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KMID : 1103720160740050299
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Journal of the Korean Society of Radiology
2016 Volume.74 No. 5 p.299 ~ p.307
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CT Quantification of Central Airway in Tracheobronchomalacia
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Im Won-Hyeong
Jin Gong-Yong
Han Young-Min
Kim Eun-Young
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Abstract
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Purpose: To know which factors help to diagnose tracheobronchomalacia (TBM) using CT quantification of central airway.
Materials and Methods: From April 2013 to July 2014, 19 patients (68.0 ± 15.0 years; 6 male, 13 female) were diagnosed as TBM on CT. As case-matching, 38 normal subjects (65.5 ± 21.5 years; 6 male, 13 female) were selected. All 57 subjects underwent CT with end-inspiration and end-expiration. Airway parameters of trachea and both main bronchus were assessed using software (VIDA diagnostic). Airway parameters of TBM patients and normal subjects were compared using the Student t-test.
Results: In expiration, both wall perimeter and wall thickness in TBM patients were significantly smaller than normal subjects (wall perimeter: trachea, 43.97 mm vs. 49.04 mm, p = 0.020; right main bronchus, 33.52 mm vs. 42.69 mm, p < 0.001; left main bronchus, 26.76 mm vs. 31.88 mm, p = 0.012; wall thickness: trachea, 1.89 mm vs. 2.22 mm, p = 0.017; right main bronchus, 1.64 mm vs. 1.83 mm, p = 0.021; left main bronchus, 1.61 mm vs. 1.75 mm, p = 0.016).
Conclusion: Wall thinning and decreased perimeter of central airway of expiration by CT quantification would be a new diagnostic indicators in TBM.
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KEYWORD
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Tracheobronchomalacia, CT, Airway Remodeling, Quantitative Evaluation
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