Guillaume Chassagnon’s research while affiliated with Université Paris Cité and other places

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Publications (159)


Efficacy of a deep learning-based software for chest X-ray analysis in an emergency department
  • Article

April 2025

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8 Reads

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1 Citation

Diagnostic and Interventional Imaging

Sathiyamurthy Selvam

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Arben Elezi

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[...]

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Guidance for Chest-CT in Children and Adults with Cystic Fibrosis: A European perspective
  • Literature Review
  • Full-text available

April 2025

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52 Reads

Respiratory Medicine

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Imaging in France: 2024 Update

October 2024

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24 Reads

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2 Citations

Canadian Association of Radiologists Journal

Radiology in France has made major advances in recent years through innovations in research and clinical practice. French institutions have developed innovative imaging techniques and artificial intelligence applications in the field of diagnostic imaging and interventional radiology. These include, but are not limited to, a more precise diagnosis of cancer and other diseases, research in dual-energy and photon-counting computed tomography, new applications of artificial intelligence, and advanced treatments in the field of interventional radiology. This article aims to explore the major research initiatives and technological advances that are shaping the landscape of radiology in France. By highlighting key contributions in diagnostic imaging, artificial intelligence, and interventional radiology, we provide a comprehensive overview of how these innovations are improving patient outcomes, enhancing diagnostic accuracy, and expanding the possibilities for minimally invasive therapies. As the field continues to evolve, France’s position at the forefront of radiological research ensures that these innovations will play a central role in addressing current healthcare challenges and improving patient care on a global scale.





Fig. 1 Chest CT showing airway involvement in a 48-year-old patient with ulcerative colitis diagnosed 25 years before. A CT image in the coronal plane shows tracheal and bronchial wall thickening (arrows). Axial images show tracheal wall thickening sparing the posterior membrane (B) and bronchial wall thickening of the left lower lobe bronchus with stenosis (C). D These lesions are associated with bronchial dilatation and mucus impactions (arrow) in the left upper lobe
Fig. 5 Recurrent organizing pneumonia in a 28-year-old patient with Crohn's disease. A CT image in the axial plane shows peribronchovascular consolidations in the left lower lobe consistent with organizing pneumonia. These lesions disappeared with corticosteroids. B Few months after corticosteroids withdrawal, a recurrence of organizing pneumonia was observed in other lung areas
Fig. 6 Necrobiotic nodule (histologically confirmed) in a 41-year-old patient with Crohn's disease. A CT image in the axial plane reveals a right lower lobe nodule that was diagnosed during the initial Crohn's disease flare-up and surgical resection. B HES staining of the lesion showing necrotizing granuloma. The central necrosis (*) is surrounded by epithelioid granuloma with giant cell (arrow)
Fig. 7 Pleuroparenchymal fibroelastosis in a 70-year-old patient with ulcerative colitis. A CT image in the axial plane shows bilateral subpleural consolidations with bronchiolectasis. B CT image in the coronal plane shows apical distribution and volume loss in the upper lobes. The combination of these CT findings is highly suggestive of the diagnosis of pleuroparenchymal fibroelastosis, and no surgical biopsy has been performed
Fig. 8 Drug-induced pneumonia in an 18-year-old patient with ulcerative colitis treated with mesalamine. CT image in the axial plane images show bilateral subpleural consolidations (arrows in A and B). CT-guided transthoracic biopsy was performed and showed pathological findings compatible with mesalamine-induced lung disease
Imaging findings of thoracic manifestations of Crohn’s disease and ulcerative colitis

August 2024

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82 Reads

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1 Citation

Insights into Imaging

Thoracic manifestations of inflammatory bowel disease (IBD) are rare, occurring in less than 1% of patients. Unlike most other extra-intestinal manifestations, they predominate in patients with ulcerative colitis rather than in Crohn’s disease. In most patients, thoracic involvement follows the onset of IBD by several years. However, thoracic involvement may also occur synchronously or even precede the onset of digestive symptoms. The thoracic manifestations of IBD include airway involvement and parenchymal lung abnormalities. Airways are the most frequent anatomical site for thoracic involvement in IBD. Airway manifestations usually develop several years after the onset of intestinal manifestations, preferentially when the latter are stable or in remission. Airway manifestations include bronchial wall thickening, bronchiectasis, small airway disease, and tracheal wall thickening. Parenchymal lung abnormalities are less prevalent in IBD and include organizing pneumonia, necrobiotic nodules, noncaseating granulomatous nodules, drug-induced pneumonia, and rarely interstitial lung diseases. The differential diagnosis between organizing pneumonia, necrobiotic nodules, and noncaseating granulomatous nodules is difficult and usually requires histopathological analysis for a definite diagnosis. Radiologists play a key role in the detection of thoracic manifestations of Crohn’s disease and ulcerative colitis and, therefore, need to be familiar with their imaging findings. This article aims to offer an overview of the imaging findings of thoracic manifestations in patients with Crohn’s disease or ulcerative colitis. Critical relevance statement Thoracic manifestations of Crohn’s disease and ulcerative colitis include tracheal involvement, bronchiectasis, small airway disease, and parenchymal lung abnormalities such as organizing pneumonia and necrobiotic nodules. These rare manifestations (< 1% of patients) more often affect patients with ulcerative colitis. Key Points Thoracic manifestations of inflammatory bowel disease are rare, occurring in less than 1% of patients. Thoracic manifestations are more frequent in patients with ulcerative colitis than Crohn’s disease. Bronchial disease is the most frequent thoracic manifestation of Crohn’s disease and ulcerative colitis. Graphical Abstract


Citations (59)


... Barat et al. [15] explored the main research initiatives and technological advances shaping the landscape of radiology in France, including new developments in AI applications. ...

Reference:

AI and Interventional Radiology: A Narrative Review of Reviews on Opportunities, Challenges, and Future Directions
Imaging in France: 2024 Update
  • Citing Article
  • October 2024

Canadian Association of Radiologists Journal

... • Anti-U1-RNP antibodies: U1-RNP is a component of the spliceosome, a RNP that is responsible for splicing, a critical process in gene expression where introns (non-coding regions) are removed from a pre-messenger RNA (pre-mRNA) transcript, and exons (coding regions) are joined together. In SSc, they are found in 8 % of patients (14 % in lcSSc, 3 % in dcSSc), especially with Afro-Caribbean genetic background [47], and are associated with lcSSc [48], ILD, muscular and kidney involvement [47]. Anti-U1-RNP positive patients may have a poorer survival than other SSc patients [47]. ...

Anti-U1RNP antibodies are associated with a distinct clinical phenotype and a worse survival in patients with systemic sclerosis
  • Citing Article
  • April 2024

Journal of Autoimmunity

... Furthermore, a reduction in the frequency of pulmonary exacerbations and sweat chloride concentration has been well described [13][14][15]20,21]. However, the impact of ETI on pulmonary structural disease assessed using CT lung scores has been addressed in only a limited number of publications to date [16,17,[22][23][24]. To the best of our knowledge, ours is one of the largest series described in the literature on this topic using the modified Bhalla score. ...

Reversal of cylindrical bronchial dilatations in a subset of adults with cystic fibrosis treated with elexacaftor-tezacaftor-ivacaftor
  • Citing Article
  • February 2024

European Respiratory Journal

... Augmenting image interpretation AI has rapidly evolved into a powerful tool for enhancing radiologists' diagnostic capabilities ( Fig. 1: imaging interpretation, reducing errors). A study to assess whether AI improves the detection accuracy of abnormalities on chest radiographs by radiologists with varying levels of expertise found that AI assistance led to an increase in sensitivity ranging from 6% to 26% (P < 0.001) for all readers, including thoracic radiologists, general radiologists, and radiology residents 64 . ...

Using AI to Improve Radiologist Performance in Detection of Abnormalities on Chest Radiographs

Radiology

... However, the incidence of lung cancer in non-smokers still exists and may be increasing in certain regions and populations [6][7][8]. The research by REVEL M and colleagues indicates that in most European countries, it is anticipated that the mortality rate from lung cancer in females will surpass that of breast cancer [9]. Therefore, given these facts, there is a growing focus on cancer risk factors other than smoking, such as viral infections, chronic inflammation, genetic variants, and environmental exposures. ...

Ten reasons to screen women at risk of lung cancer

Insights into Imaging

... on the test set. 62 Liu et al highlight the practical utility of automatic clot volumetry for estimation of the QI, reporting a measuring time of 12.9 seconds for the AI model compared with 9.8 minutes for manual calculation with a correlation coefficient (r) reaching .825. 58 Lanza et al also trained a CNN to determine blood clot volume, using this parameter as an indicator of PE presence or absence. ...

Detection and severity quantification of pulmonary embolism with 3D CT data using an automated deep learning-based artificial solution
  • Citing Article
  • October 2023

Diagnostic and Interventional Imaging

... In the first stage, we build a prediction model for bidimensional SOS slices using an image-based classifier. For building the image-based classifier, we selected slices from the VBP of the cases group that included the breast lesion, and the corresponding slice of the VBP in the controls group to train a multivariate logistic regressor with sequential forward feature selection, following the approach outlined by Decoux et al., 28 which provides a detailed review of different ML and feature selection methods for radiomics analysis and supports the selection of logistic regressor as a strong alternative. We extract a total of 33 radiomic features from each slice. ...

Comparative performances of machine learning algorithms in radiomics and impacting factors

... Similar results were also noted in studies by Holden [39] & Oropesa [40] while Kumar [41] developed an objective framework for robotic surgery training, offering valuable feedback. Chassagnon [98] 2023; Learning from the machine: AI assistance is not an effective learning tool for resident education in chest x-ray interpretation; France To assess whether a computer-aided detection (CADe) system could serve as a learning tool for radiology residents in chest X-ray (CXR) interpretation. GPT-4 also demonstrated higher stability (mean correlation 0.83) and confidence (45% accuracy) compared to GPT-3.5 and PaLM2. ...

Learning from the machine: AI assistance is not an effective learning tool for resident education in chest x-ray interpretation
  • Citing Article
  • August 2023

European Radiology

... p = 0.035), and the implementation of AI-assisted reporting could reduce the number of missed (55). The development of AI methods with good diagnostic capabilities for PE can improve the performance and reproducibility of radiological diagnostics (56)(57)(58). ...

Detection and quantification of pulmonary embolism with artificial intelligence: The SFR 2022 artificial intelligence data challenge
  • Citing Article
  • June 2023

Diagnostic and Interventional Imaging

... Recently O 3 exposure was linked to increased SSc-ILD severity and faster disease progression (23). Elevated PM 2.5 levels are consistently associated with increased risk of death or lung transplantation in patients with fILD in well-characterized cohorts with robust exposure modelling (24,25). ...

The association between air pollution and the severity at diagnosis and progression of systemic sclerosis-associated interstitial lung disease: results from the retrospective ScleroPol study

Respiratory Research