Background: This study explores the value of interlobar fissure semilunar sign(IFSS) based on multifactor joint analysis in predicting the invasiveness of ground glass nodules(GGNs) with interlobar fissure attachment in the lungs.
Methods: This was a retrospective analysis of clinical data and CT images of 203 GGNs attached to the interlobar fissures confirmed by surgery and pathology. According to pathological results, those GGNs were divided into three groups: glandular precursor lesion (atypical adenomatous hyperplasia/adenocarcinoma in situ), minimally invasive adenocarcinoma (MIA), and invasive adenocarcinoma (IAC).
Purpose: In the absence of a virus nucleic acid real-time reverse transcriptase-polymerase chain reaction (RT-PCR) test and experienced radiologists, clinical diagnosis is challenging for viral pneumonia with clinical symptoms and CT signs similar to that of coronavirus disease 2019 (COVID-19). We developed an end-to-end automatic differentiation method based on CT images to identify COVID-19 pneumonia patients in real time.
Methods: From January 18 to February 23, 2020, we conducted a retrospective study and enrolled 201 patients from two hospitals in China who underwent chest CT and RT-PCR tests, of which 98 patients tested positive for COVID-19 (118 males and 83 females, with an average age of 42 years).