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Filigheddu MT, Leonelli M, Varando G, Gómez-Bermejo MÁ, Ventura-Díaz S, Gorospe L, Fortún J. Using staged tree models for health data: Investigating invasive fungal infections by aspergillus and other filamentous fungi. Comput Struct Biotechnol J 2024; 24:12-22. [PMID: 38144574 PMCID: PMC10746417 DOI: 10.1016/j.csbj.2023.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 11/07/2023] [Accepted: 11/07/2023] [Indexed: 12/26/2023] Open
Abstract
Machine learning models are increasingly used in the medical domain to study the association between risk factors and diseases to support practitioners in understanding health outcomes. In this paper, we showcase the use of machine-learned staged tree models for investigating complex asymmetric dependence structures in health data. Staged trees are a specific class of generative, probabilistic graphical models that formally model asymmetric conditional independence and non-regular sample spaces. An investigation of the risk factors in invasive fungal infections demonstrates the insights staged trees provide to support medical decision-making.
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Affiliation(s)
- Maria Teresa Filigheddu
- Infectious Diseases Department, Hospital Ramón y Cajal, IRYCIS (Instituto Ramón y Cajal de Investigación Sanitaria); Universidad de Alcalá, Madrid, Spain
| | | | - Gherardo Varando
- Image Processing Laboratory (IPL), Universitat de València, Valencia, Spain
| | | | - Sofía Ventura-Díaz
- Radiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Luis Gorospe
- Radiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Jesús Fortún
- Infectious Diseases Department, Hospital Ramón y Cajal, IRYCIS (Instituto Ramón y Cajal de Investigación Sanitaria); Universidad de Alcalá, Madrid, Spain
- Microbiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
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González-Huete A, Salgado-Parente A, Suevos-Ballesteros C, Antolinos-Macho E, Ventura-Díaz S, Michael-Fernández A, Blázquez-Sánchez J, Acosta-Batlle J. Radiographic Evaluation of Bone Tumors. Radiographics 2023; 43:e230048. [PMID: 37824409 DOI: 10.1148/rg.230048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Affiliation(s)
- Abel González-Huete
- From the Department of Radiology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Viejo km 9,100, Madrid 28034, Spain
| | - Alba Salgado-Parente
- From the Department of Radiology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Viejo km 9,100, Madrid 28034, Spain
| | - Carlos Suevos-Ballesteros
- From the Department of Radiology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Viejo km 9,100, Madrid 28034, Spain
| | - Elisa Antolinos-Macho
- From the Department of Radiology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Viejo km 9,100, Madrid 28034, Spain
| | - Sofía Ventura-Díaz
- From the Department of Radiology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Viejo km 9,100, Madrid 28034, Spain
| | - Antonio Michael-Fernández
- From the Department of Radiology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Viejo km 9,100, Madrid 28034, Spain
| | - Javier Blázquez-Sánchez
- From the Department of Radiology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Viejo km 9,100, Madrid 28034, Spain
| | - José Acosta-Batlle
- From the Department of Radiology, Hospital Universitario Ramón y Cajal, Ctra de Colmenar Viejo km 9,100, Madrid 28034, Spain
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Gorospe L, Gómez-Bermejo MÁ, Ventura-Díaz S, Paredes-Rodríguez P. Triple CT-Guided Biopsy in a Lung Cancer Patient Performed in a Single Diagnostic Interventional Session and Revealing Two Neoplasms. Arch Bronconeumol 2023; 59:670-671. [PMID: 37597997 DOI: 10.1016/j.arbres.2023.07.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 07/25/2023] [Accepted: 07/26/2023] [Indexed: 08/21/2023]
Affiliation(s)
- Luis Gorospe
- Department of Radiology, Ramón y Cajal University Hospital, Madrid, Spain.
| | | | - Sofía Ventura-Díaz
- Department of Radiology, Ramón y Cajal University Hospital, Madrid, Spain
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Gorospe L, Gómez-Bermejo MÁ, Ventura-Díaz S, Ajuria-Illarramendi O, Benito-Berlinches A, de la Pedrosa EGG, Sánchez-Iglesias JF, Martín-Dávila P, Muñoz-Molina GM. Percutaneous diagnosis of an atypical presentation of pulmonary aspergillosis mimicking lung cancer in a renal transplant patient. Transpl Infect Dis 2023; 25:e14042. [PMID: 36815739 DOI: 10.1111/tid.14042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 02/07/2023] [Accepted: 02/12/2023] [Indexed: 02/24/2023]
Affiliation(s)
- Luis Gorospe
- Department of Radiology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | - Sofía Ventura-Díaz
- Department of Radiology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | | | | | | | - Pilar Martín-Dávila
- Department of Infectious Diseases, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Gemma M Muñoz-Molina
- Department of Thoracic Surgery, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Ventura-Díaz S, Quintana-Pérez JV, Gil-Boronat A, Herrero-Huertas M, Gorospe-Sarasúa L, Montilla J, Acosta-Batlle J, Blázquez-Sánchez J, Vicente-Bártulos A. A higher D-dimer threshold for predicting pulmonary embolism in patients with COVID-19: a retrospective study. Emerg Radiol 2020; 27:679-689. [PMID: 33025219 PMCID: PMC7538266 DOI: 10.1007/s10140-020-01859-1] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 09/27/2020] [Indexed: 01/08/2023]
Abstract
Purpose COVID-19 raises D-dimer (DD) levels even in the absence of pulmonary embolism (PE), resulting in an increase in computed tomography pulmonary angiogram (CTPA) requests. Our purpose is to determine whether there are differences between DD values in PE-positive and PE-negative COVID-19 patients and, if so, to establish a new cutoff value which accurately determines when a CTPA is needed. Methods This study retrospectively analyzed all COVID-19 patients who underwent a CTPA due to suspected PE between March 1 and April 30, 2020, at Ramón y Cajal University Hospital, Madrid (Spain). DD level comparisons between PE-positive and PE-negative groups were made using Student’s t test. The optimal DD cutoff value to predict PE risk in COVID-19 patients was calculated in the ROC curve. Results Two hundred forty-two patients were included in the study. One hundred fifty-one (62%) were men and the median age was 68 years (IQR 55–78). An increase of DD (median 3260; IQR 1203–9625 ng/mL) was detected in 205/242 (96%) patients. 73/242 (30%) of the patients were diagnosed with PE on CTPA. The DD median value was significantly higher (p < .001) in the PE-positive group (7872, IQR 3150–22,494 ng/mL) compared with the PE-negative group (2009, IQR 5675–15,705 ng/mL). The optimal cutoff value for DD to predict PE was 2903 ng/mL (AUC was 0.76 [CI 95% 0.69–0.83], sensitivity 81%). The overall mortality rate was 16% (39/242). Conclusion A higher threshold (2903 ng/mL) for D-dimer could predict the risk of PE in COVID-19 patients with a sensitivity of 81%.
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Affiliation(s)
- Sofía Ventura-Díaz
- Radiology Department, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain.
| | - Juan V Quintana-Pérez
- Radiology Department, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain
| | - Almudena Gil-Boronat
- Radiology Department, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain
| | - Marina Herrero-Huertas
- Radiology Department, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain
| | - Luis Gorospe-Sarasúa
- Radiology Department, Chest Radiology Section, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain
| | - José Montilla
- Radiology Department, Emergency Radiology Section, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain
| | - Jóse Acosta-Batlle
- Radiology Department, Chest Radiology Section, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain
| | - Javier Blázquez-Sánchez
- Radiology Department, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain
| | - Agustina Vicente-Bártulos
- Radiology Department, Emergency Radiology Section, Ramón y Cajal University Hospital Ctra, de Colmenar Viejo km. 9,100, 28034, Madrid, Spain
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Gorospe Sarasúa L, Ventura-Díaz S, Ayala-Carbonero AM, Gambí-Pisonero E, Sánchez-Tornero de la Cruz A, Pérez-Lamas L, Mirambeaux-Villanova RM, Chinea-Rodríguez A. Síndrome de diferenciación en paciente con leucemia promielocítica aguda: importancia de la TC de tórax. Arch Bronconeumol 2020; 56:326-327. [DOI: 10.1016/j.arbres.2019.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 10/31/2019] [Accepted: 11/06/2019] [Indexed: 11/24/2022]
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Ventura-Díaz S, Ayala-Carbonero A, Gorospe L. Incidental Radiological Finding of Partial Anomalous Pulmonary Vein Drainage. Arch Bronconeumol 2020; 57:224. [PMID: 31902631 DOI: 10.1016/j.arbres.2019.10.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 10/15/2019] [Accepted: 10/24/2019] [Indexed: 11/18/2022]
Affiliation(s)
- Sofía Ventura-Díaz
- Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, España.
| | - Ana Ayala-Carbonero
- Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, España
| | - Luis Gorospe
- Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, España
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