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Pulmonary artery hypertension in chronic obstructive lung disease. The validity of morphometric tests in radiodiagnosis of the thorax

Abstract

Standard biplane chest X-rays were tested for the validity of morphometric criteria in the diagnosis of pulmonary artery hypertension. Twenty-seven patients suffering from chronic obstructive lung disease were examined and compared with a control group without cardiopulmonary disease. The diameter of the right and left pulmonary artery, pulmonary conus and the hilar-to-thoracic ratio were significantly increased in patients with chronic obstructive lung disease (p<0.0001). Measurement of the right pulmonary artery was 19.7+-3.9 mm compared to 13.6+-1.2 mm of the control group; mean hilar thoracic index was 0.35 compared to 0.31. Thus if the width of the descending branch of the right pulmonary artery was above 16 mm, pulmonary arterial hypertension was suggested, with a specificity of almost 100%, although the sensitivity of the diagnosis was only 59%. The mean pulmonary arterial pressure obtained by right heart catheterization correlated poorly with the morphometric criteria obtained. (orig.).
Publication Date:
Jun 01, 1989
Product Type:
Journal Article
Reference Number:
DEN-89-008302; EDB-89-111038
Resource Relation:
Journal Name: Radiologe; (Germany, Federal Republic of); Journal Volume: 29:6
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; LUNGS; BIOMEDICAL RADIOGRAPHY; HYPERTENSION; ARTERIES; BLOOD PRESSURE; CHEST; DIAGNOSIS; DIMENSIONS; IMAGES; PATIENTS; RESPIRATORY SYSTEM DISEASES; VASCULAR DISEASES; X-RAY RADIOGRAPHY; BLOOD VESSELS; BODY; BODY AREAS; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; DISEASES; INDUSTRIAL RADIOGRAPHY; MEDICINE; NUCLEAR MEDICINE; ORGANS; RADIOLOGY; RESPIRATORY SYSTEM; SYMPTOMS; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
5942256
Research Organizations:
Freiburg Univ. (Germany, F.R.). Abt. Roentgendiagnostik; Freiburg Univ. (Germany, F.R.). Abt. Pneumologie
Country of Origin:
Germany
Language:
German
Other Identifying Numbers:
Journal ID: CODEN: RDLGB
Submitting Site:
DEN
Size:
Pages: 272-278
Announcement Date:
Oct 01, 1989

Citation Formats

Dinkel, E, Mundinger, A, Reinbold, W D, and Wuertemberger, G. Pulmonary artery hypertension in chronic obstructive lung disease. The validity of morphometric tests in radiodiagnosis of the thorax. Germany: N. p., 1989. Web.
Dinkel, E, Mundinger, A, Reinbold, W D, &amp; Wuertemberger, G. Pulmonary artery hypertension in chronic obstructive lung disease. The validity of morphometric tests in radiodiagnosis of the thorax. Germany.
Dinkel, E, Mundinger, A, Reinbold, W D, and Wuertemberger, G. 1989. "Pulmonary artery hypertension in chronic obstructive lung disease. The validity of morphometric tests in radiodiagnosis of the thorax." Germany.
@misc{etde_5942256,
title = {Pulmonary artery hypertension in chronic obstructive lung disease. The validity of morphometric tests in radiodiagnosis of the thorax}
author = {Dinkel, E, Mundinger, A, Reinbold, W D, and Wuertemberger, G}
abstractNote = {Standard biplane chest X-rays were tested for the validity of morphometric criteria in the diagnosis of pulmonary artery hypertension. Twenty-seven patients suffering from chronic obstructive lung disease were examined and compared with a control group without cardiopulmonary disease. The diameter of the right and left pulmonary artery, pulmonary conus and the hilar-to-thoracic ratio were significantly increased in patients with chronic obstructive lung disease (p<0.0001). Measurement of the right pulmonary artery was 19.7+-3.9 mm compared to 13.6+-1.2 mm of the control group; mean hilar thoracic index was 0.35 compared to 0.31. Thus if the width of the descending branch of the right pulmonary artery was above 16 mm, pulmonary arterial hypertension was suggested, with a specificity of almost 100%, although the sensitivity of the diagnosis was only 59%. The mean pulmonary arterial pressure obtained by right heart catheterization correlated poorly with the morphometric criteria obtained. (orig.).}
journal = []
volume = {29:6}
journal type = {AC}
place = {Germany}
year = {1989}
month = {Jun}
}