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Risk Factors for Lung Cancer in the Pakistani Population
Luqman, Muhammad,Javed, Muhammad Mohsin,Daud, Shakeela,Raheem, Nafeesa,Ahmad, Jamil,Khan, Amin-Ul-Haq Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.7
Background: Lung cancer is one of the most prevalent malignancies in the world and both incidence and mortality rates are continuing to rise in Pakistan. However, epidemiological studies to identify common lung cancer determinants in the Pakistani population have been limited. Materials and Methods: In this retrospective case-control study, 400 cases and 800 controls were enrolled from different hospitals of all provinces of Pakistan. Information about socio-demographic, occupational, lifestyle and dietary variables was extracted by questionnaire from all subjects. Odd ratios (ORs) and 95% confidence intervals (CIs) were calculated. and dose-response associations were also assessed for suitable factors. Results: Strong associations were observed for smoking (OR=9.4, 95%CI=6.9-12.8), pesticide exposure (OR=5.1, 95%CI=3.1-8.3), exposure to diesel exhaust (OR=3.1, 95%CI=2.1-4.5), red meat consumption (OR=2.9, 95%CI=1.8-4.7) and chicken consumption (OR=2.8, 95%CI=1.7-49). Other associated factors observed were welding fumes (OR=2.5, 95%CI=1.0-6.5), sedentary living (OR=2.0, 95%CI=1.6-2.6), family history (OR=2.0, 95%CI=0.8-4.9), wood dust (OR=1.9, 95%CI=1.2-3.1), tea consumption (OR=1.8, 95%CI=1.2-2.6), coffee consumption (OR=1.8, 95%CI=1.1-2.8), alcoholism (OR=1.7, 95%CI=1.1-2.5) and asbestos exposure(OR=1.5, 95%CI=0.5-4.4). Consumption of vegetables (OR=0.3, 95%CI=0.2-0.4), juices (OR=0.3, 95%CI=0.3-0.4), fruits (OR=0.7, 95%CI=0.5-0.9) and milk (OR=0.6, 95%CI=0.5-0.8) showed reduction in risk of lung cancer. Strongest dose-response relationships were observed for smoking ($X^2=333.8$, $p{\leq}0.0000001$), pesticide exposure ($X^2=50.9$, $p{\leq}0.0000001$) and exposure to diesel exhaust ($X^2=51.8$, $p{\leq}0.0000001$). Conclusions: Smoking, pesticide exposure, diesel exhaust and meat consumption are main lung cancer determinants in Pakistan. Consuming vegetables, fruits, milk and juices can reduce the risk of lung cancer risk, as in other countries.
Adaptive Thresholding Technique for Segmentation and Juxtapleural Nodules Inclusion in Lung Segments
Muhammad Zia ur Rehman,Syed Omer Gilani,Syed Irtiza Ali Shah,Mohsin Jamil,Irfanullah,Shahid Ikramullah Butt 보안공학연구지원센터 2016 International Journal of Bio-Science and Bio-Techn Vol.8 No.5
Early diagnosis of lung cancer plays crucial role in the improvement of patients' chances of survival. Computer aided detection (CAD) system has been a groundbreaking step in the timely diagnosis and identification of potential nodules (lesions). CAD system starts detection process by extracting lung regions from CT scan images, this step narrows down the region for detection. Hence saving the time consumption and reducing false positives outside the lung regions that results in the improvement of specificity of system. Proper lung segmentation significantly increases the performance of CAD systems. Different algorithms are presented by various researchers to improve segmentation results. An intensity based approach is presented in this paper for the segmentation of parenchyma and the goal is to achieve reasonable segmentation results in less time. Algorithm used in this paper is based on the Intensity based thresholding which is the fastest method for image segmentation. Images used in this research to analyze algorithm's result are taken from Lung Image Database Consortium (LIDC). Twenty random cases were picked, each having different number of slices (128 to 300). Algorithm is implemented using MatlabR2014 and a system with processor of 2.6 GHz and RAM of 4 GB. Total time taken for a single case of 128 images was 6.3 seconds and hence with an average of 49 milli sec/slice.