Bibliometric analysis and research trends of artificial intelligence in lung cancer.

Background: Due to the rapid advancement of technology, artificial intelligence (AI) has become extensively used for the diagnosis and prognosis of various diseases, such as lung cancer. Research in the field of literature has demonstrated that artificial intelligence (AI) can be valuable in the timely detection of lung cancer and the formulation of an effective treatment plan. This study aims to conduct a bibliometric analysis to examine and illustrate the specific areas of focus, research frontiers, evolutionary processes, and trends in existing research on artificial intelligence in the context of lung cancer. Methods: Publications on AI in lung cancer were selected from the SCIE and ESCI indexes on September 19, 2023. The examination of nations, academic publications, organizations, writers, citations, and terms in this domain was visually analyzed with InCites and VOSviewer. Results: In this study, a total of 4275 publications were selected and analyzed. Artificial intelligence-related lung cancer publications have increased significantly in the last 5 years. China and the USA have contributed the most to the literature in this field (1418 publications with 13.92 citation impacts and 1117 publications with 37.34 citation impacts, respectively). The institution with the highest contribution was "Chinese Academy of Sciences," with 118 publications and 29.09 citation impacts. Among the research categories, "Radiology, Nuclear Medicine & Imaging", "Oncology", and "Engineering, Biomedical" were in first place. Conclusion: The USA and China have always been leaders in this field and will continue to be for some time. Research in countries such as the Netherlands is increasing. However, research collaboration has to be strengthened in developing countries.

Effects of education on pain and anxiety before and after video-assisted thoracoscopic surgery.

Introduction: Video-assisted thoracoscopic surgery (VATS) is a common surgical procedure. Aim: To find out how educating patients using multimedia affects their pain and anxiety before and after VATS surgery. Material and methods: The study included 50 patients who underwent VATS between December 2017 and December 2018. The subjects were divided into two groups: the multimedia information group (MIG) and the control group (n = 25). The subjects underwent STAI-T testing, preoperative and postoperative STAI-S testing, and pulmonary function tests (PFT) before surgery and after surgery. Results: The patients in the MIG had higher baseline anxiety levels than those in the control groups. There were no significant differences between the two groups in terms of demographic information, surgical characteristics, or vital signs. There was a statistically significant difference in the preoperative (p = 0.001) and the postoperative (p = 0.0001) pain scores between MIG and control groups. The postoperative STAI-S scores of MIG increased, but this increase was not significant. In both groups, there was no significant difference in the changes in systolic blood pressure (p = 0.656) or respiratory rate (p = 0.05). There was no difference between post-training and pre- and post-operative pain scores in both groups. Conclusions: Providing multimedia information before surgery has some effect on pain. However, providing multimedia information does not reduce postoperative anxiety.

Can ChatGPT pass the thoracic surgery exam?

BACKGROUND: The capacity of ChatGPT in academic environments and medical exams is being discovered more and more every day. In this study, we tested the success of ChatGPT on Turkish-language thoracic surgery exam questions. METHODS: ChatGPT was provided with a total of 105 questions divided into seven distinct groups, each of which contained 15 questions. Along with the success of the students, the success of ChatGPT-3.5 and ChatGPT-4 architectures in answering the questions correctly was analyzed. RESULTS: The overall mean score of students was 12.50 ± 1.20, corresponding to 83.33%. Moreover, ChatGPT-3.5 managed to surpass students' score of 12.5 with an average of 13.57 ± 0.49 questions correctly on average, while ChatGPT-4 answered 14 ± 0.76 questions correctly (83.3%, 90.48%, and 93.33%, respectively). CONCLUSIONS: When the results of this study and other similar studies in the literature are evaluated together, ChatGPT, which was developed for general purpose, can also produce successful results in a specific field of medicine. AI-powered applications are becoming more and more useful and valuable in providing academic knowledge.

The effect of high standard uptake value in lung cancer metastatic lesions on survival.

AIM: To assess how metastatic lesions with a higher maximum standard uptake value than the primary tumor affect survival in patients with lung cancer. METHODS: The study enrolled 590 stage-IV lung cancer patients treated at Afyonkarahisar Health Sciences University Hospital between January 2013 and January 2020. We retrospectively collected data on histopathological diagnosis, tumor size, metastasis site, and maximum standard involvement values of primary metastatic lesions. Lung cancers with the maximum standard uptake value of the primary tumor higher than that of the metastatic lesion were compared with lung cancers with the maximum standard uptake value of the primary tumor lower than that of the metastatic lesion. RESULTS: In 87 (14.7%) patients, the maximum standard uptake value was higher in the metastatic lesion than in the primary lesion. These patients experienced significantly higher mortality risk in both univariate and multivariate survival analyses (adjusted hazard ratio 2.25 [1.77-2.86], <0.001) and had shorter median survival (5.0 [4.2-5.8] vs 11.0 [10.2-11.8] months, P<0.001). CONCLUSIONS: The maximum standard uptake value could be a potential new prognostic factor for survival in lung cancer.

A very rare fatal complication: bilateral reexpansion pulmonary edema after treatment of single side total pneumothothorax.

Reexpansion pulmonary edema is a rare but fatal clinical condition that develops during the treatment of pneumothorax, pleural effusion and collapsed lung after atelectasis. A 31-year-old male patient was referred to our clinic with the complaint of stinging back pain that started 3 days ago and dyspnea developed during the last 24 hours. Physical examination and radiologic examinations revealed total pneumothorax in the right hemithorax. After tube thoracostomy, his general condition deteriorated and bilateral reexpension edema developed in the lungs. The patient was admitted to the intensive care unit and was discharged on the 5th day after medical treatment. Our case is the first case of bilateral reexpansion pulmonary edema seen after unilateral spontaneous pneumothorax when literature review is performed. In order to emphasize the importance of rapid diagnosis and treatment, it is presented in the light of the literature.

A different technique in the treatment of intraparenchymally located needle aspiration: turn it around-see-move out.

Although foreign body aspiration is common in children and the elderly, it is very rare in young people. However, headscarf needle aspiration is common in Muslim societies, especially in young people. In needle aspirations that cannot be removed by bronchoscopic methods, thoracotomy is frequently essential method due to the sliding of the needle to the distal part of the lung. A 21-year-old female patient was referred from our emergency department to our clinic with the preliminary diagnosis of needle aspiration. Needle was not visualized by fiberoptic bronchoscopy. Video-assisted thoracoscopic surgery (VATS) was performed and the needle was removed successfully by a maneuver which we encountered for the first time in the literature. Our patient was discharged on the second postoperative day.

Total cervical tracheal rupture following blunt trauma.

Tracheal ruptures are rarely seen and potentially high life-threatening injuries. Cervical tracheal injuries occur due to the penetrant trauma rather than the blunt trauma. On the other hand, total cervical tracheal rupture due to the blunt trauma is so rare. A 32 year-old male patient was admitted to the emergency service with complaints of breathlessness and stridor resulting from a traffic accident. Thorax computed tomography of the patient revealed total cervical tracheal rupture under the cricoid cartilage level. Emergency tracheostomy was opened and distal airway safety was provided in operating room. The patient underwent an anastomosis with Collar's incision and was discharged in 16th days postoperatively without any complication other than hoarseness.