http://www.cnr.it/ontology/cnr/individuo/prodotto/ID24041

Value of chest radiography in phenotyping chronic obstructive pulmonary disease (Articolo in rivista)

Type

Articolo in rivista (Classe)
Prodotto della ricerca (Classe)

Label

Value of chest radiography in phenotyping chronic obstructive pulmonary disease (Articolo in rivista) (literal)

Anno

2008-01-01T00:00:00+01:00 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi

10.1183/09031936.00095607 (literal)

Alternative label

Miniati M.; Monti S.; Stolk J.; Mirarchi G.; Falaschi F.; Rabinovich R.; Canapini C.; Roca J.; Rabe K. (2008)
Value of chest radiography in phenotyping chronic obstructive pulmonary disease
in The European respiratory journal; European Respiratory Society Journals Ltd., Sheffield (Regno Unito)
(literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori

Miniati M.; Monti S.; Stolk J.; Mirarchi G.; Falaschi F.; Rabinovich R.; Canapini C.; Roca J.; Rabe K. (literal)

Pagina inizio

509 (literal)

Pagina fine

514 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url

http://www.erj.ersjournals.com/current.shtml (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume

31 (literal)

Rivista

?The ?European respiratory journal (Rivista)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#note

In: European Respiratory Journal, vol. 31 pp. 509 - 514. European Respiratory Society, 2008. (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#pagineTotali

6 (literal)

Note

ISI Web of Science (WOS) (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni

Dipartimento Area Critica Medico Chirurgica Facoltà di Medicina Università di Firenze; CNR-Istituto di Fisiologia Clinica, Pisa; Dept. of Pulmonology University Medical Center, Leiden the Netherlands; UO Radiologia II Azienda Ospedaliero-Universitaria Pisana, Pisa; Respiratory Service, Hospital Clinic, Barcelona, Spain (literal)

Titolo

Value of chest radiography in phenotyping chronic obstructive pulmonary disease (literal)

Abstract

The objectives of the present study were to reappraise chest radiography for the diagnosis of emphysema, using computed tomography (CT) as the reference standard, and to establish whether or not chest radiography is useful for phenotyping chronic obstructive pulmonary disease (COPD). Patients (n5154) who had undergone posteroanterior and lateral chest radiography and CT for diagnostic purposes were studied. CT data were scored for emphysema using the picture-grading method. Chest radiographs were examined independently by five raters using four criteria for emphysema that had been validated against lung pathology. These criteria were then used to assess the prevalence of emphysema in 458 COPD patients. Patients with and without evidence of emphysema were compared with regard to age, sex, smoking history, body mass index (BMI), forced expiratory volume in one second (FEV1), diffusing capacity of the lung for carbon monoxide (DL,CO) and health status. Chest radiography yielded a sensitivity of 90% and a specificity of 98% for emphysema. Of the 458 COPD patients, 245 showed radiological evidence of emphysema. Emphysemic patients had a significantly lower BMI, FEV1 and DL,CO, greater restriction of physical activity and worse quality of life than nonemphysemic patients. There was no difference across the two groups with regard to age, sex or smoking history. Chest radiography is a simple means of diagnosing moderate-to-severe emphysema. It is useful in phenotyping chronic obstructive pulmonary disease and may aid physicians in their choice of treatment. (literal)

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