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老年心肺功能障碍相关疾病的早期预警与分层:多中心前瞻性研究方案

Early warning and stratification of the elderly cardiopulmonary dysfunction-related diseases: multicentre prospective study protocol.

作者信息

Zhou Xiuxiu, Jin Qianxi, Xia Yi, Guan Yu, Zhang Ziwei, Guo Zhiping, Liu Zaiyi, Li Chuanchang, Bai Yongping, Hou Yang, Zhou Min, Liao Wei-Hua, Lin Hongyu, Wang Ping, Liu Shiyuan, Fan Li

机构信息

Department of Radiology, The Second Affiliated Hospital of the Naval Medical University of the Chinese People's Liberation Army, Shanghai, Shanghai, China.

Fuwai Central China Cardiovascular Hospital, Zhengzhou, China.

出版信息

BMJ Open. 2025 Jul 5;15(7):e094015. doi: 10.1136/bmjopen-2024-094015.

Abstract

INTRODUCTION

In China, there is a lack of standardised clinical imaging databases for multidimensional evaluation of cardiopulmonary diseases. To address this gap, this study protocol launched a project to build a clinical imaging technology integration and a multicentre database for early warning and stratification of cardiopulmonary dysfunction in the elderly.

METHODS AND ANALYSIS

This study employs a cross-sectional design, enrolling over 6000 elderly participants from five regions across China to evaluate cardiopulmonary function and related diseases. Based on clinical criteria, participants are categorized into three groups: a healthy cardiopulmonary function group, a functional decrease group and an established cardiopulmonary diseases group. All subjects will undergo comprehensive assessments including chest CT scans, echocardiography, and laboratory examinations. Additionally, at least 50 subjects will undergo cardiopulmonary exercise testing (CPET). By leveraging artificial intelligence technology, multimodal data will be integrated to establish reference ranges for cardiopulmonary function in the elderly population, as well as to develop early-warning models and severity grading standard models.

ETHICS AND DISSEMINATION

The study has been approved by the local ethics committee of Shanghai Changzheng Hospital (approval number: 2022SL069A). All the participants will sign the informed consent. The results will be disseminated through peer-reviewed publications and conferences.

摘要

引言

在中国,缺乏用于心肺疾病多维评估的标准化临床影像数据库。为填补这一空白,本研究方案启动了一个项目,旨在构建临床影像技术整合平台以及用于老年人心肺功能障碍预警和分层的多中心数据库。

方法与分析

本研究采用横断面设计,从中国五个地区招募6000多名老年参与者,以评估心肺功能及相关疾病。根据临床标准,参与者被分为三组:心肺功能健康组、功能减退组和确诊心肺疾病组。所有受试者都将接受包括胸部CT扫描、超声心动图和实验室检查在内的全面评估。此外,至少50名受试者将接受心肺运动试验(CPET)。通过利用人工智能技术,整合多模态数据,以建立老年人群心肺功能的参考范围,以及开发预警模型和严重程度分级标准模型。

伦理与传播

本研究已获得上海长征医院当地伦理委员会批准(批准文号:2022SL069A)。所有参与者都将签署知情同意书。研究结果将通过同行评审的出版物和会议进行传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf94/12228462/b293cc3d10bc/bmjopen-15-7-g001.jpg

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