973 resultados para MISSING VALUE ESTIMATION
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Monthly newsletter for public safety. Information in this document has been redacted at the request of one of the named individuals. To examine the unedited document, please contact Iowa Library Services / State Library of Iowa – Main Library, 1112 E. Grand Avenue, Des Moines, IA 50319, (515) 242-6542, 1-800-248-4483.
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
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Monthly newsletter for public safety
Value of PET/CT versus contrast-enhanced CT in identifying chest wall invasion (T3) by NSCLC [B-671]
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Purpose: To determine the diagnostic value of 18F-FDG PET/CT versus contrastenhanced CT in identifying chest wall invasion by NSCLC. Methods and Materials: The primary selection criterion was a peripheral tumor of any size with contact to the chest wall. A total of 25 patients with pathologically proven NSCLC satisfied these criteria. Chest wall invasion was interpreted upon PET/CT when a frank costal or intercostal 18F-FDG uptake was identified with or without concomitant morphologic alterations. On the other hand, the existence of periosteal rib reaction/erosion, chest wall thickening or obliteration of the pleural fat layer either separately or combined were considered essential diagnostic criteria for disease extension into the chest wall upon contrast-enhanced CT. The results were correlated with the final histological analysis. Results: Among the studied cohort, 13/25 (52%) patients had chest wall invasion consistent with T3 disease. Both PET/CT and contrast-enhanced CT successfully identified 12/13 (92%) of these patients. The single false-negative result was due to parietal pleural invasion. On the other hand, one false-positive result was encountered by PET/CT in a dyspneic patient; whereas, CT analysis revealed false-positive results in six patients. In these patients, periosteal rib reaction (n = 2) or asymmetric enlargement of adjacent chest wall muscles (n = 1) were identified along with an obliterated pleural fat layer (n = 6). The sensitivity, specificity, and accuracy of PET/CT and contrast-enhanced CT were 92, 91 and 92% versus 92, 50 and 72%. Conclusion: 18F-FDG PET/CT is an accurate diagnostic modality in identifying.