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Incidental lung findings in coronary computed tomography angiography
Eldes, Tugba; Kara, Bilge Yilmaz.
Affiliation
  • Eldes, Tugba; Tayyip Erdogan University. Department of Radiology. Rize. TR
  • Kara, Bilge Yilmaz; Tayyip Erdogan University. Department of Pulmonary Medicine. Rize. TR
Rev. Assoc. Med. Bras. (1992, Impr.) ; Rev. Assoc. Med. Bras. (1992, Impr.);67(9): 1328-1332, Sept. 2021. tab, graf
Article de En | LILACS | ID: biblio-1351488
Bibliothèque responsable: BR1.1
ABSTRACT
SUMMARY

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.
Sujet(s)
Mots clés

Texte intégral: 1 Indice: LILACS Sujet Principal: Résultats fortuits / Angiographie par tomodensitométrie Type d'étude: Diagnostic_studies / Observational_studies / Risk_factors_studies Limites du sujet: Adult / Female / Humans / Male langue: En Texte intégral: Rev. Assoc. Med. Bras. (1992, Impr.) Thème du journal: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / MEDICINA Année: 2021 Type: Article

Texte intégral: 1 Indice: LILACS Sujet Principal: Résultats fortuits / Angiographie par tomodensitométrie Type d'étude: Diagnostic_studies / Observational_studies / Risk_factors_studies Limites du sujet: Adult / Female / Humans / Male langue: En Texte intégral: Rev. Assoc. Med. Bras. (1992, Impr.) Thème du journal: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / MEDICINA Année: 2021 Type: Article