Evidence map›Paper›PMID 40221785›Full record

ArticleRespiratory research2025

A nomogram model based on clinical and 3D-EIT parameters for CTEPH diagnosis.

Jian Xu, Yuhan Wang, Ying Gong, Lu Wang, Yuanlin Song, Xu Wu

Abstract read
In one paragraph

Article in Respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jian Xu *Shanghai Key Laboratory of Lung Inflammation and Injury, Department of Pulmonary Medicine, Zhongshan Hospital Fudan University, Shanghai, China.
Yuhan Wang *Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China.
Ying Gong *Shanghai Key Laboratory of Lung Inflammation and Injury, Department of Pulmonary Medicine, Zhongshan Hospital Fudan University, Shanghai, China.
Lu WangShanghai Key Laboratory of Lung Inflammation and Injury, Department of Pulmonary Medicine, Zhongshan Hospital Fudan University, Shanghai, China.
Yuanlin SongShanghai Key Laboratory of Lung Inflammation and Injury, Department of Pulmonary Medicine, Zhongshan Hospital Fudan University, Shanghai, China. ylsong70@163.com.
Xu WuShanghai Key Laboratory of Lung Inflammation and Injury, Department of Pulmonary Medicine, Zhongshan Hospital Fudan University, Shanghai, China. wu.xu@zs-hospital.sh.cn.

Funding

Clinical Research Plan of SHDC SHDC2020CR5010-002National key R&D plan 2020YFC2003700National Natural Science Foundation of China 82130001, 82272243Science and Technology Commission of Shanghai Municipality 20Z11901000, 20DZ2261200, 20XD1401200, 22Y11900800Shanghai Municipal Health Commission and Shanghai Municipal Administrator of Traditional Chinese Medicine ZY(2021-2023)-0207-01Shanghai Municipal Key Clinical Specialty shslczdzk02201Shanghai Municipal Science and Technology Major Project ZD2021CY001Special Fund for Clinical Research of Zhongshan Hospital ZSLCYJ202319
6 · The paper itself

Abstract

backgroundChronic thromboembolic pulmonary hypertension (CTEPH) is easily misdiagnosed. Three-dimensional (3D) electrical impedance tomography (EIT) can monitor the whole-lung perfusion at the bedside. In this study, three-dimensional electrical impedance tomography (3D-EIT) features in patients with suspected chronic thromboembolic pulmonary hypertension (CTEPH) was investigated, and nomogram models based on clinical and 3D-EIT parameters were constructed to identify CTEPH.

methodsPatients with pulmonary hypertension (PH) due to left heart disease and chronic hypoxia were excluded. The enrolled patients were divided into CTEPH and Non-CTEPH groups by confirmatory tests. Then, history and laboratory results were collected and 3D-EIT examination was performed. Out of 70 enrolled patients, 50 cases were used as the training set to construct the nomogram model. Obtained nomogram diagnostic model was calibrated and then evaluated using receiver operating characteristic (ROC) curves, decision curve analysis (DCA), and clinical impact curves (CIC).

resultsThrough a comprehensive univariate analysis, Wald test, Akaike information criterion (AIC), and Bayesian information criterion (BIC), the nomogram model for CTEPH diagnosis based on 50 patients was constructed using venous thromboembolism (VTE) history, D-dimer, maximum of corresponding regional ventilation/perfusion ratio (V/Qmax), range between the maximum and minimum values of regional perfusion (P-Range) and the percentage of ventilation/perfusion match area (VQMatch). The C-index of the nomogram model in the training set was 0.926 (95% CI: 0.859-0.993). In the training set and test set, the nomogram model had a larger area under the curve (AUC) than models containing only VTE history, VTE history + D-dimer and EIT parameters. Both DCA and CIC analyses indicate that this model can provide significant clinical benefits.

conclusionsA nomogram model combining clinical and 3D-EIT parameters facilitated the diagnosis of CTEPH. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Electric ImpedanceHypertension, PulmonaryImaging, Three-DimensionalNomogramsPulmonary EmbolismAdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedChronic thromboembolic pulmonary hypertension (CTEPH)DiagnosisElectrical impedance tomography (EIT)Nomogram

Identifiers

PMID40221785
PMCPMC11993967

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.