Abstract:
OBJECTIVE:To determine the predictive factors for treatment responsiveness in patients with chronic obstructive pulmonary disease (COPD) at 1-year follow-up by performing quantitative analyses of baseline CT scans. MATERIALS AND METHODS:COPD patients (n = 226; 212 men, 14 women) were recruited from the Korean Obstructive Lung Disease cohort. Patients received a combination of inhaled long-acting beta-agonists and corticosteroids twice daily for 3 months and subsequently received medications according to the practicing clinician's decision. The emphysema index, air-trapping indices, and airway parameter (Pi10), calculated using both full-width-half-maximum and integral-based half-band (IBHB) methods, were obtained with baseline CT scans. Clinically meaningful treatment response was defined as an absolute increase of ≥ 0.225 L in the forced expiratory volume in 1 second (FEV₁) at the one-year follow-up. Multivariate logistic regression analysis was performed to investigate the predictors of an increase in FEV₁, and receiver operating characteristic (ROC) analysis was performed to evaluate the performance of the suggested models. RESULTS:Treatment response was noted in 47 patients (20.8%). The mean FEV₁ increase in responders was 0.36 ± 0.10 L. On univariate analysis, the air-trapping index (ATI) obtained by the subtraction method, ATI of the emphysematous area, and IBHB-measured Pi10 parameter differed significantly between treatment responders and non-responders (p = 0.048, 0.042, and 0.002, respectively). Multivariate analysis revealed that the IBHB-measured Pi10 was the only independent variable predictive of an FEV₁ increase (p = 0.003). The adjusted odds ratio was 1.787 (95% confidence interval: 1.220-2.619). The area under the ROC curve was 0.641. CONCLUSION:Measurement of standardized airway dimensions on baseline CT by using a recently validated quantification method can predict treatment responsiveness in COPD patients.
journal_name
Korean J Radioljournal_title
Korean journal of radiologyauthors
Park HJ,Lee SM,Choe J,Lee SM,Kim N,Lee JS,Oh YM,Seo JBdoi
10.3348/kjr.2018.0204subject
Has Abstractpub_date
2019-02-01 00:00:00pages
304-312issue
2eissn
1229-6929issn
2005-8330pii
20.304journal_volume
20pub_type
杂志文章abstract:OBJECTIVE:To analyze the diagnostic accuracy and trend in screening mammography in Korea. MATERIALS AND METHODS:We retrospectively linked the information from hospitals participating in the Alliance of Breast Cancer Screening in Korea (ABCS-K) and the database of the National Cancer Screening Program. We calculated pe...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2016.17.4.489
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To assess left ventricular remodeling patterns using cardiac computed tomography (CT) in children with congenital heart disease and correlate these patterns with their clinical course. MATERIALS AND METHODS:Left ventricular volume and myocardial mass were quantified in 17 children with congenital heart disea...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2019.0689
更新日期:2020-06-01 00:00:00
abstract::We report successful outcomes after endovascular placement of a stent graft in a 74- and a 77-year-old men, both of whom had malignant superior vena cava syndrome caused by squamous cell carcinoma. In each patient, successful palliation of the malignant superior vena cava syndrome was achieved by placement of a stent ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2012.13.2.227
更新日期:2012-03-01 00:00:00
abstract::A 64-year-old male patient with liver cirrhosis underwent a CT study for hepatocellular carcinoma surveillance, which demonstrated a 1.4-cm hypervascular subcapsular tumor in the liver. On gadoxetic acid-enhanced MRI, the tumor showed brisk arterial enhancement and persistent hyperenhancement in the portal phase, but ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2013.14.5.769
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:To compare the contrast-enhanced fluid-attenuated inversion recovery (CE-FLAIR), the CE T1-weighted (CE-T1W) sequence with fat suppression (FS) and magnetization transfer (MT) for early detection and characterization of infectious meningitis. MATERIALS AND METHODS:Fifty patients and 10 control subjects were ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2017.18.6.973
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To determine the safety and usefulness of a two-tiered approach to balloon-occluded retrograde transvenous obliteration (B-RTO) as a treatment for large gastric varices after portal hypertension. MATERIALS AND METHODS:50 patients were studied who underwent B-RTO for gastric varices between October 2004 and O...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2013.14.3.439
更新日期:2013-05-01 00:00:00
abstract::Immunoglobulin G4 (IgG4)-related kidney disease (IgG4-KD) has recently been demonstrated to be an important part of IgG4-related sclerosing disease (IgG4-SD). However, since IgG4-KD is still relatively unfamiliar to radiologists and physicians as compared to IgG4-SD involving other organs, it could, therefore, be easi...
journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2015.16.5.1056
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to non-invasively characterize and discriminate brown adipose tissue (BAT) from white adipose tissue (WAT) in rats using spectral computed tomography (CT) with histological validation. MATERIALS AND METHODS:A lipid-containing phantom (lipid fractions from 0% to 100%) was imaged w...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2019.0111
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:We investigated low dose digital tomosynthesis (DT) for the evaluation of the paranasal sinus (PNS), and compared its diagnostic accuracy with a PNS radiography series (XR). MATERIALS AND METHODS:We enrolled 43 patients for whom XR, PNS DT, and OMU CT were performed. We measured effective doses (EDs) of XR, ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2012.13.2.136
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To assess the technical feasibility of a newly designed stent-like electrode in rabbits. MATERIALS AND METHODS:A stent-like electrode was knitted from a single thread of nitinol wire and interconnected to a generator using similar wire. In order to gauge the extent of radiofrequency ablation (RFA), we measur...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2003.4.1.19
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:To compare conventional sensitivity encoding (SENSE) to compressed sensing plus SENSE (CS) for high-resolution magnetic resonance imaging (HR-MRI) of intracranial and extracranial arteries. MATERIALS AND METHODS:HR-MRI was performed in 14 healthy volunteers. Three-dimensional T1-weighted imaging (T1WI) and p...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2018.0424
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To retrospectively compare the diagnostic performances of two different ultrasound (US)-guided core needle biopsy (CNB) techniques for intermediate or low suspicion thyroid nodules. MATERIALS AND METHODS:Between August 2015 and December 2016, two different biopsy techniques were alternatively applied for 248...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2018.0841
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:We wanted to assess the MR imaging findings of ovarian cystadenofibroma and cystadenocarcinofibroma, and we wanted to find clues for making the differential diagnosis between them. MATERIALS AND METHODS:The MR images of 12 pathologically proven cystadenofibromas and two cystadenocarcinofibromas were reviewed...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2006.7.3.199
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of uterine artery embolization (UAE) for treating symptomatic fibroids with high signal intensity (SI) on magnetic resonance (MR) T2-weighted imaging (T2WI). MATERIALS AND METHODS:A total of 537 cases, consisting of 14 patients with high SI fibroids on T2WI (T2 high group), were...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2012.13.5.618
更新日期:2012-09-01 00:00:00
abstract:Objective:To investigate the diagnostic yield of contrast-enhanced computed tomography (CT) in Crohn's disease (CD) patients presenting with acute severe lower gastrointestinal bleeding (LGIB), and the role of CT in predicting the risk of rebleeding. Materials and Methods:A consecutive series of 110 CD patients presen...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2018.19.6.1089
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:To document the causes of high signal intensity of the meniscus which is not caused by definite meniscal tears on MR imaging, through correlation with histological examination. MATERIALS AND METHODS:For the correlation between the MR image and histology, we obtained prospectively 31 meniscal specimens from 2...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2013.14.6.935
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To evaluate spine magnetic resonance imaging (MRI) inter-reader and intra-reader reliabilities using the thoracolumbar injury classification system and severity score (TLICS) and to analyze the effects of reader experience on reliability and the possible reasons for discordant interpretations. MATERIALS AND ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2015.16.4.889
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To investigate gray matter concentration changes in the brains of narcoleptic patients. MATERIALS AND METHODS:Twenty-nine narcoleptic patient with cataplexy and 29 age and sex-matched normal subjects (mean age, 31 years old) underwent volumetric MRIs. The MRIs were spatially normalized to a standard T1 templ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2009.10.6.552
更新日期:2009-11-01 00:00:00
abstract::We report the case in a 72-year-old man who presented with a right inguinal mass and with a one month history that was initially interpreted as an inguinal hernia. Ultrasonography (US) and computed tomography (CT) demonstrated a right inguinal mass, including myxoid and fat component, extending from the right spermati...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2013.14.2.218
更新日期:2013-03-01 00:00:00
abstract::CT is increasingly being used for evaluating the cardiovascular structures and airways in the patients with congenital heart disease. Multi-slice CT has traditionally been used for the evaluation of the extracardiac vascular and airway abnormalities because of its inherent high spatial resolution and excellent air-tis...
journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2010.11.1.4
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the three-phase helical CT features of early hepatocellular carcinomas, based on the new Japanese classification. MATERIALS AND METHODS:Over the course of an eight-year period, we collected 16 pathologically proven early hepatocellular carcinomas from 16 patients having undergone a three-phase he...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2008.9.4.325
更新日期:2008-07-01 00:00:00
abstract::In stenosis of a segmental branch or among multiple renal arteries, Doppler sampling of intrarenal arteries in the upper, mid and lower poles demonstrates strikingly different waveform patterns that might otherwise be overlooked. We report a case of segmental branch renal artery stenosis in which a pulsus parvus et ta...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2001.2.1.57
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To compare the objective and subjective image quality indicators and radiation doses of computed tomography (CT) venography performed using model-based iterative reconstruction (MBIR) at 80 kVp and adaptive statistical iterative reconstruction (ASIR)-V at 70 kVp. MATERIALS AND METHODS:Eighty-three patients w...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2018.0897
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:This study aimed to assess the surgical morbidity and mortality of thoracic endovascular repair (TEVAR) as compared with open surgical repair (OSR) for isolated descending thoracic aortic disease. MATERIALS AND METHODS:From January 1, 2006 through May 31, 2010, a total of 68 patients with isolated descending...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2012.13.4.476
更新日期:2012-07-01 00:00:00
abstract::The propensity score is defined as the probability of each individual study subject being assigned to a group of interest for comparison purposes. Propensity score adjustment is a method of ensuring an even distribution of confounders between groups, thereby increasing between group comparability. Propensity score ana...
journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2015.16.2.286
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:To evaluate urologist satisfaction on structured prostate MRI reports, including report with tumor-node-metastasis (TNM) staging (report B) and with Prostate Imaging Reporting and Data System (PI-RADS) score with/without TNM staging (report C, report with PI-RADS score only [report C-a] and report with PI-RAD...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2019.0820
更新日期:2020-12-01 00:00:00
abstract::A primary fibroxanthoma of the central nervous system is very rare. We present a case of an infantile fibroxanthoma that arose from the cranial dura mater in a six-month-old girl with US, MRI and PET/CT features that mimicked a meningioma. The tumor appeared as a large, well-circumscribed echogenic mass in the right p...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2009.10.4.402
更新日期:2009-07-01 00:00:00
abstract::Breast capillary hemangioma is a type of benign vascular tumor which is rarely seen. Little is known about its presentation on dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI). Here, we describe a case of suspicious breast lesion detected by DCE-MRI and pathologically confirmed as capillary hemangioma. O...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2013.14.6.869
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility of CT fluoroscopy (CTF)-guided percutaneous transhepatic biliary drainage (PTBD) in emergency patients with acute obstructive cholangitis. MATERIALS AND METHODS:The study included 28 patients admitted to the emergency center due to obstructive jaundice and found to require urgent ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2009.10.2.144
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:To determine histopathologic findings related to the indeterminate or inadequate result of fine-needle aspiration biopsy (FNAB) in papillary thyroid carcinomas (PTCs) and to correlate histopathological findings with ultrasonographic features of tumors. MATERIALS AND METHODS:We retrospectively reviewed the me...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2010.11.2.141
更新日期:2010-03-01 00:00:00