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著作: Watanabe N/[早渕 康信]/[中川 竜二]/Saijo T/[香美 祥二]/Multidetector-row computed tomography evaluation of bilateral bronchial narrowing associated with increased pulmonary blood flow in children with congenital heart disease./[Congenital Heart Disease]

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EID
266650
EOID
709066
Map
0
LastModified
2013年9月2日(月) 15:32:35
Operator
大家 隆弘
Avail
TRUE
Censor
0
Owner
香美 祥二
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種別 必須 学術論文(審査論文)
言語 必須 英語
招待 推奨
審査 推奨
カテゴリ 推奨
共著種別 推奨
学究種別 推奨
組織 推奨
著者 必須
  1. (英) Watanabe N
    役割 任意
    貢献度 任意
    学籍番号 推奨
  2. 早渕 康信([徳島大学.病院.中央診療施設等.地域小児科診療部])
    役割 任意
    貢献度 任意
    学籍番号 推奨
  3. 中川 竜二([徳島大学.病院.中央診療施設等.周産母子センター])
    役割 任意
    貢献度 任意
    学籍番号 推奨
  4. (英) Saijo T
    役割 任意
    貢献度 任意
    学籍番号 推奨
  5. 香美 祥二([徳島大学])
    役割 任意
    貢献度 任意
    学籍番号 推奨
題名 必須

(英) Multidetector-row computed tomography evaluation of bilateral bronchial narrowing associated with increased pulmonary blood flow in children with congenital heart disease.

副題 任意
要約 任意

(英) Quantitative assessment of bilateral bronchial narrowing in children with congenital heart disease (CHD) with a left-to-right shunt has not yet been reported. In the present study, main bronchial size was evaluated bilaterally in normal subjects using multidetector-row computed tomography (MDCT), and the feasibility for diagnosis of bronchial narrowing in children with CHD associated with increased pulmonary blood flow was investigated. The short-axis diameter, long-axis diameter, and the cross-sectional area of the bilateral bronchi were measured immediately proximal to the origin of the superior lobar branch in 86 children aged 1-52 months. Subjects were divided into three groups as follows: group 1 (normal subjects; n = 52), group 2 (asymptomatic left-to-right shunt group; n = 25), and group 3 (symptomatic left-to-right shunt group with respiratory insufficiency; n = 9). Age, height, weight, and body surface area were significantly correlated with short- and long-axis bronchial diameters, and bronchial cross-sectional area in group 1. In group 2, the left bronchial cross-sectional area was significantly lower than group 1 (P < .001), whereas the right bronchial area was not significantly different. In group 3, the right bronchial area was significantly lower than that in groups 1 and 2 (P < .05). Although the left bronchial area in group 3 was significantly lower than in group 1 (P < .001), it was not significantly different from that in group 2. Our study suggests that MDCT can be used to quantify bilateral bronchial narrowing. Left main bronchial obstruction develops during the early stage of heart failure, followed by the development of right bronchial narrowing.

キーワード 推奨
  1. (英) Bronchi
  2. (英) Bronchoconstriction
  3. (英) Bronchography
  4. (英) Case-Control Studies
  5. (英) Child, Preschool
  6. (英) Feasibility Studies
  7. (英) Female
  8. (英) Heart Defects, Congenital
  9. (英) Humans
  10. (英) Infant
  11. (英) Infant, Newborn
  12. (英) Male
  13. (英) Multidetector Computed Tomography
  14. (英) Predictive Value of Tests
  15. (英) Pulmonary Artery
  16. (英) Pulmonary Circulation
  17. (英) Regional Blood Flow
  18. (英) Respiratory Insufficiency
発行所 推奨
誌名 必須 Congenital Heart Disease([Wiley Periodicals, Inc.])
(pISSN: 1747-079X, eISSN: 1747-0803)
ISSN 任意 1747-0803
ISSN: 1747-079X (pISSN: 1747-079X, eISSN: 1747-0803)
Title: Congenital heart disease
Title(ISO): Congenit Heart Dis
Publisher: Tech Science Press
 (NLM Catalog  (Scopus  (CrossRef (Scopus information is found. [need login])
必須 7
必須 5
必須 410 416
都市 任意
年月日 必須 2012年 4月 12日
URL 任意
DOI 任意 10.1111/j.1747-0803.2012.00653.x    (→Scopusで検索)
PMID 任意 22494607    (→Scopusで検索)
CRID 任意
WOS 任意
Scopus 任意
評価値 任意
被引用数 任意
指導教員 推奨
備考 任意
  1. (英) Article.ELocationID: 10.1111/j.1747-0803.2012.00653.x

  2. (英) Article.Affiliation: Department of Pediatrics, University of Tokushima, Tokushima, Japan.

  3. (英) Article.PublicationTypeList.PublicationType: Journal Article