标题:
Preliminary Data from Mobile Lung Nodule Observatory for National, Evidenced-based Research (mLOWER)
讲者:
杨达伟
单位:
复旦大学附属中山医院
播放:
805
论文摘要:
Purpose: To improve the assessment of lung cancer risk among Chinese patients based on CT screening of lung nodules, we have developed a Medical Internet of Things (MIOT) lung cancer diagnosis model (with intellectual property).
Method: The MIOT model incorporates big data, which is collected by wearable pulmonary sensors that automatically collect patients’ pulmonary status relevant to lung cancer risks, such as lung function, fingertip oxygen saturation, six-minute walk test(6MWT), etc., and simultaneously transmit it to a cloud-based database. The smart phone based APP will collect risk factors, such as local air condition, second-hand smoke exposure, nodule diameter, density, margins, location, vascular sign, etc. These data will be examined by deep-data-mining through automatic risk assessment using artificial intelligence and the system will choice the best pathway for following up management (ClinicalTrails.gov No. NCT02693496).
Result: Since 2016, we have achieved 524 patients with 614 nodules thorough 54 centers in Chinese Alliance Against Lung Cancer (CAALC). Over the 12-months study period, we detected increase frequency of surveillance CT scan of lung nodule in regions affected by air-pollution, PM 2.5 < 200 vs ≥200.
Discussion: It is of great potential to apply MIOT system to realize the multi-dimension and real-time pulmonary nodule patient management, which would greatly facilitate patient accessibility of high quality care and reduce diagnosing delay, even from the community level.