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CT features of normal lung change in asymptomatic elderly patients


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Figure 1

Bronchial wall thickening
Bronchial wall thickening

Figure 2

Basal reticulation appears in RLL in one participant in the middle age group.
Basal reticulation appears in RLL in one participant in the middle age group.

Figure 3

The ROC curves for age with bronchiectasis (left) and age with bronchial wall thickening (right)
The ROC curves for age with bronchiectasis (left) and age with bronchial wall thickening (right)

Figure 4

Demonstrates geographic degree of air trapping in both lower lobes of participant from elderly group
Demonstrates geographic degree of air trapping in both lower lobes of participant from elderly group

Figure 5

Signet ring sign indicates bronchiectasis in LLL in one participant (arrow).
Signet ring sign indicates bronchiectasis in LLL in one participant (arrow).

Figure 6

Bronchial wall thickening seen in RLL in elderly participant (arrow).
Bronchial wall thickening seen in RLL in elderly participant (arrow).

Distribution of air trapping, bronchiectasis and bronchial wall thickening in each group

ParameterLobeAge group 1Age group 2Age group 3Total number in each lobe (%)
Number of air trappingRUL0156 (8)
RML0112 (3)
RLL561728 (39)
LUL0156 (8)
Lingular0112 (3)
LLL471728 (39)
BronchiectasisRUL0123 (13)
RML0415 (22)
RLL0235 (22)
LUL0101 (4)
Lingular0101 (4)
LLL0246 (26)
Bronchial wall thickeningRUL0224 (15)
RML0224 (15)
RLL0257 (26)
LUL0224 (15)
Lingular0000 (0)
LLL0268 (30)

Correlation between each outcome and age group

ParametersAge ≤56Age >56P
Number37230.09
Bronchiectasis370.04
Bronchial wall thickening270.02

Comparison of air trapping in lower lobes and other lobes in all participants

Air trappingOther lobesLLL+ RLLP

Pearson chi-square test, LLL = left lower lobe, RLL = right lower lobe,

Positive1656<0.01
Negative22464

Distribution of bronchiectasis in total participants

RULRMLRLLLULLingularLLL
Positive355116
Negative575555595954

Distribution of bronchial wall thickening in total participants

RULRMLRLLLULLingularLLL
Positive447408
Negative565653566052

Demographic data

Group 1Group 2Group 3P

Pearson chi-square test

Range (age)20-4041-60≥6 1
Median325164.5
Mean (Standard deviation)30.5 (6.1)50.4 (4.9)66.7 (5.7)
Number of participants202020
Male (%)17 (85)17 (85)8 (40)0.01
P-value of the proportional test (H0: male: female = 0.5)<0.05<0.050.50
Smoking41050.09
Smoking history (Pack-years)

Data are medians, with ranges in parentheses

0 (0-2.5)0.05 (0-40)0 (0-60)

Sensitivity and specificity of the coordinate of the ROC curve at age 56

BronchiectasisBronchial wall thickening
Sensitivity70%78%
Specificity68%69%

Degree of air trapping in each age group

Air trappingAge group 1Age group 2Age group 3TotalP

Pearson chi-square test

Lobular345120.11
Geographic228120.09
Extensive01560.02

Correlation between each outcome and smoking status in all participants

CT imaging outcomeSmokingNo smokingP
Air trapping present1020>0.10
Air trapping absent921
Reticulation present10>0.10
Reticulation absent1841
Bronchiectasis present37>0.10
Bronchiectasis absent1634
Bronchial wall thickening present36>0.10
Bronchial wall thickening absent1635

Degree of bronchiectasis in each age group

DegreeAge group 1Age group 2Age group 3Total
Cylindrical04610
Varicose0000
Cystic0000
eISSN:
1875-855X
Idioma:
Inglés
Calendario de la edición:
6 veces al año
Temas de la revista:
Medicine, Assistive Professions, Nursing, Basic Medical Science, other, Clinical Medicine