HRCT findings in the lungs of primary care patients with lower respiratory tract infection
Purpose: To survey the prevalence and type of lung patterns detectable at high‐resolution CT (HRCT) in a primary care population seeking help for cough and fever. Material and Methods: The HRCT patterns of 103 patients obtained at the primary visit to a municipal health centre for cough and fever we...
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| Veröffentlicht in: | Acta radiologica (1987) 2002-03, Vol.43 (2), p.159-163 |
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| container_title | Acta radiologica (1987) |
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| creator | Lähde, S. Jartti, A. Broas, M. Koivisto, M. Syrjälä, H. |
| description | Purpose: To survey the prevalence and type of lung patterns detectable at high‐resolution CT (HRCT) in a primary care population seeking help for cough and fever.
Material and Methods: The HRCT patterns of 103 patients obtained at the primary visit to a municipal health centre for cough and fever were evaluated. Forced expiratory examinations were obtained in 93 patients.
Results: Lower respiratory tract infection (LRTI)‐related findings (present at inclusion, healed at follow‐up, not explained by any other factor) were seen in 19 patients (18.7%), of whom 11 also showed opacities, even though of lesser extent, at conventional chest radiography. The following patterns were found: ground‐glass opacity (58%), discrete consolidations (52%), confluent consolidations (16%; 1 case with an air bronchogram), air space nodules (10%), peribronchovascular thickening (37%), tree‐in‐bud pattern (26%), free pleural fluid (5%), and septal thickening (5%). An expiratory mosaic pattern was seen in 19 (20%) out of 93 patients. In addition, lymph node enlargement (>1 cm) was recorded in 7 patients out of 103.
Conclusion: HRCT is more sensitive than chest radiography in detecting LRTI‐related lung lesions in a primary care population. The pattern typically comprises subtle scattered polymorphous opacities with varying attenuation affecting several lung segments. LRTI‐related HRCT pattern deserves consideration as a differential diagnostic alternative in patients examined due to any lower respiratory tract symptoms. |
| doi_str_mv | 10.1034/j.1600-0455.2002.430211.x |
| format | Article |
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Material and Methods: The HRCT patterns of 103 patients obtained at the primary visit to a municipal health centre for cough and fever were evaluated. Forced expiratory examinations were obtained in 93 patients.
Results: Lower respiratory tract infection (LRTI)‐related findings (present at inclusion, healed at follow‐up, not explained by any other factor) were seen in 19 patients (18.7%), of whom 11 also showed opacities, even though of lesser extent, at conventional chest radiography. The following patterns were found: ground‐glass opacity (58%), discrete consolidations (52%), confluent consolidations (16%; 1 case with an air bronchogram), air space nodules (10%), peribronchovascular thickening (37%), tree‐in‐bud pattern (26%), free pleural fluid (5%), and septal thickening (5%). An expiratory mosaic pattern was seen in 19 (20%) out of 93 patients. In addition, lymph node enlargement (>1 cm) was recorded in 7 patients out of 103.
Conclusion: HRCT is more sensitive than chest radiography in detecting LRTI‐related lung lesions in a primary care population. The pattern typically comprises subtle scattered polymorphous opacities with varying attenuation affecting several lung segments. LRTI‐related HRCT pattern deserves consideration as a differential diagnostic alternative in patients examined due to any lower respiratory tract symptoms.</description><identifier>ISSN: 0284-1851</identifier><identifier>EISSN: 1600-0455</identifier><identifier>DOI: 10.1034/j.1600-0455.2002.430211.x</identifier><identifier>PMID: 12010295</identifier><identifier>CODEN: ACRAE3</identifier><language>eng</language><publisher>Copenhagen: Munksgaard International Publishers</publisher><subject>Adult ; Bacterial diseases ; Bacterial diseases of the respiratory system ; Biological and medical sciences ; Female ; Human bacterial diseases ; Humans ; Infectious diseases ; Investigative techniques, diagnostic techniques (general aspects) ; Lung - diagnostic imaging ; Lung, bronchitis ; Male ; Medical sciences ; pneumonia ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Respiratory system ; Respiratory Tract Infections - diagnostic imaging ; Tomography, X-Ray Computed - methods</subject><ispartof>Acta radiologica (1987), 2002-03, Vol.43 (2), p.159-163</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3321-73f0b6877c25b4757dfe054258e65583b0728fc153a43885bd178e9a71539f5d3</citedby><cites>FETCH-LOGICAL-c3321-73f0b6877c25b4757dfe054258e65583b0728fc153a43885bd178e9a71539f5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1034%2Fj.1600-0455.2002.430211.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1034%2Fj.1600-0455.2002.430211.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14167657$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12010295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lähde, S.</creatorcontrib><creatorcontrib>Jartti, A.</creatorcontrib><creatorcontrib>Broas, M.</creatorcontrib><creatorcontrib>Koivisto, M.</creatorcontrib><creatorcontrib>Syrjälä, H.</creatorcontrib><title>HRCT findings in the lungs of primary care patients with lower respiratory tract infection</title><title>Acta radiologica (1987)</title><addtitle>Acta Radiol</addtitle><description>Purpose: To survey the prevalence and type of lung patterns detectable at high‐resolution CT (HRCT) in a primary care population seeking help for cough and fever.
Material and Methods: The HRCT patterns of 103 patients obtained at the primary visit to a municipal health centre for cough and fever were evaluated. Forced expiratory examinations were obtained in 93 patients.
Results: Lower respiratory tract infection (LRTI)‐related findings (present at inclusion, healed at follow‐up, not explained by any other factor) were seen in 19 patients (18.7%), of whom 11 also showed opacities, even though of lesser extent, at conventional chest radiography. The following patterns were found: ground‐glass opacity (58%), discrete consolidations (52%), confluent consolidations (16%; 1 case with an air bronchogram), air space nodules (10%), peribronchovascular thickening (37%), tree‐in‐bud pattern (26%), free pleural fluid (5%), and septal thickening (5%). An expiratory mosaic pattern was seen in 19 (20%) out of 93 patients. In addition, lymph node enlargement (>1 cm) was recorded in 7 patients out of 103.
Conclusion: HRCT is more sensitive than chest radiography in detecting LRTI‐related lung lesions in a primary care population. The pattern typically comprises subtle scattered polymorphous opacities with varying attenuation affecting several lung segments. LRTI‐related HRCT pattern deserves consideration as a differential diagnostic alternative in patients examined due to any lower respiratory tract symptoms.</description><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the respiratory system</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung - diagnostic imaging</subject><subject>Lung, bronchitis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>pneumonia</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Respiratory system</subject><subject>Respiratory Tract Infections - diagnostic imaging</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0284-1851</issn><issn>1600-0455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQQC1URJfCX0Duob0lzNhx7L1RbYEiVUKqyoWL5Th261U2WWyvdvvvSZSIXjmNx37z4UfIJUKJwKvP2xJrgAIqIUoGwMqKA0MsT2_I6t_LGVkBU1WBSuA5eZ_SFgCZFPiOnCMDBLYWK_L77mHzSH3o29A_JRp6mp8d7Q5TMni6j2Fn4gu1Jjq6Nzm4Pid6DPmZdsPRRRpd2odo8jBCORqbxxbe2RyG_gN5602X3MclXpBf374-bu6K-5_ff2xu7gvLOcNCcg9NraS0TDSVFLL1DkTFhHK1EIo3IJnyFgU3FVdKNC1K5dZGjjdrL1p-Qa7nvvs4_Dm4lPUuJOu6zvRuOCQtUYKsZT2C6xm0cUgpOq-X72kEPYnVWz3p05M-PYnVs1h9Gms_LUMOzc61r5WLyRG4WgCTrOl8NL0N6ZWrcFxByJH7MnPH0LmX_99A3zzczmf-FzqUk1M</recordid><startdate>200203</startdate><enddate>200203</enddate><creator>Lähde, S.</creator><creator>Jartti, A.</creator><creator>Broas, M.</creator><creator>Koivisto, M.</creator><creator>Syrjälä, H.</creator><general>Munksgaard International Publishers</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200203</creationdate><title>HRCT findings in the lungs of primary care patients with lower respiratory tract infection</title><author>Lähde, S. ; Jartti, A. ; Broas, M. ; Koivisto, M. ; Syrjälä, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3321-73f0b6877c25b4757dfe054258e65583b0728fc153a43885bd178e9a71539f5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the respiratory system</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lung - diagnostic imaging</topic><topic>Lung, bronchitis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>pneumonia</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Respiratory system</topic><topic>Respiratory Tract Infections - diagnostic imaging</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lähde, S.</creatorcontrib><creatorcontrib>Jartti, A.</creatorcontrib><creatorcontrib>Broas, M.</creatorcontrib><creatorcontrib>Koivisto, M.</creatorcontrib><creatorcontrib>Syrjälä, H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta radiologica (1987)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lähde, S.</au><au>Jartti, A.</au><au>Broas, M.</au><au>Koivisto, M.</au><au>Syrjälä, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HRCT findings in the lungs of primary care patients with lower respiratory tract infection</atitle><jtitle>Acta radiologica (1987)</jtitle><addtitle>Acta Radiol</addtitle><date>2002-03</date><risdate>2002</risdate><volume>43</volume><issue>2</issue><spage>159</spage><epage>163</epage><pages>159-163</pages><issn>0284-1851</issn><eissn>1600-0455</eissn><coden>ACRAE3</coden><abstract>Purpose: To survey the prevalence and type of lung patterns detectable at high‐resolution CT (HRCT) in a primary care population seeking help for cough and fever.
Material and Methods: The HRCT patterns of 103 patients obtained at the primary visit to a municipal health centre for cough and fever were evaluated. Forced expiratory examinations were obtained in 93 patients.
Results: Lower respiratory tract infection (LRTI)‐related findings (present at inclusion, healed at follow‐up, not explained by any other factor) were seen in 19 patients (18.7%), of whom 11 also showed opacities, even though of lesser extent, at conventional chest radiography. The following patterns were found: ground‐glass opacity (58%), discrete consolidations (52%), confluent consolidations (16%; 1 case with an air bronchogram), air space nodules (10%), peribronchovascular thickening (37%), tree‐in‐bud pattern (26%), free pleural fluid (5%), and septal thickening (5%). An expiratory mosaic pattern was seen in 19 (20%) out of 93 patients. In addition, lymph node enlargement (>1 cm) was recorded in 7 patients out of 103.
Conclusion: HRCT is more sensitive than chest radiography in detecting LRTI‐related lung lesions in a primary care population. The pattern typically comprises subtle scattered polymorphous opacities with varying attenuation affecting several lung segments. LRTI‐related HRCT pattern deserves consideration as a differential diagnostic alternative in patients examined due to any lower respiratory tract symptoms.</abstract><cop>Copenhagen</cop><pub>Munksgaard International Publishers</pub><pmid>12010295</pmid><doi>10.1034/j.1600-0455.2002.430211.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Acta radiologica (1987), 2002-03, Vol.43 (2), p.159-163 |
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| source | Taylor & Francis; MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Female Human bacterial diseases Humans Infectious diseases Investigative techniques, diagnostic techniques (general aspects) Lung - diagnostic imaging Lung, bronchitis Male Medical sciences pneumonia Radiodiagnosis. Nmr imagery. Nmr spectrometry Respiratory system Respiratory Tract Infections - diagnostic imaging Tomography, X-Ray Computed - methods |
| title | HRCT findings in the lungs of primary care patients with lower respiratory tract infection |
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