文献类型：期刊文献

英文题名：Short-term efficacy evaluation of artificial intelligence-based three-dimensional reconstruction of chest CT in segmentectomy: a propensity score-matched study

作者：Luo, Xindong[1,2];Wang, Ziqiang[1,2];Kang, Wanrong[1];Gou, Yunjiu[1,2];Zhang, Honglai[3,4]

第一作者：Luo, Xindong

通信作者：Gou, YJ[1];Gou, YJ[2];Zhang, HL[3];Zhang, HL[4]

机构：[1]Gansu Univ Chinese Med, Clin Med Coll 1, Lanzhou, Peoples R China;[2]Gansu Prov Hosp, Dept Thorac Surg, Lanzhou, Peoples R China;[3]Gansu Prov Peoples Hosp, Dept Anorectal, Lanzhou, Peoples R China;[4]Gansu Prov Peoples Hosp, Gansu Prov Clin Med Res Ctr Anorectal Dis, Lanzhou, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Clin Med Coll 1, Lanzhou, Peoples R China;[2]corresponding author), Gansu Prov Hosp, Dept Thorac Surg, Lanzhou, Peoples R China;[3]corresponding author), Gansu Prov Peoples Hosp, Dept Anorectal, Lanzhou, Peoples R China;[4]corresponding author), Gansu Prov Peoples Hosp, Gansu Prov Clin Med Res Ctr Anorectal Dis, Lanzhou, Peoples R China.|[10735]甘肃中医药大学;

年份：2025

卷号：15

外文期刊名：FRONTIERS IN ONCOLOGY

收录：;Scopus(收录号：2-s2.0-105025659241);WOS:【SCI-EXPANDED(收录号:WOS:001645274300001)】；

基金：The author(s) declared that financial support was received for this work and/or its publication. Gansu Provincial Science and Technology Plan Project (Grant no. 22JR5RA039); National Natural Science Foundation of China (Grant No.82160522); Talent Innovation and Entrepreneurship Project in Chengguan District, Lanzhou City (Grant No.2025-zc-27).

语种：英文

外文关键词：artificial intelligence; 3D reconstruction; hook-wire; pulmonary function; retrospective analysis; lung cancer

摘要：Introduction Artificial intelligence (AI)-based 3D reconstruction software is increasingly used in clinical practice. This study compared its clinical value with CT-guided Hook-wire localization in segmentectomy.Methods A retrospective analysis was performed on 257 patients who underwent video-assisted thoracoscopic segmentectomy at Gansu Provincial People's Hospital from January 2023 to August 2024. Patients were divided into an AI-3D group (134 cases, receiving preoperative AI-assisted 3D reconstruction) and a Hook-wire group (123 cases, undergoing Hook-wire localization).Results Propensity score matching ensured comparability, with 97 pairs matched. Perioperative indicators, pulmonary function, and quality of life were evaluated. After matching, the Hook-wire group had 2 pneumothorax and 4 hemothorax cases, while the AI-3D group had none. The AI-3D group showed significantly shorter operative time, chest tube indwelling time, and hospital stay, along with less intraoperative blood loss and drainage volume. No significant differences were found in postoperative complications or lymph nodes dissected. Six months post-surgery, the AI-3D group had better pulmonary function and quality of life scores.Conclusion Thus, AI-based 3D reconstruction enables safe, effective segmentectomy with minimal impact on pulmonary function, showing good clinical value.