STUDY OF THE PULMONARY HYPERTENSION AND PULMONARY VESSELS MEASUREMENTS USING COMPUTED TOMOGRAPHY

Authors

  • Samia Abdelgaum Fathelrahman Ph. D, Assistant Professor, Department of Radiological Sciences, Applied Medical College, Najran University, Kingdom of Saudi Arabia
  • Maha Esmeal Ahmed Esmeal Ph. D, Associate Professor, Radiography and Medical Imaging Sciences, Radiological Sciences College, National University, Sudan https://orcid.org/0000-0003-1719-9792

DOI:

https://doi.org/10.29121/granthaalayah.v9.i4.2021.3820

Keywords:

Characterization, Pulmonary Hypertension, Computed Tomography, Pulmonary Arterial Hypertension, Pulmonary Artery Diameter

Abstract

The purpose of the study was to study the pulmonary vessels in patients with pulmonary hypertension using Computed Tomography scan (CT) This is a prospective ,analytical study. this study was conducted at Khartoum Hospital (Sudan); in the period between November 2020 - January 2021 a sample of (100) patients with clinically diagnosed as pulmonary hypertension was enrolled, their mean ages were (47.92 ± 19.03) years, the sample included both genders, (42) patients were females while (58) were males and their ages were ranged from (3 - 80) years old. (CTPA) scans were acquired, all patients were examined by using multislice (CT) scanner, the data collected by special designed sheet from findings and analyzed statistically by using an (SPSS) Statistics software package.

The sample was directed to study the relationship of pulmonary hypertension with the presence of pulmonary vessels measurements; the patient's age and gender correlation with the pulmonary hypertension were investigated. The results find that the right and left main pulmonary arteries diameters changes were found to be significantly related to the presence of pulmonary hypertension, while there was no significant difference in the main pulmonary artery diameters measurements. The study concluded that CT for pulmonary artery plays an important role in the diagnostic evaluation of patients with pulmonary hypertension this due to it is easily accessible and excellent non-invasive method for the visualization and measurement of pulmonary artery and to know the possible cause of pulmonary hypertension.

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References

A, D. (2003). Oxford Textbook of Medicine, 4th Edn. BJA: British Journal of Anaesthesia, 90(6), 813. https://doi.org/10.1093/bja/aeg576 DOI: https://doi.org/10.1093/bja/aeg576

Araoz, P. A., Gotway, M. B., Trowbridge, R. L., Bailey, R. A., Auerbach, A. D., Reddy, G. P., Dawn, S. K., Webb, W. R., & Higgins, C. B. (2003). Helical CT Pulmonary Angiography Predictors of In-Hospital Morbidity and Mortality in Patients With Acute Pulmonary Embolism. Journal of Thoracic Imaging, 18(4), 207–216. Retrieved from https://dx.doi.org/10.1097/00005382-200310000-0000110.1097/00005382-200310000-00001 DOI: https://doi.org/10.1097/00005382-200310000-00001

Badesch, R., & B, D. (2009). Diagnosis and assessment of pulmonary arterial hypertension. Journal of the American College of Cardiology, 54, 55–66. DOI: https://doi.org/10.1016/j.jacc.2009.04.011

Bergin, C. J., Hauschildt, H. P., & Brown, M. A. (1999). identifying the cause of unilateral hypo perfusion in patients suspected to have chronic pulmonary thromboembolism: diag- nostic accuracy of helical and conventional angiography. Radiology, 213, 743–749. DOI: https://doi.org/10.1148/radiology.213.3.r99dc40743

Budoff, M. J., & Shinbane, J. S. (2003). BTS guidelines for the management of suspected acute pulmonary embolism British Thoracic Society. Thorax, 58, 470–83. DOI: https://doi.org/10.1136/thorax.58.6.470

Çobanoğlu, G., Ozansoy, M., & Başak, A. N. (2012). Are alsin and spartin novel interaction part- ners? (Vol. 427) (No. 1). Rijeka, Croatia: Elsevier BV. Retrieved from https://dx.doi.org/10.1016/j.bbrc.2012.08.10310.1016/j.bbrc.2012.08.103 DOI: https://doi.org/10.1016/j.bbrc.2012.08.103

Coche, E. E., Müller, N. L., Kim, K. I., Wiggs, B. R., & Mayo, J. R. (1998). Acute pulmonary embolism: ancillary findings at spiral CT. Radiology, 207(3), 753–758. Retrieved from https://dx.doi.org/10.1148/radiology.207.3.9609900 10.1148/radiology.207.3.9609900 DOI: https://doi.org/10.1148/radiology.207.3.9609900

Corson, N., Armato, S. G., Labby, Z. E., Straus, C., Starkey, A., & Gomberg-Maitland, M. (2014). CT-Based Pulmonary Artery Measurements for the Assessment of Pulmonary Hyper- tension. Academic Radiology, 21(4), 523–530. Retrieved from https://dx.doi.org/10.1016/j.acra.2013.12.01510.1016/j.acra.2013.12.015 DOI: https://doi.org/10.1016/j.acra.2013.12.015

Demello, & & Reid, L. D. (1991). Arteries and veins. In Crystal, R. West, & J. B (Eds.), The lung, scientific foundations (pp. 767–777). Raven Press.

Devaraj, A., Wells, A. U., Meister, M. G., Corte, T. J., Wort, S. J., & Hansell, D. M. (2010). Detec- tion of Pulmonary Hypertension with Multidetector CT and Echocardiography Alone and in Combination. Radiology, 254(2), 609–616. Retrieved from https://dx.doi.org/10.1148/radiol.0909054810.1148/radiol.09090548 DOI: https://doi.org/10.1148/radiol.09090548

Elliot, Reid, L., Euler, & & Liljestrand, G. U. (1946). Some new facts about the pulmonary artery and its branching pattern. Acta Physiologica Scandinavica, 16, 301–320.

Estepar, R. S., Kinney, G. L., & Black-Shinn, J. L. (2013). Computed tomographic measures of pulmonary vascular morphology in smokers and their clinical implications. Am J Respir Crit Care Med, 188(2), 231–239. DOI: https://doi.org/10.1164/rccm.201301-0162OC

Hoffbrand, J. E., Pettit, P. A., Huang, W. M. ., Yen, Rt, Mclaurine, & Bledsoe, G. (1996). Essen- tial Haematology, Black well science Ltd press. Journal of Applied Physiology, 81, 2123– 2133. DOI: https://doi.org/10.1152/jappl.1996.81.5.2123

Kearon, C. (2008). Antithrombotic therapy for venous thromboembolic disease: American college of chest physicians Evidence-Based Clinical Practice Guidelines. Chest, 133, 454–545. DOI: https://doi.org/10.1378/chest.08-0658

KURIYAMA, K., GAMSU, G., STERN, R. G., CANN, C. E., HERFKENS, R. J., & BRUNDAGE, B. H.

(1984). CT-Determined Pulmonary Artery Diameters in Predicting Pulmonary Hyper- tension. Investigative Radiology, 19(1), 16–22. Retrieved from https://dx.doi.org/10.1097/00004424-198401000-0000510.1097/00004424-198401000-00005 DOI: https://doi.org/10.1097/00004424-198401000-00005

Lin, F. Y., Devereux, R. B., & Roman, M. J. (2009). The right sided great vessels by cardiac multi- detector computed tomography: normative reference values among healthy adults free of cardiopulmonary disease, hypertension, and obesity. Acad Radiol, 16(8), 981–987. DOI: https://doi.org/10.1016/j.acra.2009.02.013

Marten, S. (2008). On diagnostic procedures in pulmonary embolism (US-AB, Ed.). Karoliska University Press.

Moraes, D., & Localzo, J. (1997). Pulmonary hypertension: newer concepts In diagnosis and management. ClinCardiol, 20, 676–82. DOI: https://doi.org/10.1002/clc.4960200804

NIJKEUTER, M., ERP, J. M. K.-V., KRUIP, M. J. H. A., SOHNE, M., BÜLLER, H. R., LEEBEEK, F. W. G.,

& and, M. V. H. (2008). Incidence of diagnosis of subsegmental pulmonary emboli using multidetector row and single-detector row computed tomography. Journal of Throm- bosis and Haemostasis, 6(2), 384–386. Retrieved from https://dx.doi.org/10.1111/ j.1538-7836.2008.02832.x10.1111/j.1538-7836.2008.02832.x DOI: https://doi.org/10.1111/j.1538-7836.2008.02832.x

Singanayagam, A., Chalmers, J. D., Scally, C., Akram, A. R., Al-Khairalla, M. Z., Leitch, L., Hill, L. E., & Hill, A. T. (2010). Right ventricular dilation on CT pulmonary angiogram independently predicts mortality in pulmonary embolism. Respiratory Medicine, 104(7), 1057–1062. Retrieved from https://dx.doi.org/10.1016/j.rmed.2010.02.00410.1016/j.rmed.2010.02.004 DOI: https://doi.org/10.1016/j.rmed.2010.02.004

Stein, P. D., & Henry, J. W. (1997). Clinical Characteristics of Patients With Acute Pulmonary Embolism Stratified According to Their Presenting Syndromes. Chest, 112(4), 974– 979. Retrieved from https://dx.doi.org/10.1378/chest.112.4.974 10.1378/chest.112 DOI: https://doi.org/10.1378/chest.112.4.974

.4.974

Stein, P. D., Stein, P. D., Goldhaber, S. Z., Henry, J. W., & Miller, A. C. (1992). Arterial bloob gas analysis in the assessment of suspected acute pulmonary embolism. Circulation, 85, 78–81. DOI: https://doi.org/10.1378/chest.109.1.78

WASHKO, G. R., PARRAGA, G., & COXSON, H. O. (2012). Quantitative pulmonary imaging using computed tomography and magnetic resonance imaging. Respirology, 17(3), 432– 444. Retrieved from https://dx.doi.org/10.1111/j.1440-1843.2011.02117.x10.1111/ j.1440-1843.2011.02117.x DOI: https://doi.org/10.1111/j.1440-1843.2011.02117.x

Published

2021-04-30

How to Cite

Fathelrahman, S. abdelgaum, & Esmeal, M. E. A. (2021). STUDY OF THE PULMONARY HYPERTENSION AND PULMONARY VESSELS MEASUREMENTS USING COMPUTED TOMOGRAPHY. International Journal of Research -GRANTHAALAYAH, 9(4), 1–9. https://doi.org/10.29121/granthaalayah.v9.i4.2021.3820