Abstract
Bronchograms and plain chest radiographs of 27 patients with chronic sputum production were reported separately in random order and independently by two pulmonary radiologists to establish the diagnostic rate of each investigation and to assess interobserver variation. Both radiologists agreed on the presence of bronchiectasis on bronchography in 19 of 27 (70%) patients and in 94 of 448 (21%) bronchopulmonary segments. One radiologist only interpreted the films as showing bronchiectasis in a further two (7%) patients and 26 (6%) segments. There was more disagreement about the presence or absence of individual bronchographic abnormalities. Two main groups of patients with bronchiectasis were identified by bronchography: 11 with bronchiectasis alone and eight with bronchiectasis and bronchographic features suggestive of "chronic bronchitis". There was no clinical difference between these two groups. Plain chest radiographs were insensitive, being diagnostic (both radiologists agreeing) of bronchiectasis in only nine of 19 (47%) patients with definite bronchiectasis on bronchography.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cherniack N. S., Carton R. W. Factors associated with respiratory insufficiency in bronchiectasis. Am J Med. 1966 Oct;41(4):562–571. doi: 10.1016/0002-9343(66)90218-x. [DOI] [PubMed] [Google Scholar]
- GARLAND L. H., COCHRANE A. L. Results of an international test in chest roentgenogram interpretation. J Am Med Assoc. 1952 Jun 14;149(7):631–634. doi: 10.1001/jama.1952.02930240009004. [DOI] [PubMed] [Google Scholar]
- GARLAND L. H., MILLER E. R., ZWERLING H. B., HARKNESS J. T., HINSHAW H. C., SHIPMAN S. J., YERUSHALMY J. Studies on the value of serial films in estimating the progress of pulmonary disease. Radiology. 1952 Feb;58(2):161–177. doi: 10.1148/58.2.161. [DOI] [PubMed] [Google Scholar]
- GARLAND L. H. Studies on the accuracy of diagnostic procedures. Am J Roentgenol Radium Ther Nucl Med. 1959 Jul;82(1):25–38. [PubMed] [Google Scholar]
- GROTH-PETERSEN E., LØVGREEN A., THILLEMANN J. On the reliability of the reading of photofluorograms and value of dual reading. Acta Tuberc Scand. 1952;26(1-2):13–37. [PubMed] [Google Scholar]
- GUDBJERG C. E. Roentgenologic diagnosis of bronchiectasis; an analysis of 112 cases. Acta radiol. 1955 Mar;43(3):210–226. [PubMed] [Google Scholar]
- Gamsu G., Forbes A. R., Ovenfors C. O. Bronchographic features of chronic bronchitis in normal men. AJR Am J Roentgenol. 1981 Feb;136(2):317–322. doi: 10.2214/ajr.136.2.317. [DOI] [PubMed] [Google Scholar]
- Goldman M., Liesnard C., Vanherweghem J. L., Dolle N., Toussaint C., Sprecher S., Cogniaux J., Thiry L. Markers of HTLV-III in patients with end stage renal failure treated by haemodialysis. Br Med J (Clin Res Ed) 1986 Jul 19;293(6540):161–162. doi: 10.1136/bmj.293.6540.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gregg I., Trapnell D. H. The bronchographic appearances of early chronic bronchitis. Br J Radiol. 1969 Feb;42(494):132–139. doi: 10.1259/0007-1285-42-494-132. [DOI] [PubMed] [Google Scholar]
- MCKIM A. Bronchiectasis as seen in an ambulant clinic service; a follow-up study of forty-nine cases over a minimum period of nine years. Am Rev Tuberc. 1952 Oct;66(4):457–476. doi: 10.1164/art.1952.66.4.457. [DOI] [PubMed] [Google Scholar]
- OSWALD N. C., HAROLD J. T., MARTIN W. J. Clinical pattern of chronic bronchitis. Lancet. 1953 Sep 26;265(6787):639–643. doi: 10.1016/s0140-6736(53)90369-9. [DOI] [PubMed] [Google Scholar]
- REID L. McA. Reduction in bronchial subdivision in bronchiectasis. Thorax. 1950 Sep;5(3):233–247. doi: 10.1136/thx.5.3.233. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SIMON G., GALBRAITH H. J. Radiology of chronic bronchitis. Lancet. 1953 Oct 24;265(6791):850–852. doi: 10.1016/s0140-6736(53)90519-4. [DOI] [PubMed] [Google Scholar]