBS technique. The aim of the present study was to elucidate whether the IBS technique can be used in lung tissue diagnoses. Thirty-five consecutive patients who underwent surgery for lung cancer were prospectively enrolled. Surgical specimens of the lung and the tumor tissue were obtained, and the IBS values were measured within 48 h after surgery. Histologic images of lung and tumor tissues were compared with IBS values, and the relative interstitial area according to results of Masson's trichrome staining were determined by using an imaging processor. he IBS values in tumor tissue were significantly lower than those in normal lung tissue (-50.9 ± 2.6 dB and -47.6 ± 2.6 dB, respectively; P < .001). The IBS values of adenocarcinomas associated with a good 5-year survival rate were higher than those of non-adenocarcinomas (-48.1 ± 1.6 dB and -52.6 ± 1.4 dB; P < .001). There were significant correlations between the IBS values and the relative interstitial area or micro air area in tumor (r = 0.53 and r = 0.67; P < .01). After combining normal lung tissue and adenocarcinomas with a good prognosis, the sensitivity and specificity for establishing the presence of lung tumors were 84% and 85%. Qualitative diagnosis of lung tumors was possible, with a sensitivity of 84% and a specificity of 85%, using the ultrasound IBS technique. |