Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : TC07 - TC12

High Resolution Computed Tomography Assessment of Interstitial Lung Diseases and its Correlation with Spirometry Indices

Manoj Mathur, Saryu Gupta, Rajiv Bhalla, Aditi Mathur

1. Associate Professor, Department of Radiodiagnosis, Government Medical College, Patiala, Punjab, India. 2. Assistant Professor, Department of Radiodiagnosis, Government Medical College, Patiala, Punjab, India. 3. Junior Resident, Department of Radiodiagnosis, Government Medical College, Patiala, Punjab, India. 4. Intern, Department of Radiodiagnosis, Government Medical College, Patiala, Punjab, India.

Correspondence Address :
Dr. Manoj Mathur,
250, Phulkian Enclave, Patiala-147001, Punjab, India.
E-mail: manojnidhi66@gmail.com

Abstract

Introduction: Interstitial lung diseases are characterized by varying degrees of inflammation and fibrosis of the lung interstitium. Lung biopsy, though the sine qua non for diagnosis is not feasible at routine health facilities due to its invasive nature. High Resolution Computed Tomography (HRCT) is now a valuable tool for the evaluation of patients with Interstitial Lung Diseases (ILD). But even HRCT is not widely available in India. Spirometry, a non-invasive modality, can be used in detecting the severity of the ILD. Spirometry carries no harmful effects of radiation, is much more easily available compared to HRCT and is also cheaper.

Aim: The present study aims at an in-depth HRCT based evaluation of interstitial lung diseases with relevant spirometric correlation. Qualitative as well as semi quantitative features of interstitial lung diseases were assessed on the HRCT scan.

Materials and Methods: A total of 60 patients were included in this study conducted at Government Medical College, Patiala. HRCT chest was done on Siemens-Somatom Emotion 6 slice third generation spiral CT scanner using standard protocol in supine position. Lung parenchymal abnormalities were categorized for specific diagnosis. Spirometry was performed using Medisoft Spiro Air dry rolling seal spirometer.

Results: Usual Interstitial Pneumonia (UIP) was the most common ILD (55%) found in our study followed by Nonspecific Interstitial Pneumonia (NSIP) (15%) and sarcoidosis (8.33%). HRCT severity had strong and significant negative correlation with spirometry indices, especially Forced Vital Capacity (FVC), followed by Vital Capacity (VC) and least with forced expiratory volume in first second (FEV1).

Conclusion: HRCT and spirometry are two simple and reliable noninvasive modalities for the diagnosis. Each ILD presents with its typical HRCT features. HRCT, with relevant clinical and laboratory information, gives a reliable diagnosis of various ILDs. Spirometry with its merits of non-invasiveness, easy availability and low cost is a reliable means for assessing the severity of disease.

Keywords

Forced vital capacity, Pulmonary disorders, Usual interstitial pneumonia, Vital capacity

How to cite this article :

Manoj Mathur, Saryu Gupta, Rajiv Bhalla, Aditi Mathur. HIGH RESOLUTION COMPUTED TOMOGRAPHY ASSESSMENT OF INTERSTITIAL LUNG DISEASES AND ITS CORRELATION WITH SPIROMETRY INDICES. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 21 ]; 11:TC07-TC12. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=November&volume=11&issue=11&page=TC07-TC12&id=10864

DOI and Others

DOI: 10.7860/JCDR/2017/28275.10864

Date of Submission: Mar 10, 2017
Date of Peer Review: Apr 08, 2017
Date of Acceptance: Oct 12, 2017
Date of Publishing: Nov 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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