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Incidental lung findings in coronary computed tomography angiography

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Erişim

info:eu-repo/semantics/openAccess

Tarih

2021

Yazar

Eldeş, Tuğba
Kara, Bilge Yılmaz

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Künye

Eldes, T. & Kara, B.Y. (2021). Incidental lung findings in coronary computed tomography angiography. Revista da Associacao Medica Brasileira, 67(9), 1328-1332. https://doi.org/10.1590/1806-9282.20210662

Özet

OBJECTIVE: In coronary computed tomography angiography, a part of the lung parenchyma also enters the image area which is called the field of view. The aim of this study was to evaluate the rate of pulmonary abnormalities and document their association with demographic features in subjects undergoing multislice coronary computed tomography angiography obtained for the assessment of coronary artery disease. METHODS: This was a retrospective observational study evaluating the coronary computed tomography angiography scans of 1,050 patients (58.5% males and 47.3% smokers) with a mean age of 52.2 +/- 11.2 years, obtained between January 2018 and March 2020. Pulmonary abnormalities were reported as nodules, focal consolidations, ground-glass opacities, consolidations, emphysema, cysts, bronchiectasis, atelectasis, and miscellaneous. RESULTS: In total, 274 pulmonary abnormalities were detected in 266 patients (25.3%). The distribution of incidental lung findings was as follows: pulmonary nodules: 36.4%, emphysema: 15.6%, bronchiectasis: 11%, ground-glass opacities: 7.2%, atelectasis 7.2%, focal consolidations: 5%, cysts: 6%, consolidations: 2.5%, and miscellaneous: 9.1%. The patients with pulmonary pathology were older (55.5 +/- 11.4 versus 51.0 +/- 10.9 years), and the percentage of smokers was higher (60.1 versus 43.2%). The possibility of the presence of any incidental lung findings in field of view of coronary computed tomography angiography increases significantly over the age of 40.5 years (p<0.001, AUC 0.612, 95%CI 0.573-0.651). CONCLUSION: Multislice coronary computed tomography angiography can give important clues regarding pulmonary diseases. It is essential for the reporting radiologist to review the entire scan for pulmonary pathological findings especially in patients with smoking history and over the age of 40.5 years. Keywords

Kaynak

Revista da Associacao Medica Brasileira

Cilt

67

Sayı

9

Bağlantı

https://doi.org/10.1590/1806-9282.20210662
https://hdl.handle.net/11436/6257

Koleksiyonlar

  • PubMed İndeksli Yayınlar Koleksiyonu [2443]
  • Scopus İndeksli Yayınlar Koleksiyonu [5998]
  • TF, Dahili Tıp Bilimleri Bölümü Koleksiyonu [1571]
  • WoS İndeksli Yayınlar Koleksiyonu [5260]



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