Capacidad discriminante de los hallazgos en tomografía para la identificación de lesiones pulmonares por infección con nocardia.

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Title: Capacidad discriminante de los hallazgos en tomografía para la identificación de lesiones pulmonares por infección con nocardia.
Alternate Title: Discriminatory capacity of tomography findings to identify pulmonary lesions due to nocardia infection.
Authors: Navarro-Ballester, A.1 Antonio.navarroball@gmail.com, Barrachina-Hidalgo, S.1, Ambit-Capdevila, S.1, Marco-Doménech, S. F.1,2
Source: Anales de Radiologia, Mexico. abr-jun2015, Vol. 14 Issue 2, p160-171. 12p.
Abstract (English): Objective: Evaluate the diagnostic value of some findings in thoracic computed tomography, in patients with confirmed pulmonary nocardiosis, so that, taken together, they may help distinguish it from other conditions that may show superimposable radiological findings Material and methods: Subjects with microbiological diagnosis of nocardiosis in our hospital over a 5-year period were selected. The findings observed in tomography were collected and compared with those observed in three comparison groups made up by pathologies which produce superimposable image manifestations (tuberculosis, pulmonary neoplasms, and pneumonias). We sought to establish a model that would help distinguish, based on image findings, pulmonary nocardiosis from other groups. Results: We established a model which combines three variables (age, adenopathies, and heterogeneous size of nodules) and obtained a discriminatory capacity of 79 % compared with other alternative diagnoses. Conclusions: although the findings in i mage tech niques are not specific for pulmonary nocardiosis, the grouping of findings in our model, in a proper clinical context, may be useful in establishing a provisional diagnosis of pulmonary nocardiosis, to the detriment of other possibilities, and help manage therapeutic approaches pending microbiological confirmation. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: evaluar el valor diagnóstico de algunos hallazgos en tomo-grafía computada de tórax, en pacientes con nocardiosis pulmonar confirmada, con el fin de que en conjunto permitan diferenciarla de otras afecciones que pueden mostrar hallazgos radiológicos superponibles. Material y métodos: se seleccionaron los sujetos con diagnóstico micro-biológico de nocardiosis en nuestro hospital en un periodo de 5 años. Se recogieron los hallazgos observados en tomografía y se compararon con los observados en tres grupos de comparación constituidos por patologías que producen manifestaciones de imagen superponibles (tuberculosis, neoplasias pulmonares y neumonías). Se intentó establecer un modelo que permitiera diferenciar, por imagen, la nocardiosis pulmonar de los otros grupos. Resultados: establecimos un modelo que combina tres variables (edad, adenopatías y tamaño heterogéneo de los nódulos) y obtuvimos una capacidad discriminativa de 79% frente a otros diagnósticos alternativos. Conclusiones: a pesar de que los hallazgos en técnicas de imagen no son específicos para nocardiosis pulmonar, la agrupación de los hallazgos de nuestro modelo, en un contexto clínico adecuado, puede ser de utilidad a la hora de establecer un diagnóstico provisional de nocardiosis pulmonar, en detrimento de otras posibilidades, y permite gestionar conductas terapéuticas mientras se espera la confirmación microbiológica. [ABSTRACT FROM AUTHOR]
Copyright of Anales de Radiologia, Mexico is the property of Sociedad Mexicana de Radiologia e Imagen A.C. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Capacidad discriminante de los hallazgos en tomografía para la identificación de lesiones pulmonares por infección con nocardia.
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  Label: Alternate Title
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  Data: Discriminatory capacity of tomography findings to identify pulmonary lesions due to nocardia infection.
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  Data: <searchLink fieldCode="AR" term="%22Navarro-Ballester%2C+A%2E%22">Navarro-Ballester, A.</searchLink><relatesTo>1</relatesTo><i> Antonio.navarroball@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Barrachina-Hidalgo%2C+S%2E%22">Barrachina-Hidalgo, S.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ambit-Capdevila%2C+S%2E%22">Ambit-Capdevila, S.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Marco-Doménech%2C+S%2E+F%2E%22">Marco-Doménech, S. F.</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Anales+de+Radiologia%2C+Mexico%22">Anales de Radiologia, Mexico</searchLink>. abr-jun2015, Vol. 14 Issue 2, p160-171. 12p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: Evaluate the diagnostic value of some findings in thoracic computed tomography, in patients with confirmed pulmonary nocardiosis, so that, taken together, they may help distinguish it from other conditions that may show superimposable radiological findings Material and methods: Subjects with microbiological diagnosis of nocardiosis in our hospital over a 5-year period were selected. The findings observed in tomography were collected and compared with those observed in three comparison groups made up by pathologies which produce superimposable image manifestations (tuberculosis, pulmonary neoplasms, and pneumonias). We sought to establish a model that would help distinguish, based on image findings, pulmonary nocardiosis from other groups. Results: We established a model which combines three variables (age, adenopathies, and heterogeneous size of nodules) and obtained a discriminatory capacity of 79 % compared with other alternative diagnoses. Conclusions: although the findings in i mage tech niques are not specific for pulmonary nocardiosis, the grouping of findings in our model, in a proper clinical context, may be useful in establishing a provisional diagnosis of pulmonary nocardiosis, to the detriment of other possibilities, and help manage therapeutic approaches pending microbiological confirmation. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: evaluar el valor diagnóstico de algunos hallazgos en tomo-grafía computada de tórax, en pacientes con nocardiosis pulmonar confirmada, con el fin de que en conjunto permitan diferenciarla de otras afecciones que pueden mostrar hallazgos radiológicos superponibles. Material y métodos: se seleccionaron los sujetos con diagnóstico micro-biológico de nocardiosis en nuestro hospital en un periodo de 5 años. Se recogieron los hallazgos observados en tomografía y se compararon con los observados en tres grupos de comparación constituidos por patologías que producen manifestaciones de imagen superponibles (tuberculosis, neoplasias pulmonares y neumonías). Se intentó establecer un modelo que permitiera diferenciar, por imagen, la nocardiosis pulmonar de los otros grupos. Resultados: establecimos un modelo que combina tres variables (edad, adenopatías y tamaño heterogéneo de los nódulos) y obtuvimos una capacidad discriminativa de 79% frente a otros diagnósticos alternativos. Conclusiones: a pesar de que los hallazgos en técnicas de imagen no son específicos para nocardiosis pulmonar, la agrupación de los hallazgos de nuestro modelo, en un contexto clínico adecuado, puede ser de utilidad a la hora de establecer un diagnóstico provisional de nocardiosis pulmonar, en detrimento de otras posibilidades, y permite gestionar conductas terapéuticas mientras se espera la confirmación microbiológica. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Anales de Radiologia, Mexico is the property of Sociedad Mexicana de Radiologia e Imagen A.C. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: Spanish
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      – TitleFull: Capacidad discriminante de los hallazgos en tomografía para la identificación de lesiones pulmonares por infección con nocardia.
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            NameFull: Ambit-Capdevila, S.
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              Text: abr-jun2015
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