The physiological consequences of different distributions of diffuse pleural thickening on CT imaging

Fonseka, Duneesha de; Edey, Anthony; Stadon, Louise; Viner, Jason; Darby, Michael; Maskell, Nick A

doi:10.1259/bjr.20170218

Cited by 10 publications

(6 citation statements)

References 18 publications

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“…Duneesha et al. reported reductions of the vital capacity and total lung capacity in DPT patients, without cost-phrenic angle obliterance [9] . Asbestos-induced respiratory function and pulmonary lesions require >10 years to develop [8] , and heart disease and mediastinal disease can be treated with cardiac surgery or radiation therapy [10] , which may contribute to the progression of pleural disease.…”

Section: Discussionmentioning

confidence: 99%

Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery

Toriumi¹,

Taira²,

Makida³

et al. 2022

Radiology Case Reports

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A 64-year-old Japanese man presented with dyspnea and shortness of breath during exertion. Chest computed tomography revealed bilateral pleural effusion. He was drowsy because of CO 2 storage and died due to ventilatory impairment. His past medical history included a thymectomy and adjuvant radiotherapy with thymoma. He had undergone cardiac surgery and permanent pacemaker implantation. The autopsy examination revealed extensive bilateral pleural adhesions and diffuse visceral pleural thickening. An inspection of multiple lung sections failed to detect any asbestos body formation or mesothelioma. The patient's pleural effusion and diffuse pleural thickening may have exacerbated after cardiac surgery. In this case, the progression and pathophysiology of the pleural thickening could be traced by imaging and an autopsy, and we were able to estimate the factors that exacerbated the pleural thickening and ventilation impairment.

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Section: Discussionmentioning

confidence: 99%

Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery

Toriumi¹,

Taira²,

Makida³

et al. 2022

Radiology Case Reports

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“…The criteria for compensation and Asbestos Health Damage Relief in Japan do not consider the dullness of costophrenic angles, which is a British criterion, but according to Fonseka et al 7 ) , even without the dullness of costophrenic angels, %VC reduced to 79.5% in unilateral diffuse pleural thickening and 66.7% in bilateral cases, leading to a respiratory compromise within the range of diffuse pleural thickening, which is the Japanese criterion. In addition, Singh et al 8 ) reported that the movements of the diaphragm and lower pleura greatly affected the respiratory function of diffuse pleural thickening patients.…”

Section: Discussionmentioning

confidence: 99%

A retrospective study on radiological findings of diffuse pleural thickening with benign asbestos pleural effusion in Japanese cases

Kishimoto¹,

Kato

Ashizawa

et al. 2021

Ind Health

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The requirement for compensation for diffuse pleural thickening in benign asbestos pleural effusion include five computed tomography findings of organized pleural effusion: [1] heterogeneity in the pleural effusion, [2] declined chest capacity, [3] “crow’s feet” sign at the pleura, [4] immobilization of effusion volume, and [5] air in the effusion. Pleural effusion is diagnosed as organized, immobilized, and in the state of diffuse pleural thickening if at least three of these items are fulfilled, ([1] and [3] compulsory + one of the remaining items). This retrospective study investigated whether the requirement to confirm no organized pleural effusion changes after a follow-up of >3 months were available for cases fulfilling three of the five items; i.e., the confirmation of only [2] with [1] and [3]. Of 302 cases recognized by the Japanese laws, 105 cases with diffuse pleural thickening with organized effusion were enrolled. The number of subjects who fulfilled the diagnostic requirement for organized pleural effusion was confirmed. Eight subjects had a full score of 5 points, 82 subjects scored 4 points, and only 15 subjects scored 3 points. Furthermore, no changes were observed in the organized pleural effusion volume after a follow-up of >3 months.

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“…Diffuse pleural thickening may lead to significant respiratory disability. In subjects with diffuse pleural thickening, forced vital capacity and single breath diffusing capacity are considered to be lower in comparison to subjects without this disorder [35][36][37].…”

Section: Diffuse Pleural Thickeningmentioning

confidence: 99%

“…From the diagnostic point of view, a chest radiograph is used as a standard method for detecting diffuse pleural thickenings; however, also in this case, HRCT scans are far superior to any other method [20,37,38].…”

Section: Diffuse Pleural Thickeningmentioning

confidence: 99%

Asbestos-Related Pleural Diseases: The Role of Gene-Environment Interactions

Dolžan¹,

Franko²

2020

Diseases of Pleura

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Several pleural diseases have been associated with asbestos exposure. Asbestos exposure may lead to the development of benign pleural diseases, such as pleural plaques, diffuse pleural thickening, and pleural effusion, as well as to the development of malignant mesothelioma, a highly aggressive tumour of the pleura. Asbestos exposure related to pleural diseases may be occupational or environmental. Although the causal relationship between asbestos-related pleural diseases and asbestos exposure has been well confirmed, the role of genetic factors in the development of these diseases needs to be further investigated and elucidated. The results of the studies performed so far indicate that in addition to asbestos exposure, genetic factors as well as the interactions between genetic factors and asbestos exposure may have an important impact on the risk of asbestos-related pleural diseases, especially malignant mesothelioma. This chapter aims to present how the risk of developing asbestos-related pleural diseases may be influenced by asbestos exposure, genetic factors, interactions between different genetic factors, as well as interactions between different genetic factors and asbestos exposure.

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The physiological consequences of different distributions of diffuse pleural thickening on CT imaging

Cited by 10 publications

References 18 publications

Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery

Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery

A retrospective study on radiological findings of diffuse pleural thickening with benign asbestos pleural effusion in Japanese cases

Asbestos-Related Pleural Diseases: The Role of Gene-Environment Interactions

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