Correlation between high-resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosis
Abstract Background The idiopathic interstitial pneumonias are a heterogeneous group of non-neoplastic disorders resulting from damage to the lung parenchyma by varying patterns of inflammation and fibrosis. High-resolution computed tomography (HRCT) has become an integral part of the diagnosis and...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2016-11-01
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| Series: | The Egyptian Journal of Bronchology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.4103/1687-8426.193633 |
| _version_ | 1818975186828918784 |
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| author | Hoda Ali Abou Youssuf Yousriah Yahia Sabry Ahmed M. Abd El-Hafeez Hadeel A. Mohamed |
| author_facet | Hoda Ali Abou Youssuf Yousriah Yahia Sabry Ahmed M. Abd El-Hafeez Hadeel A. Mohamed |
| author_sort | Hoda Ali Abou Youssuf |
| collection | DOAJ |
| description | Abstract Background The idiopathic interstitial pneumonias are a heterogeneous group of non-neoplastic disorders resulting from damage to the lung parenchyma by varying patterns of inflammation and fibrosis. High-resolution computed tomography (HRCT) has become an integral part of the diagnosis and evaluation of the patient with idiopathic interstitial pneumonias. Aim of the study The aim of this work was to correlate between HRCT findings and pulmonary functions in patients with idiopathic pulmonary fibrosis (IPF). Patients and methods Thirty patients with features consistent with IPF as diagnosed by means of HRCT were included. The severity of IPF was scored using ‘Kasr Al Ainy HRCT scoring of IPF’ in which the lung was divided into six zones, three on each side, with a specific score given for each zone according to the extent of fibrosis. Transthorathic echocardiography was performed for all patients with the estimation of pulmonary artery systolic pressure (PASP). Results The mean lower lung zone score according to the HRCT score for severity of IPF was 7.93±2.67, which is consistent with typical basal distribution of IPF. A negative correlation was noted between total HRCT score with forced vital capacity, partial pressure of oxygen, and 6 min walk test. There was a positive correlation between PASP detected using echocardiography and pulmonary artery size measured using HRCT (P=0.022). Conclusion There is a positive correlation between PASP detected using echocardiography and pulmonary artery size measured using HRCT. There is a negative correlation between PASP using echo and partial pressure of oxygen in arterial blood gases and also between total lung zone HRCT score and pulmonary functions. |
| first_indexed | 2024-12-20T15:51:57Z |
| format | Article |
| id | doaj.art-9a3d5a5ad56b40d68e1e270df241a819 |
| institution | Directory Open Access Journal |
| issn | 1687-8426 2314-8551 |
| language | English |
| last_indexed | 2024-12-20T15:51:57Z |
| publishDate | 2016-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Bronchology |
| spelling | doaj.art-9a3d5a5ad56b40d68e1e270df241a8192022-12-21T19:34:39ZengSpringerOpenThe Egyptian Journal of Bronchology1687-84262314-85512016-11-0110333033610.4103/1687-8426.193633Correlation between high-resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosisHoda Ali Abou Youssuf0Yousriah Yahia Sabry1Ahmed M. Abd El-Hafeez2Hadeel A. Mohamed3Department of Chest Diseases, Faculty of Medicine, Cairo UniversityDepartment of Diagnostic Radiology, Faculty of Medicine, Cairo UniversityDepartment of Chest Diseases, Faculty of Medicine, Cairo UniversityDepartment of Chest Diseases, Faculty of Medicine, Cairo UniversityAbstract Background The idiopathic interstitial pneumonias are a heterogeneous group of non-neoplastic disorders resulting from damage to the lung parenchyma by varying patterns of inflammation and fibrosis. High-resolution computed tomography (HRCT) has become an integral part of the diagnosis and evaluation of the patient with idiopathic interstitial pneumonias. Aim of the study The aim of this work was to correlate between HRCT findings and pulmonary functions in patients with idiopathic pulmonary fibrosis (IPF). Patients and methods Thirty patients with features consistent with IPF as diagnosed by means of HRCT were included. The severity of IPF was scored using ‘Kasr Al Ainy HRCT scoring of IPF’ in which the lung was divided into six zones, three on each side, with a specific score given for each zone according to the extent of fibrosis. Transthorathic echocardiography was performed for all patients with the estimation of pulmonary artery systolic pressure (PASP). Results The mean lower lung zone score according to the HRCT score for severity of IPF was 7.93±2.67, which is consistent with typical basal distribution of IPF. A negative correlation was noted between total HRCT score with forced vital capacity, partial pressure of oxygen, and 6 min walk test. There was a positive correlation between PASP detected using echocardiography and pulmonary artery size measured using HRCT (P=0.022). Conclusion There is a positive correlation between PASP detected using echocardiography and pulmonary artery size measured using HRCT. There is a negative correlation between PASP using echo and partial pressure of oxygen in arterial blood gases and also between total lung zone HRCT score and pulmonary functions.http://link.springer.com/article/10.4103/1687-8426.193633high-resolution computed tomographyidiopathic pulmonary fibrosispulmonary function tests |
| spellingShingle | Hoda Ali Abou Youssuf Yousriah Yahia Sabry Ahmed M. Abd El-Hafeez Hadeel A. Mohamed Correlation between high-resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosis The Egyptian Journal of Bronchology high-resolution computed tomography idiopathic pulmonary fibrosis pulmonary function tests |
| title | Correlation between high-resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosis |
| title_full | Correlation between high-resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosis |
| title_fullStr | Correlation between high-resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosis |
| title_full_unstemmed | Correlation between high-resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosis |
| title_short | Correlation between high-resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosis |
| title_sort | correlation between high resolution computed tomography of the chest and pulmonary functions in idiopathic pulmonary fibrosis |
| topic | high-resolution computed tomography idiopathic pulmonary fibrosis pulmonary function tests |
| url | http://link.springer.com/article/10.4103/1687-8426.193633 |
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