Publications by authors named "K Okudela"

Purpose: We aimed to identify computed tomography (CT) radiomics features that are associated with cellular infiltration and construct CT radiomics models predictive of cellular infiltration in patients with fibrotic ILD.

Materials And Methods: CT images of patients with ILD who underwent surgical lung biopsy (SLB) were analyzed. Radiomics features were extracted using artificial intelligence-based software and PyRadiomics.

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Article Synopsis
  • The study investigates metachronous lung cancer (arising after resection of non-small-cell lung cancer), distinguishing between second primary lung cancer (SPLC) and intrapulmonary metastasis (IPM), which is challenging to diagnose.
  • A retrospective analysis included 105 patients who had a second lung resection, revealing that most had SPLC, and the overall 5-year survival rate after surgery was 70.6%.
  • Key factors affecting poor survival rates included being over 70 years old at the second surgery, male sex, lymph node involvement, larger tumor size, and shared histology with the original cancer, although histological IPM wasn't a significant risk factor.
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Background: Idiopathic multicentric Castleman disease (iMCD) is a rare polyclonal lymphoproliferative disease often associated with pulmonary involvement. Recently, transbronchial lung cryobiopsy (TBLC) has been reported to be useful for the diagnosis of diffuse interstitial lung disease. However, there have been no reports of pathological assessment of TBLC for iMCD.

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Risk factors of severe coronavirus disease 2019 (COVID-19) have been previously reported; however, histological risk factors have not been defined thus far. The aim of this study was to clarify subclinical hidden interstitial lung disease (ILD) as a risk factor of severe pneumonia associated with COVID-19. We carefully examined autopsied lungs and chest computed tomography scanning (CT) images from patients with COVID-19 for interstitial lesions and then analyzed their relationship with disease severity.

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Background: Upper-lung field pulmonary fibrosis (upper-PF), radiologically consistent with pleuroparenchymal fibroelastosis (PPFE), was reported to develop in patients with a history of asbestos exposure and tuberculous pleurisy, indicating that chronic pleuritis is correlated with upper-PF development. Round atelectasis reportedly emerges after chronic pleuritis. This study aimed to clarify the association between round atelectasis and upper-PF.

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