This research study aims to retrospectively and prospectively analyze the clinical, anamnestic, functional, biological data of patients who have performed or will perform non-contrast chest photon count CT. The use of contrast medium is evaluated by the physician. Main objective The study aims to understand how many people who undergo non-contrast photon-counting chest CT have: lung nodules, chest tumors, and other non-cancerous lung diseases. Secondary objectives * Analyze the data with the help of artificial intelligence to create a "digital twin" of the lung, that is, a virtual copy of the lung that allows you to study and simulate the behavior of the lung for research and analysis purposes, without directly intervening on the patient. * Follow any suspicious lung changes over time to understand how they change and whether they are linked to clinical, biological, or laboratory parameters. The enrollment phase will last 12 months and will begin with the approval of the study. At this stage, clinical data already present in the patient's medical record and data relating to the photon count CT examination will be collected. After the enrollment phase, the patient will be observed for a further total duration of 10 years: in particular, a follow-up visit will be arranged at two, five and ten years. More specifically, if there are no radiological elements that require scheduling a visit to the center, the patient will be contacted by telephone for a telematic update of the data. If, however, pulmonary alterations are identified during the study, the patient will be referred to the Reference Operating Unit, as per clinical practice, to continue with the most appropriate personalized diagnostic-therapeutic process. In these cases, the patient will be contacted by telephone and an appointment with the institution will be suggested.
Study Type
OBSERVATIONAL
Enrollment
1,000
Ospedale P. Pederzoli Casa di Cura Privata S.p.A.
Peschiera del Garda, Verona, Italy
RECRUITINGDescribe the frequency of patients performing chest photon counting CT without mdc with pulmonary nodules
Number of pulmonary nodules
Time frame: through study completion, an average of 1 year
Describe the frequency of thoracic malignancies in subjects performing chest photon counting CT without mdc.
Number of thoracic malignancies
Time frame: through study completion, an average of 1 year
Describe the frequency of non-oncological pulmonary diseases of subjects performing chest photon counting CT without mdc.
Number of non-oncological pulmonary diseases
Time frame: through study completion, an average of 1 year
Accuracy of the AI-based lung digital twin model measured by mean absolute error (MAE) between model-predicted and observed pulmonary function parameters (FEV1, FVC, DLCO)
Time frame: through study completion, an average of 1 year
Change in lung structural abnormalities measured by quantitative CT parameters (lung density, lung volume, lesion size)
Time frame: through study completion, an average of 1 year
Association between lung imaging abnormalities and clinical, biological, and laboratory variables assessed by multivariable regression analysis
Time frame: Baseline to 12 months
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