Radiography, Thoracic

Publication Title: 
Chest

BACKGROUND: The Scleroderma Lung Study (SLS) demonstrated significant treatment-associated improvements in pulmonary function and symptoms when patients with scleroderma-related interstitial lung disease (SSc-ILD) were treated with a 1-year course of cyclophosphamide (CYC) in a randomized, double-blinded, placebo-controlled clinical trial. This study examined thoracic high-resolution CT (HRCT) scans obtained during the SLS for treatment-associated changes over time.

Author(s): 
Goldin, Jonathan
Elashoff, Robert
Kim, Hyun J.
Yan, Xaiohong
Lynch, David
Strollo, Diane
Roth, Michael D.
Clements, Philip
Furst, Daniel E.
Khanna, Dinesh
Vasunilashorn, Srainnapha
Li, Gang
Tashkin, Donald P.
Publication Title: 
Clinical and Experimental Rheumatology

OBJECTIVES: To evaluate an improved quantitative lung fibrosis score based on a computer-aided diagnosis (CAD) system that classifies CT pixels with the visual semi-quantitative pulmonary fibrosis score in patients with scleroderma-related interstitial lung disease (SSc-ILD). METHODS: High-resolution, thin-section CT images were obtained and analysed on 129 subjects with SSc-ILD (36 men, 93 women; mean age 48.8±12.1 years) who underwent baseline CT in the prone position at full inspiration. The CAD system segmented each lung of each patient into 3 zones.

Author(s): 
Kim, H. G.
Tashkin, D. P.
Clements, P. J.
Li, G.
Brown, M. S.
Elashoff, R.
Gjertson, D. W.
Abtin, F.
Lynch, D. A.
Strollo, D. C.
Goldin, J. G.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This report discusses a patient with a pathologic fracture of the C2 vertebra secondary to osteolytic metastasis from squamous cell carcinoma of the lung. CLINICAL FEATURES: The patient was a 68-year-old man with a chief complaint of neck pain who was referred by his physician to a chiropractic office. The initial onset of neck pain began after a forceful sneeze that resulted in a sensation of "a twig snapping" in the neck. Radiographs revealed osteolytic destruction and pathologic fracture of the C2 spinous process.

Author(s): 
Davis, Matthew A.
Taylor, John A. M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This report discusses a patient with a pathologic fracture of the C2 vertebra secondary to osteolytic metastasis from squamous cell carcinoma of the lung. CLINICAL FEATURES: The patient was a 68-year-old man with a chief complaint of neck pain who was referred by his physician to a chiropractic office. The initial onset of neck pain began after a forceful sneeze that resulted in a sensation of "a twig snapping" in the neck. Radiographs revealed osteolytic destruction and pathologic fracture of the C2 spinous process.

Author(s): 
Davis, Matthew A.
Taylor, John A. M.
Publication Title: 
Singapore Medical Journal

Pneumothorax developing secondary to acupuncture is rare. However, in an undiagnosed case, it may cause fatality. The real incidence of acupuncture-related pneumothorax is not known but is acknowledged to be underdiagnosed and under-reported. We describe pneumothorax occurring in a 52-year-old woman who developed bilateral pneumothoraces, with one side being a tension pneumothorax, immediately following acupuncture. The needle was inserted at a paravertebral point at the level of the third vertebral spinous process.

Author(s): 
Su, J. W.
Lim, C. H.
Chua, Y. L.
Publication Title: 
Journal of Korean Medical Science

The aim of this study was to introduce the experience of diagnosis and treatment for patients with migrated acupuncture needle to pleural cavity and or lung parenchyma. We had treated 5 patients who had acupuncture needles in their thoracic cavity from January 2000 to September 2009. The mean age was 55.8 yr old. All patients suffered from the sequelae of the cerebrovascular accident and had been treated with acupuncture. They had drowsiness and hemiplegic or quadriplegic motor activity. Fever and dyspnea were main symptoms when referred to us.

Author(s): 
Kim, Dae Hyun
Kim, Soo-Cheol
Youn, Hyo Chul
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