FitzMaurice, Thomas Simon 
ORCID: 0000-0002-9334-486X, McCann, Caroline, Nazareth, Dilip S ORCID: 0000-0002-6114-0467 and Walshaw, Martin J
(2022)
Characterisation of hemidiaphragm dysfunction using dynamic chest radiography: a pilot study.
ERJ OPEN RESEARCH, 8 (1).
pp. 343-2021.
|
PDF
Characterisation of hemidiaphragm dysfunction using dynamic chest radiography a pilot study. .pdf - Open Access published version Download (500kB) | Preview |
Abstract
<h4>Objectives</h4>Dynamic chest radiography (DCR) is a novel real-time digital fluoroscopic imaging system that produces clear, wide field-of-view diagnostic images of the thorax and diaphragm in motion, alongside novel metrics on moving structures within the thoracic cavity. We describe the use of DCR in the measurement of diaphragm motion in a pilot series of cases of suspected diaphragm dysfunction.<h4>Methods</h4>We studied 21 patients referred for assessment of diaphragm function due to suspicious clinical symptoms or imaging (breathlessness, orthopnoea, reduced exercise tolerance and/or an elevated hemidiaphragm on plain chest radiograph). All underwent DCR with voluntary sniff manoeuvres.<h4>Results</h4>Paradoxical motion on sniffing was observed in 14 patients, and confirmed in six who also underwent fluoroscopy or ultrasound. In four patients, DCR showed reduced hemidiaphragm excursion, but no paradoxical motion; in three, normal bilateral diaphragm motion was demonstrated. DCR was quick to perform, and well tolerated in all cases and with no adverse events reported. DCR was achieved in ∼5 min per patient, with images available to view by the clinician immediately within the clinical setting.<h4>Conclusion</h4>DCR is a rapid, well-tolerated and straightforward chest radiography technique that warrants further investigation in the assessment of diaphragm dysfunction.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Clinical Research, 4.2 Evaluation of markers and technologies, 4 Detection, screening and diagnosis, 3 Good Health and Well Being |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Medicine Faculty of Health and Life Sciences > Clinical Directorate |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 18 May 2023 13:20 |
| Last Modified: | 15 Mar 2024 06:30 |
| DOI: | 10.1183/23120541.00343-2021 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3170495 |
Dimensions
Dimensions
