Diagnostic errors in patients with diseases of the chest cavity and ways to reduce them

Cover Page

Cite item

Full Text

Abstract

This paper presents an algorithm for reducing the risk of errors in the diagnosis of diseases of the chest cavity within 14 days after treatment of patients. The developed algorithm, based on multivariate analysis of the integrated assessment of clinical and radiological descriptors (signs) of diseases, determination of the probability coefficient of errors, software for comparing individual integral data with established typical characteristics for differentiable pathological processes, improved diagnostics, aimed the doctor at an adequate examination, and reduced the risk of error by 20.1%.

About the authors

N. Ya. Lukyanenko

Altai State Medical University

Author for correspondence.
Email: nik.lukyanenko.50@mail.ru
ORCID iD: 0000-0002-8703-1277

MD, PhD, DSc, Professor

Russian Federation, Barnaul

Ya. N. Shoikhet

Altai State Medical University

Email: nik.lukyanenko.50@mail.ru
ORCID iD: 0000-0002-5253-4325
Russian Federation, Barnaul

A. F. Lazarev

Altai State Medical University

Email: nik.lukyanenko.50@mail.ru
ORCID iD: 0000-0003-1080-5294
Russian Federation, Barnaul

V. A. Lubennikov

Altai regional cancer clinic

Email: nik.lukyanenko.50@mail.ru
Russian Federation, Barnaul

I. V. Vikhlyanov

Altai regional cancer clinic

Email: nik.lukyanenko.50@mail.ru
Russian Federation, Barnaul

References

  1. Abasheev I. M. Risk factors for tuberculosis in the pre-trial detention center. In: Abasheev I. M. 80th anniversary of the Central Research Institute of Tuberculosis RAMS: session materials. Moscow: TSNIIT RAMS, 2001: 92. (In Russian)
  2. Vlasov P.V. Radiation diagnosis of the organs of the chest cavity. 2nd ed. revised. and add. Moscow: Vidar-M, 2008; 11–167. (In Russian)
  3. Vysotsky A.G., Patskan I. I. Comparative evaluation of perfusion pulmonoscintigraphy data with the results of multislice computed tomography in the diagnosis of pulmonary pulmonary emphysema. Ukrain. journal chir. 2010; 1: 82–6. (In Russian)
  4. Erokhin, V.V. Actual problems of the organization of the fight against tuberculosis in Russia. In: Erokhin V.V. Materials scientific. session dedicated. The 85th anniversary of the Central Research Institute of Tuberculosis of the Russian Academy of Medical Sciences. Moscow: TSNIIT RAMS, 2006: 13–14. (In Russian)
  5. Zaridze, D. G. Epidemiology, mechanisms of carcinogenesis and cancer prevention. In: Zaridze D. G. Materials of the III Congress of Oncologists and Radiologists of the CIS. Minsk, 2004: 31–36. (In Russian)
  6. Lazarev A. F. Petrova V. D., Lukyanenko N. Ya. Formation of cancer risk groups: background Problems of clinical medicine. 2005; 1: 112–1C. L. 18. (In Russian)
  7. Lukyanenko N.Ya., Shoikhet Ya.N., Leonov S.L. The mathematical algorithm for the integrated assessment of descriptors of patients with infiltrative pulmonary tuberculosis. Medical imaging. 2011; 2: 52–55. (In Russian)
  8. Lukyanenko N.Ya., Shoikhet Ya.N., Leonov S.L., The mathematical algorithm for constructing an optimal standard for constructing descriptors in the differential diagnosis of diseases of the chest cavity. Clinical Medicine. 2012; 90(4): 23–25 . (In Russian)
  9. Lazarev A.F. On some risk factors for cancer incidence in the Altai Territory / Lazarev A.F., Ushakov A.A., Lazarev .S.A., Lukyanenko N.Ya. // Epidemiology and Infectious Diseases 2011; 6: 23–28.
  10. Merabishvili, V. B. Lung cancer statistics: incidence, mortality, survival rate / V. B. Merabishvili, O. T. Dyatchenko // Practical Oncology. 2000; 3: 6–8.
  11. Pavlov, Yu. V. Use of ultrasound for the diagnosis and treatment of surgical diseases of the lungs and pleura. Surgery. 2002; 4: 82–86. (In Russian)
  12. Perelman, M. I. Surgery of pulmonary tuberculosis. Problems of tuberculosis. 2000; 3: 27–32. (In Russian)
  13. Starikov, V.I., Trunov, G.V. Lung cancer . Kharkov, 2002. 212 p. (In Russian)
  14. Tyurin, I. E. Computer tomography of the chest cavity. St. Petersburg : LLC ELBI-SPb, 2003: 168–276. (In Russian)
  15. Tyulyandin S.A., Moiseenko V.M. Practical oncology: selected lectures. St. Petersburg: TOMM Center, 2004; 431–342. (In Russian)
  16. Chuchalin, A. G. Guide to pulmonology in children. Moscow; 2011. (In Russian)
  17. Chissov V.I., Starinsky V.V., Petrova G.V. Malignant neoplasms in Russia in 2002. Moscow: Antif; 2004 . 236 p. (In Russian)
  18. Shoikhet, Ya. N., Lazarev A. F., Ageev A. G. Lung cancer in the Altai Territory. Barnaul, 2006: 5–53. (In Russian)
  19. Shelestyuk P.I. et al. Clinical oncology: a training manual. 2nd ed., revised. and add. – Novosibirsk: Sibmedizdat NSMU, 2006; 430 p.
  20. Tan J., Pu J., Zheng B. et al. Computerized comprehensive data analysis of lung imaging database consortium (LIDC). J. Med. Phys. 2010; 37 (7): 3802–8.
  21. Pu J., Fuhrman C., Durick J., Leaderet J. et al. Computerized assessment of pulmonary fissure integrity using high resolution CT. Med. Phys. 2010; 37 (9): 4661–72.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2019 Eco-Vector


 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies