Publications by authors named "Zhenchen Zhu"

Article Synopsis
  • This study aimed to compare the effectiveness of photon-counting detector (PCD) CT and conventional energy-integrating detector (EID) CT in assessing subsolid nodules (SSNs) based on their image quality and characteristics.
  • Forty-eight participants underwent both CT types, with PCD CT showing significantly lower radiation doses, reduced image noise, and higher subjective image quality compared to EID CT.
  • The research concluded that PCD CT provides better visualization of SSN features, except for lobulation, suggesting its potential as a superior imaging method.
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  • A study was conducted to evaluate how well quantitative CT features can predict fibrotic interstitial lung abnormalities (ILAs) in patients three months after COVID-19 infection.
  • Data was gathered from two groups: one from a fever clinic/emergency department and the other from patients hospitalized with COVID-19 pneumonia, and machine learning techniques were used for analysis.
  • Results showed that factors such as pneumonia volume, consolidation volume, ground-glass opacity volume, and CT scores were significant predictors of fibrotic ILAs, displaying reliable predictive validity in both training and validation datasets.
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  • Pulmonary neuroendocrine neoplasms (NENs) frequently cause ectopic adrenocorticotropic hormone syndrome (EAS), leading to complications such as lung infections that can appear similar to NENs on imaging.
  • A study analyzed imaging data from 59 EAS patients, comparing 45 with NENs to 14 with tumor-like infections, revealing distinct clinical and imaging features that help differentiate between the two conditions.
  • Results indicate that CT scans are instrumental for identifying and characterizing pulmonary lesions in EAS, aiding in timely diagnosis and treatment decisions.
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Background Preoperative discrimination of preinvasive, minimally invasive, and invasive adenocarcinoma at CT informs clinical management decisions but may be challenging for classifying pure ground-glass nodules (pGGNs). Deep learning (DL) may improve ternary classification. Purpose To determine whether a strategy that includes an adjudication approach can enhance the performance of DL ternary classification models in predicting the invasiveness of adenocarcinoma at chest CT and maintain performance in classifying pGGNs.

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Rationale And Objectives: The computed tomography (CT) score has been used to evaluate the severity of COVID-19 during the pandemic; however, most studies have overlooked the impact of infection duration on the CT score. This study aimed to determine the optimal cutoff CT score value for identifying severe/critical COVID-19 during different stages of infection and to construct corresponding predictive models using radiological characteristics and clinical factors.

Materials And Methods: This retrospective study collected consecutive baseline chest CT images of confirmed COVID-19 patients from a fever clinic at a tertiary referral hospital from November 28, 2022, to January 8, 2023.

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  • A study was conducted to create a CT-based radiomic model that could predict how well non-small cell lung cancer patients would respond to PD-1/PD-L1 immunotherapy, using data collected from June 2015 to February 2022.
  • Researchers analyzed CT scans from 237 patients, classifying them as responders or non-responders, and developed a scoring model by extracting and weighting radiomic features.
  • The model showed promising results, with high accuracy rates (AUC of 0.85 in the training set and 0.80 in the test set), outperforming standard PD-L1 models and indicating that these scores can effectively help anticipate patient responses to treatment.
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Objectives: To develop a pre-treatment CT-based predictive model to anticipate inoperable lung cancer patients' progression-free survival (PFS) to immunotherapy.

Methods: This single-center retrospective study developed and cross-validated a radiomic model in 185 patients and tested it in 48 patients. The binary endpoint is the durable clinical benefit (DCB, PFS ≥ 6 months) and non-DCB (NDCB, PFS < 6 months).

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Subject motion during fMRI can affect our ability to accurately measure signals of interest. In recent years, frame censoring-that is, statistically excluding motion-contaminated data within the general linear model using nuisance regressors-has appeared in several task-based fMRI studies as a mitigation strategy. However, there have been few systematic investigations quantifying its efficacy.

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Objectives: To establish a multi-classification model for precisely predicting the invasiveness (pre-invasive adenocarcinoma, PIA; minimally invasive adenocarcinoma, MIA; invasive adenocarcinoma, IAC) of lung adenocarcinoma manifesting as pure ground-glass nodules (pGGNs).

Methods: By the inclusion and exclusion criteria, this retrospective study enrolled 346 patients (female, 297, and male, 49; age, 55.79 ± 10.

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Objectives: To develop a nomogram to identify anaplastic lymphoma kinase (ALK) mutations in lung adenocarcinoma patients using clinical, CT, PET/CT, and histopathological features.

Methods: This retrospective study included 399 lung adenocarcinoma patients (129 ALK-rearranged patients and 270 ALK-negative patients) that were randomly divided into a training cohort and an internal validation cohort (4:1 ratio). Clinical factors, radiologist-defined CT features, maximum standard uptake values (SUVmax), and histopathological features were used to construct predictive models with stepwise backward-selection multivariate logistic regression (MLR).

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Rationale And Objectives: To identify whether the radiomics features of computed tomography (CT) allowed for the preoperative discrimination of the invasiveness of lung adenocarcinomas manifesting as pure ground-glass nodules (pGGNs) and further to develop and compare different predictive models.

Materials And Methods: We retrospectively included 187 lung adenocarcinomas presenting as pGGNs (66 preinvasive lesions and 121 invasive lesions), which were randomly divided into the training and test sets (8:2). Radiomics features were extracted from non-enhanced CT images.

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To predict the anaplastic lymphoma kinase (ALK) mutations in lung adenocarcinoma patients non-invasively with machine learning models that combine clinical, conventional CT and radiomic features. This retrospective study included 335 lung adenocarcinoma patients who were randomly divided into a primary cohort (268 patients; 90 ALK-rearranged; and 178 ALK wild-type) and a test cohort (67 patients; 22 ALK-rearranged; and 45 ALK wild-type). One thousand two hundred and eighteen quantitative radiomic features were extracted from the semi-automatically delineated volume of interest (VOI) of the entire tumor using both the original and the pre-processed non-enhanced CT images.

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