[The Bayesian statistical theory in the diagnosis of malignant and non-malignant diseases of the lung, pleura and mediastinum].
The Bayesian algorithm was used to assess the probable diagnosis in 1262 patients with a recently diagnosed finding on X-rays of the chest and the results were compared with the final diagnosis. The patients were with regard to the X-ray picture divided into 9 groups: hilar, solitary, multiple, segmental, non-segmental, cavity, diffuse, pleural and mediastinal lesions. Using the Bayesian algorithm, commonly accessible factors were processed: age, sex, case-history, cigarette smoking, red cell sedimentation rate, number of leucocytes and diameter of solitary parenchymatous lesions and the impact of these factors for assessment of probability of a malignant or non-malignant lesion was evaluated. The reliability in different X-ray lesions was within the range of 84.2% to 92.4%. The authors evaluated also tests of sensitivity, specificity, the reliability of forecast of a positive and negative result, which confirmed the differences in the different groups which showed evaluated. Analysis of the results, provided evidence that the Bayesian algorithm is a promising objective method for the forecast of a malignant or non-malignant diagnosis in patients with a newly diagnosed X-ray finding of the chest.
Polák
J
J
Ustav plicních nemocí, Praha.
Polák
J
J
Kubík
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001499:Bayes Theorem; D003936:Diagnosis, Computer-Assisted; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008479:Mediastinal Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D008875:Middle Aged; D010995:Pleural Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010997:Pleural Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D011859:Radiography; D012680:Sensitivity and Specificity
Prínos Bayesovy statistické teorie pro diagnostiku maligních a nemaligních onemocnĕní plic, pleury a mediastina.