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Diab-Cáceres L, Girón-Moreno RM, García-Castillo E, Pastor-Sanz MT, Olveira C, García-Clemente MM, Nieto-Royo R, Prados-Sánchez C, Caballero-Sánchez P, Olivera-Serrano MJ, Padilla-Galo A, Nava-Tomas E, Esteban-Peris A, Fernández-Velilla M, Torres M, Gómez-Punter RM, Ancochea J. Predictive value of the modified Bhalla score for assessment of pulmonary exacerbations in adults with cystic fibrosis. Eur Radiol 2020; 31:112-120. [PMID: 32740815 DOI: 10.1007/s00330-020-07095-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2019] [Revised: 04/19/2020] [Accepted: 07/21/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVES The objective of this study was to analyze the predictive value of the modified Bhalla score in high-resolution computed tomography (HRCT) for assessment of pulmonary exacerbations (PEx) in cystic fibrosis (CF) patients. We also describe the relationship between this score and pulmonary function test results. METHODS We performed a multicenter and prospective study where adult patients with CF were included consecutively over 18 months. All patients underwent HRCT with acquisition in inspiration and expiration. The results were analyzed by an expert radiologist who assigned a modified Bhalla score value. Lung function was also assessed, and clinical variables were collected. Follow-up lasted approximately 1 year, and PEx were registered. RESULTS The study population comprised 160 subjects selected from 360 CF patients monitored in the participating CF units. The mean age was 28 years, 47.5% were women, and mean forced expiratory volume in 1 s (FEV1) was 67.5%. The mean global modified Bhalla score was 14.5 ± 0.31 points. Pulmonary function test (PFT) results and the modified Bhalla score correlated well, mainly forced vital capacity (FVC) and FEV1. We constructed a statistical model based on the overall Bhalla score to predict the number of PEx. CONCLUSIONS The overall modified Bhalla score can predict future PEx in CF patients. This useful tool can help to prevent PEx in higher risk patients. KEY POINTS • Pulmonary function test results and the modified Bhalla score correlated well with FVC and FEV1. • The total modified Bhalla score can predict the number of exacerbations in adult CF patients. • Our findings highlight the need to establish a unified protocol for chest HRCT during the follow-up of adult patients with CF in order to anticipate possible complications and determine their impact on pulmonary function.
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Affiliation(s)
| | | | | | | | - Casilda Olveira
- Respirology Service, Hospital Regional Universitario de Málaga, Málaga, Spain
| | | | - Rosa Nieto-Royo
- Respirology Service, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | | | | | - Alicia Padilla-Galo
- Radiodiagnostic Service, Hospital Regional Universitario de Málaga, Málaga, Spain
| | | | | | | | - Maribel Torres
- Radiodiagnostic Service, Hospital Universitario La Paz, Madrid, Spain
| | | | - Julio Ancochea
- Respirology Service, Hospital Universitario La Princesa, Madrid, Spain
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Hernandez Jimenez S, Hinojar Baydes R, Gonzalez-Gomez A, Esteban-Peris A, Fernandez-Mendez MA, Garcia Martin A, Marco Del Castillo A, Monteagudo Ruiz JM, Plaza Martin M, Ramos Jimenez J, Pascual Izco M, Valverde Gomez M, Jimenez Nacher JJ, Zamorano Gomez JL, Fernandez-Golfin C. P5638New parameters of right ventricular function in patients with significant tricuspid regurgitation and their correlation with conventional parameters. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p5638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - R Hinojar Baydes
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - A Gonzalez-Gomez
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - A Esteban-Peris
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | | | - A Garcia Martin
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | | | | | - M Plaza Martin
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - J Ramos Jimenez
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - M Pascual Izco
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - M Valverde Gomez
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
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Hernandez Jimenez S, Hinojar Baydes R, Gonzalez-Gomez A, Esteban-Peris A, Fernandez-Mendez MA, Garcia Martin A, Marco Del Castillo A, Monteagudo Ruiz JM, Ramos Jimenez J, Plaza Martin M, Valverde Gomez M, Pascual Izco M, Jimenez Nacher JJ, Zamorano Gomez JL, Fernandez-Golfin C. P4212Cross-sectional tricuspid regurgitation area by cardiovascular magnetic resonance, a novel parameter for tricuspid regurgitation parameter. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - R Hinojar Baydes
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - A Gonzalez-Gomez
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - A Esteban-Peris
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | | | - A Garcia Martin
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | | | | | - J Ramos Jimenez
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - M Plaza Martin
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - M Valverde Gomez
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - M Pascual Izco
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
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Hernandez Jimenez S, Hinojar Baydes R, Gonzalez-Gomez A, Esteban-Peris A, Fernandez-Mendez MA, Garcia Martin A, Marco Del Castillo A, Monteagudo Ruiz JM, Plaza Martin M, Ramos Jimenez J, Lozano Granero C, Vieitez Florez JM, Jimenez Nacher JJ, Zamorano Gomez JL, Fernandez-Golfin C. P3432Prognostic impact of new parameters of right ventricular function in patients with significant tricuspid regurgitation. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - R Hinojar Baydes
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - A Gonzalez-Gomez
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - A Esteban-Peris
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | | | - A Garcia Martin
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | | | | | - M Plaza Martin
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - J Ramos Jimenez
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
| | - C Lozano Granero
- University Hospital Ramon y Cajal de Madrid, Cardiology, Madrid, Spain
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Gorospe L, Esteban-Peris A, Cabañero-Sánchez A, Muñoz-Molina GM. A scimitar syndrome variant: anomalous systemic arterial supply to the right lung with normal pulmonary venous return. Ann Thorac Surg 2015; 99:339. [PMID: 25555965 DOI: 10.1016/j.athoracsur.2014.08.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2014] [Revised: 08/07/2014] [Accepted: 08/29/2014] [Indexed: 10/24/2022]
Affiliation(s)
- Luis Gorospe
- Department of Radiology, Ramón y Cajal University Hospital, Madrid, Spain.
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