Uncertainty analysis of chest X-ray lung height measurements and size matching for lung transplantation.

Lung transplantation agreement chest X-ray (CXR) error propagation precision size matching

Journal

Journal of thoracic disease
ISSN: 2072-1439
Titre abrégé: J Thorac Dis
Pays: China
ID NLM: 101533916

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 05 11 2021
accepted: 18 02 2022
entrez: 16 5 2022
pubmed: 17 5 2022
medline: 17 5 2022
Statut: ppublish

Résumé

Errors in measuring chest X-ray (CXR) lung heights could contribute to the occurrence of size-mismatched lung transplant procedures. We first used Bland-Altman analysis for repeated measures to evaluate contributors to measurement error of chest X-ray lung height. We then applied error propagation theory to assess the impact of measurement error on size matching for lung transplantation. A total 387 chest X-rays from twenty-five donors and twenty-five recipients were measured by two raters. Individual standard deviation for lung height differences were independent of age, sex, donor Individual chest X-ray lung heights are imprecise for the purpose of size matching in lung transplantation. Averaging chest X-rays lung heights reduced uncertainty.

Sections du résumé

Background UNASSIGNED
Errors in measuring chest X-ray (CXR) lung heights could contribute to the occurrence of size-mismatched lung transplant procedures.
Methods UNASSIGNED
We first used Bland-Altman analysis for repeated measures to evaluate contributors to measurement error of chest X-ray lung height. We then applied error propagation theory to assess the impact of measurement error on size matching for lung transplantation.
Results UNASSIGNED
A total 387 chest X-rays from twenty-five donors and twenty-five recipients were measured by two raters. Individual standard deviation for lung height differences were independent of age, sex, donor
Conclusions UNASSIGNED
Individual chest X-ray lung heights are imprecise for the purpose of size matching in lung transplantation. Averaging chest X-rays lung heights reduced uncertainty.

Identifiants

pubmed: 35572863
doi: 10.21037/jtd-21-1755
pii: jtd-14-04-1042
pmc: PMC9096316
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1042-1051

Subventions

Organisme : NHLBI NIH HHS
ID : K01 HL155231
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002345
Pays : United States

Informations de copyright

2022 Journal of Thoracic Disease. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-21-1755/coif). DK serves as an unpaid editorial board member of Journal of Thoracic Disease. RVG reports that this research was supported by the Washington University Institute of Clinical and Translational Sciences Grant UL1TR002345 from the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH). The content is solely the responsibility of the authors and does not necessarily represent the official view of the NIH. MW reports receiving salary support from Grant UL1TR002345 from the National Center for Advancing Translational Science NCATS of the National Institute of Health (NIH). GFM is the Medical Director at Mid America Transplant. DEB reports receiving research funding from Mid-America Transplant. RH reports receiving research funding from Bristol Myers Squibb and Mallinkrodt, gent funding from Mid America Transplant and personal fees from Transmedics, CareDx, Thevavance, and Vectura. The other authors have no conflicts of interest to declare.

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Auteurs

Rodrigo Vazquez Guillamet (R)

Division of Pulmonary and Critical Care Medicine at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Maria C Vazquez Guillamet (MC)

Division of Pulmonary and Critical Care Medicine at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.
Division of Infectious Diseases at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Ashraf Rjob (A)

Division of Infectious Diseases at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Andrew Bierhals (A)

Radiology Department at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Irene Bello (I)

Division of Thoracic Surgery and Lung Transplantation at Vall d'Hebron University Hospital, Barcelona, Spain.

Alberto Jauregui Abularach (AJ)

Division of Thoracic Surgery and Lung Transplantation at Vall d'Hebron University Hospital, Barcelona, Spain.

Laneshia Tague (L)

Division of Pulmonary and Critical Care Medicine at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Michael Wallendorf (M)

Division of Statistics at Washington University School of Medicine, St. Louis, MO, USA.

Gary F Marklin (GF)

Mid-America Transplant, St. Louis, MO, USA.

Chad Witt (C)

Division of Pulmonary and Critical Care Medicine at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Derek E Byers (DE)

Division of Pulmonary and Critical Care Medicine at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Daniel Kreisel (D)

Division of Thoracic Surgery at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Ruben Nava (R)

Division of Thoracic Surgery at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Varun Puri (V)

Division of Thoracic Surgery at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Ramsey Hachem (R)

Division of Pulmonary and Critical Care Medicine at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Elbert P Trulock (EP)

Division of Pulmonary and Critical Care Medicine at Washington University - Barnes Jewish Hospital, St. Louis, MO, USA.

Classifications MeSH