The role of chest X-ray in the early diagnosis and staging of sarcoidosis: Is it really should be done?

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dc.authoridKoç, Aysu Sinem/0000-0001-5402-6730
dc.authorwosidKoç, Aysu Sinem/GQH-6513-2022
dc.contributor.authorKoc, Aysu Sinem
dc.contributor.authorOncel, Guray
dc.contributor.authorInce, Ozlem
dc.contributor.authorSever, Fidan
dc.contributor.authorKobak, Senol
dc.date.accessioned2024-05-19T14:46:35Z
dc.date.available2024-05-19T14:46:35Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackground: Sarcoidosis is a chronic granulomatous disease characterized by non-caseating granuloma. The conventional chest X-ray (CXR) has important role in the diagnosis, staging and follow-up of disease. Computed tomography (CT) is a second-line imaging method used to determine the extent, complications and differential diagnosis of sarcoidosis.Objectives: To determine the role of CXR in the early diagnosis and staging of sarcoidosis and to compare with CT imaging.Methods: One hundred and nine sarcoidosis patients followed at a single center were included in the study. Demographic, radiological, and clinical data of 81 patients were obtained from a total of 109 patients, and the record data of these 81 patients were evaluated. Patients who could not be reached for all tests were excluded from the study. CXR and CT imaging taken at diagnosis were evaluated retrospectively independently from two radiologists and one rheumatologist.Results: Among 109 patients, eighty-one patients CXR and CT imaging taken at the same center has been reached. Among 81 sarcoidosis patients 23 (28.4%) were male, 58 (71.6%) were female. The mean patients age was 46.4 years and the mean disease duration was 3.8 years. CXR is regarded as normal at diagnosis in 30 patients (37%), while all of these patients had findings consistent with sarcoidosis on CT imaging. CT imaging are more superior than CXR in the early diagnosis and staging of sarcoidosis (p = 0.001). Also CT imaging is more superior for detection of disease extent and complications. Conclusions: In this study, we observed that CT imaging outperforms CXR in terms of early detection and staging of sarcoidosis. The use of CT imaging is important for early diagnosis and staging of sarcoidosis. The low performance of CXR is a condition that requires the discussion of this method. Multicenter prospective study is needed in this regard.(c) 2023 Elsevier Espan similar to a, S.L.U. and Sociedad Espan similar to ola de Reumatologi ' a y Colegio Mexicano de Reumatologi ' a. All rights reserved.en_US
dc.identifier.doi10.1016/j.reuma.2023.08.006
dc.identifier.endpage564en_US
dc.identifier.issn1699-258X
dc.identifier.issn1885-1398
dc.identifier.issue10en_US
dc.identifier.pmid38056981en_US
dc.identifier.scopus2-s2.0-85175654928en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage560en_US
dc.identifier.urihttps://doi.org10.1016/j.reuma.2023.08.006
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5552
dc.identifier.volume19en_US
dc.identifier.wosWOS:001111806800001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Espana Sluen_US
dc.relation.ispartofReumatologia Clinicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectSarcoidosisen_US
dc.subjectChest Radiographyen_US
dc.subjectComputed Tomographyen_US
dc.subjectComparisonen_US
dc.titleThe role of chest X-ray in the early diagnosis and staging of sarcoidosis: Is it really should be done?en_US
dc.typeArticleen_US

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