Utilization of 19F MRI for Identification of Iraq-Afghanistan War Lung Injury.

Introduction: There is mounting evidence of respiratory problems related to military service in the Middle East in the past two decades due to environmental exposures during deployment (eg, sand storms and burn pits). This pilot study tests the hypothesis that regional lung function in subjects with...

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Publicado en:Military Medicine Vol. 185; pp. 50 - 57
Autores principales: Mammarappallil, Joseph G, Shofer, Scott, Carraway, Martha S, Tucker, Jesse, Womack, Samantha, Ainslie, Maureen, Charles, H Cecil
Formato: research Journal Article
Publicado: Oxford University Press / USA 2020 Supplement
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Utilization of 19F MRI for Identification of Iraq-Afghanistan War Lung Injury.
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        au:
          Mammarappallil, Joseph G
          Shofer, Scott
          Carraway, Martha S
          Tucker, Jesse
          Womack, Samantha
          Ainslie, Maureen
          Charles, H Cecil
        affil: Department of Radiology, Duke University School of Medicine, 2301 Erwin Road, Durham, NC 27705
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Lung Injury
          Data Collection
          Adult
          Oxygen Therapy Methods
          Pilot Studies
          Magnetic Resonance Imaging Equipment and Supplies
          Male
          United States
          Human
          Magnetic Resonance Imaging Statistics and Numerical Data
          Female
          Middle Age
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Introduction: There is mounting evidence of respiratory problems related to military service in the Middle East in the past two decades due to environmental exposures during deployment (eg, sand storms and burn pits). This pilot study tests the hypothesis that regional lung function in subjects with prior deployment in Iraq and/or Afghanistan with suspected War Lung Injury (WLI) would be worse than subjects with normal lung function.Materials and Methods: Five subjects meeting the inclusion and exclusion criteria were recruited for this pilot study. All subjects underwent spirometry, high-resolution chest computed tomography imaging, and 19F MRI.Results: While the WLI subjects had normal pulmonary function tests and normal high-resolution chest computed tomography evaluations, their regional lung function from 19F MRI was abnormal with compartments with poor function showing slower filling time constants for ventilation. The scans of suspected WLI subjects show higher fractional lung volume with slow filling compartments similar to patients with chronic obstructive pulmonary disease in contrast to normal subjects.Conclusions: This is consistent with our premise that WLI results in abnormal lung function and reflects small airways dysfunction and suggests that we may be able to provide a more sensitive tool for evaluation of WLI suspected cases.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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