Aging of the Lungs in Asymptomatic Lifelong Nonsmokers: Findings on HRCT

Carregando...
Imagem de Miniatura
Citações na Scopus
34
Tipo de produção
article
Data de publicação
2015
Editora
SPRINGER
Indexadores
Título da Revista
ISSN da Revista
Título do Volume
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
LUNG, v.193, n.2, p.283-290, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
To report lung parenchymal findings on high-resolution computed tomography (HRCT) in a population of asymptomatic, never-smoker urban dwellers aged 65 years and older. After institutional approval, asymptomatic older patients from the Geriatrics Outpatient Clinic aged 65 years and older (older group) and healthy volunteers aged 30-50 years (younger group) were invited to participate in the study. Asymptomatic, never-smoker subjects considered free of relevant disease after spirometry and echocardiography underwent chest HRCT. Three researchers reviewed every scan, noting the absence/presence and distribution of pre-specified parenchymal findings. Statistical comparisons between groups were performed using appropriate tests with the aid of software. Forty-seven older and 24 younger subjects were included in this analysis. A higher proportion of women and a longer history of urban dwelling were present in the older group. Parenchymal findings were more prevalent in the older group (78.7 vs. 25 % in the younger group; p < 0.001). Parenchymal bands (59.6 vs. 25 %; p = 0.007), ground-glass opacities (25.5 vs. 0 %; p = 0.006), and septal lines (21.3 vs. 0 %; p = 0.013) were more prevalent in the elderly. When only subjects aged 75 years and older were considered as the older group, micronodules, reticular opacities, cysts, and bronchiectases (19.1 vs. 0 % for all comparisons; p = 0.04) were also more frequently found among the elderly. Parenchymal bands, ground-glass opacities, septal lines, bronchiectasis, micronodules, reticular opacities, and lung cysts were more prevalent among the elderly.
Palavras-chave
Aging, Elderly, Lung, Normal, High-resolution computed tomography
Referências
  1. BERGIN CJ, 1987, AM J ROENTGENOL, V148, P9
  2. Bombarda Sidney, 2003, Sao Paulo Med J, V121, P198, DOI 10.1590/S1516-31802003000500004
  3. Copley SJ, 2012, J THORAC IMAG, V27, P366, DOI 10.1097/RTI.0b013e31825148c9
  4. Copley SJ, 2009, RADIOLOGY, V251, P566, DOI 10.1148/radiol.2512081242
  5. Duarte Andrezza Araújo de Oliveira, 2007, J Bras Pneumol, V33, P527, DOI 10.1590/S1806-37132007000500007
  6. Ebihara S, 2012, LUNG, V190, P29, DOI 10.1007/s00408-011-9334-z
  7. ENSOR RE, 1983, J GERONTOL, V38, P307
  8. Gevenois PA, 1996, AM J ROENTGENOL, V167, P1169
  9. GILLOOLY M, 1993, THORAX, V48, P39, DOI 10.1136/thx.48.1.39
  10. Hansell DM, 2008, RADIOLOGY, V246, P697, DOI 10.1148/radiol.2462070712
  11. KIKUCHI R, 1994, AM J RESP CRIT CARE, V150, P251
  12. KNUDSON RJ, 1983, AM REV RESPIR DIS, V127, P725
  13. Lang RM, 2005, J AM SOC ECHOCARDIOG, V18, P1440, DOI 10.1016/j.echo.2005.10.005
  14. Lee KS, 1999, J COMPUT ASSIST TOMO, V23, P99, DOI 10.1097/00004728-199901000-00022
  15. Lee KW, 2000, RADIOLOGY, V214, P831
  16. Lynch DA, 2005, RADIOLOGY, V236, P10, DOI 10.1148/radiol.2361031674
  17. Matsuoka S, 2003, AM J ROENTGENOL, V180, P513
  18. MILLAR AB, 1989, THORAX, V44, P485, DOI 10.1136/thx.44.6.485
  19. Nagueh SF, 2009, J AM SOC ECHOCARDIOG, V22, P107, DOI 10.1016/j.echo.2008.11.023
  20. National Institute for Health and Clinical Excellence, 2010, CHRON OBSTR PULM DIS
  21. Okada F, 2007, CHEST, V132, P1939, DOI 10.1378/chest.07-0482
  22. Otake S, 2002, AM J ROENTGENOL, V179
  23. Oyama N, 2005, CIRC J, V69, P466, DOI 10.1253/circj.69.466
  24. Pellegrino R, 2005, EUR RESPIR J, V26, P948, DOI 10.1183/09031936.05.00035205
  25. Raman SP, 2009, AM J ROENTGENOL, V193, P1504, DOI 10.2214/AJR.09.2532
  26. REID LYNNE, 1959, THORAX, V14, P3, DOI 10.1136/thx.14.1.3
  27. REMYJARDIN M, 1993, RADIOLOGY, V189, P693
  28. Souza MB, 1998, CHEST, V113, P1312, DOI 10.1378/chest.113.5.1312
  29. STORTO ML, 1995, AM J ROENTGENOL, V165, P817
  30. Webb WR, 2008, HIGH RESOLUTION CT L, P492