Localized Interstitial Pneumonia is a Risk Factor of Postoperative Acute Interstitial Pneumonia (AIP) After Thoracotomy for Lung Cancer.
Bibliographic record
Abstract
肺癌手術後の致死的合併症として急性問質性肺炎 (AIP) は重要であり, その発症に限局性のinterstitial pneumonia (IP) の関与が指摘されている. 今回, 特に限局性IPに着目し, 術前CTから術後AIP発症の高危険群を同定しうるかを目的とし, 病理学的なIPに相当するCT所見 (IP所見) の有無を検討した. 当科にて96年から98年までの3年間に手術を施行した肺癌症例は553例. この間の術後AIP発症例は9例 (1.6%) であり, 死亡例は6例であった. 9例のうち8例に術前CT上限局性IP所見を認めたが, 術前に問質性肺炎と診断されていた症例はなかった. 一方, 術前胸部CTを再読影し得た303例の検討では, IP所見を肺癌切除例の11.9%に認めた (びまん性2.3%, 限局性9.6%). 術後AIP発症率は, IP所見を認める症例から11.8%, IP所見を認めない症例から0.2%と, 有意に術前CTにてIP所見を有するものに発症率が高かった. 限局性であっても術前CTにてIP所見を有するものは, 術後問質性肺炎を発症する可能性があり, 注意が必要と考えられた
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".