Excessive thoracic computed tomographic scanning in sarcoidosis

Background: The clinical value of computed tomographic (CT) scanning of the chest in the initial assessment of sarcoidosis was investigated. Methods: One hundred consecutive patients referred to the sarcoidosis outpatient services of the Mount Sinai Medical Center, New York from 1990 to 1992 with a...

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Autores: Mañá Rey, Juan Ma., Teirstein, Alvin S., Mendelson, David S., Padilla, Maria L., De Palo, Louis R.
Formato: artículo
Estado:Versión publicada
Fecha de publicación:1995
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/189849
Acesso em linha:https://hdl.handle.net/2445/189849
Access Level:acceso abierto
Palavra-chave:Sarcoïdosi
Tomografia
Malalties del pulmó
Sarcoidosis
Tomography
Pulmonary diseases
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spelling Excessive thoracic computed tomographic scanning in sarcoidosisMañá Rey, Juan Ma.Teirstein, Alvin S.Mendelson, David S.Padilla, Maria L.De Palo, Louis R.SarcoïdosiTomografiaMalalties del pulmóSarcoidosisTomographyPulmonary diseasesBackground: The clinical value of computed tomographic (CT) scanning of the chest in the initial assessment of sarcoidosis was investigated. Methods: One hundred consecutive patients referred to the sarcoidosis outpatient services of the Mount Sinai Medical Center, New York from 1990 to 1992 with a presumptive diagnosis of sarcoidosis were studied. The diagnosis was subsequently confirmed in all by a positive tissue biopsy sample or the Kveim-Siltzbach test. Clinical and laboratory data of each patient were reviewed. Chest radiographs were classified according to the classical stages of sarcoidosis. Thirty five of the 100 patients had a CT scan of the chest performed before presentation. The CT scans were compared with the presenting clinical data and standard chest radiographs in order to determine if they yielded useful additional information regarding diagnosis or treatment. Results: The chest CT scan revealed no additional clinically relevant information compared with conventional chest radiographs in any of the 35 studies performed. In two patients mediastinal adenopathy was detected by CT scan which was not seen on standard radiographs. Two patients thought to exhibit hilar adenopathy and pulmonary infiltrations by standard radiography had no parenchymal disease on the CT scan. Bilateral parenchymal infiltrates were seen in one patient which were interpreted as unilateral infiltrates by standard radiographs. The variance between conventional radiographs and CT scans in these five patients was not clinically valuable. Conclusions: CT scans of the chest do not add clinically useful information to the standard chest radiographs in the initial assessment of sarcoidosis in patients presenting with the typical standard radiological patterns. CT scanning of the thorax is indicated in patients with proven or suspected sarcoidosis when the standard chest radiographs are normal or not typical of sarcoidosis, when signs or symptoms of upper airway obstruction are present, when the patient has haemoptysis, if there is a suspicion of a complicating second intrathoracic disease, or the patient is a candidate for lung transplantation.BMJ Publishing Group2022202219952022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion3 p.application/pdfhttps://hdl.handle.net/2445/189849Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1136/thx.50.12.1264Thorax, 1995, vol. 50, p. 1264-1266https://doi.org/10.1136/thx.50.12.1264(c) BMJ Publishing Group, 1995info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1898492026-05-29T05:05:01Z
dc.title.none.fl_str_mv Excessive thoracic computed tomographic scanning in sarcoidosis
title Excessive thoracic computed tomographic scanning in sarcoidosis
spellingShingle Excessive thoracic computed tomographic scanning in sarcoidosis
Mañá Rey, Juan Ma.
Sarcoïdosi
Tomografia
Malalties del pulmó
Sarcoidosis
Tomography
Pulmonary diseases
title_short Excessive thoracic computed tomographic scanning in sarcoidosis
title_full Excessive thoracic computed tomographic scanning in sarcoidosis
title_fullStr Excessive thoracic computed tomographic scanning in sarcoidosis
title_full_unstemmed Excessive thoracic computed tomographic scanning in sarcoidosis
title_sort Excessive thoracic computed tomographic scanning in sarcoidosis
dc.creator.none.fl_str_mv Mañá Rey, Juan Ma.
Teirstein, Alvin S.
Mendelson, David S.
Padilla, Maria L.
De Palo, Louis R.
author Mañá Rey, Juan Ma.
author_facet Mañá Rey, Juan Ma.
Teirstein, Alvin S.
Mendelson, David S.
Padilla, Maria L.
De Palo, Louis R.
author_role author
author2 Teirstein, Alvin S.
Mendelson, David S.
Padilla, Maria L.
De Palo, Louis R.
author2_role author
author
author
author
dc.subject.none.fl_str_mv Sarcoïdosi
Tomografia
Malalties del pulmó
Sarcoidosis
Tomography
Pulmonary diseases
topic Sarcoïdosi
Tomografia
Malalties del pulmó
Sarcoidosis
Tomography
Pulmonary diseases
description Background: The clinical value of computed tomographic (CT) scanning of the chest in the initial assessment of sarcoidosis was investigated. Methods: One hundred consecutive patients referred to the sarcoidosis outpatient services of the Mount Sinai Medical Center, New York from 1990 to 1992 with a presumptive diagnosis of sarcoidosis were studied. The diagnosis was subsequently confirmed in all by a positive tissue biopsy sample or the Kveim-Siltzbach test. Clinical and laboratory data of each patient were reviewed. Chest radiographs were classified according to the classical stages of sarcoidosis. Thirty five of the 100 patients had a CT scan of the chest performed before presentation. The CT scans were compared with the presenting clinical data and standard chest radiographs in order to determine if they yielded useful additional information regarding diagnosis or treatment. Results: The chest CT scan revealed no additional clinically relevant information compared with conventional chest radiographs in any of the 35 studies performed. In two patients mediastinal adenopathy was detected by CT scan which was not seen on standard radiographs. Two patients thought to exhibit hilar adenopathy and pulmonary infiltrations by standard radiography had no parenchymal disease on the CT scan. Bilateral parenchymal infiltrates were seen in one patient which were interpreted as unilateral infiltrates by standard radiographs. The variance between conventional radiographs and CT scans in these five patients was not clinically valuable. Conclusions: CT scans of the chest do not add clinically useful information to the standard chest radiographs in the initial assessment of sarcoidosis in patients presenting with the typical standard radiological patterns. CT scanning of the thorax is indicated in patients with proven or suspected sarcoidosis when the standard chest radiographs are normal or not typical of sarcoidosis, when signs or symptoms of upper airway obstruction are present, when the patient has haemoptysis, if there is a suspicion of a complicating second intrathoracic disease, or the patient is a candidate for lung transplantation.
publishDate 1995
dc.date.none.fl_str_mv 1995
2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/189849
url https://hdl.handle.net/2445/189849
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1136/thx.50.12.1264
Thorax, 1995, vol. 50, p. 1264-1266
https://doi.org/10.1136/thx.50.12.1264
dc.rights.none.fl_str_mv (c) BMJ Publishing Group, 1995
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) BMJ Publishing Group, 1995
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 3 p.
application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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