Qualitative and Quantitative Assessment of Emphysema Using Dark-Field Chest Radiography

Autor: Theresa Urban, Florian T. Gassert, Manuela Frank, Konstantin Willer, Wolfgang Noichl, Philipp Buchberger, Rafael C. Schick, Thomas Koehler, Jannis H. Bodden, Alexander A. Fingerle, Andreas P. Sauter, Marcus R. Makowski, Franz Pfeiffer, Daniela Pfeiffer
Rok vydání: 2022
Předmět:
Zdroj: Radiology. 303(1)
ISSN: 1527-1315
Popis: Background Dark-field chest radiography allows for assessment of lung alveolar structure by exploiting wave optical properties of x-rays. Purpose To evaluate the qualitative and quantitative features of dark-field chest radiography in participants with pulmonary emphysema as compared with those in healthy control subjects. Materials and Methods In this prospective study conducted from October 2018 to October 2020, participants aged at least 18 years who underwent clinically indicated chest CT were screened for participation. Inclusion criteria were an ability to consent to the procedure and stand upright without help. Exclusion criteria were pregnancy, serious medical conditions, and any lung condition besides emphysema that was visible on CT images. Participants were examined with a clinical dark-field chest radiography prototype that simultaneously acquired both attenuation-based radiographs and dark-field chest radiographs. Dark-field coefficients were tested for correlation with each participant's CT-based emphysema index using the Spearman correlation test. Dark-field coefficients of adjacent groups in the semiquantitative Fleischner Society emphysema grading system were compared using a Wilcoxon Mann-Whitney
Databáze: OpenAIRE