Egg-and-Banana Sign Has High Specificity for Pulmonary Hypertension Diagnosis

Egg-and-Banana Sign Has High Specificity for Pulmonary Hypertension Diagnosis

The "egg-and-banana" sign is a valid computed tomography marker of pulmonary hypertension.

Pediatric Pneumonia: Sensitivity of Lung Ultrasound vs Chest Radiography

Pediatric Pneumonia: Sensitivity of Lung Ultrasound vs Chest Radiography

Lung ultrasound was more effective in diagnosing pediatric community-acquired pneumonia than chest radiography.

Pulmonary Function Testing Detects Distinct Phenotypes in Bronchopulmonary Dysplasia

Pulmonary Function Testing Detects Distinct Phenotypes in Bronchopulmonary Dysplasia

Infant pulmonary function testing detected 3 distinct phenotypes in severe bronchopulmonary dysplasia.

YEARS Criteria in Pulmonary Embolism Evaluation May Reduce Need for Imaging

YEARS Criteria in Pulmonary Embolism Evaluation May Reduce Need for Imaging

D-dimer test adjustment based on pretest probability results may be a safe option to reduce the need for imaging during evaluation for pulmonary embolism.

Sleep Apnea Diagnosis in Heart Failure Using Portable Monitor

Sleep Apnea Diagnosis in Heart Failure Using Portable Monitor

Portable sleep monitoring may accurately diagnose sleep apnea in patients who are hospitalized with heart failure.

Assessing Depression Following Inpatient COPD Rehabilitation

Assessing Depression Following Inpatient COPD Rehabilitation

PHQ-9 and PHQ-2 show factorial validity, invariance, and reliability for measuring depression in patients with chronic obstructive pulmonary disease.

COPD, Asthma, or Asthma COPD Overlap Syndrome: Diagnostic Challenges

COPD, Asthma, or Asthma COPD Overlap Syndrome: Diagnostic Challenges

Emerging guidelines for diagnosing and treating asthma COPD overlap syndrome will help clinicians better manage patients and prevent serious adverse effects.

Low-Dose CT May Modify Pneumonia Diagnosis in Elderly Patients

Low-Dose CT May Modify Pneumonia Diagnosis in Elderly Patients

Low-dose computed tomography may assist clinicians in modifying diagnosis of elderly patients who are admitted with suspected pneumonia.

Expert Consensus on Chronic Hypersensitivity Pneumonitis Diagnostic Criteria

Expert Consensus on Chronic Hypersensitivity Pneumonitis Diagnostic Criteria

Experts in interstitial lung disease identified 18 items of importance for diagnosing chronic hypersensitivity pneumonitis.

Predictive Value of Idiopathic PAH Risk Assessment Using Comorbidities, Age

Predictive Value of Idiopathic PAH Risk Assessment Using Comorbidities, Age

Ischemic heart disease and kidney dysfunction were identified as 2 comorbidities that may affect outcomes in idiopathic pulmonary arterial hypertension.

A Potential Algorithm for Diagnosing Cavitary Lung Diseases

A Potential Algorithm for Diagnosing Cavitary Lung Diseases

Researchers developed an algorithmic approach to diagnosing lung cavitary diseases.

COPD Risk Predicted by Large Airway Dimensions on Computed Tomography

COPD Risk Predicted by Large Airway Dimensions on Computed Tomography

Greater Pi10 was associated with incident spirometry-defined chronic obstructive pulmonary disease in a general population-based sample without clinical lung disease.

Pulmonary Hypertension Outcomes Predicted by NT-proBNP

Pulmonary Hypertension Outcomes Predicted by NT-proBNP

N-terminal-pro brain natriuretic peptide may be a useful biomarker for both mortality and respiratory exacerbations in pediatric patients with pulmonary hypertension.

Simple Lung Function Tests in Primary Care Help ID Early COPD

Simple Lung Function Tests in Primary Care Help ID Early COPD

Peak flow meter, microspirometry are optimal, with full spirometry for positive results.

Inflammatory Markers in CAP Influenced by Time From Symptom Onset to Presentation

Inflammatory Markers in CAP Influenced by Time From Symptom Onset to Presentation

Differences in serum inflammatory markers may exist between patients with community-acquired pneumonia who present within the first 48 hours of symptom onset vs those who present later.

Newer Rapid Influenza Tests Better at Ruling In Influenza

Newer Rapid Influenza Tests Better at Ruling In Influenza

Further research on rapid tests is warranted, as industry-sponsored research tends to favor the industry's product and affects how physicians practice medicine.

Pulmonary Hypertension With HFpEF Mortality Predicted by Hemodynamic Markers

Pulmonary Hypertension With HFpEF Mortality Predicted by Hemodynamic Markers

The hemodynamic parameters predict mortality and cardiac hospitalization in patients with heart failure with preserved ejection fraction.

Comparing Diagnostic Imaging for Community-Acquired Pneumonia

Comparing Diagnostic Imaging for Community-Acquired Pneumonia

Adults with community-acquired pneumonia that is visualized on CT scan but not on concurrent chest radiograph have similar pathogens, disease severity, and outcomes as patients who had pneumonia confirmed via chest radiograph.

Pneumonia-Induced Acute Lung Failure: Angiopoietin-2 Levels May Predict Severity

Pneumonia-Induced Acute Lung Failure: Angiopoietin-2 Levels May Predict Severity

Interventional reduction of the angiopoietin-1/angiopoietin-2 ratio may provide therapeutic perspective for prevention of acute lung injury in pneumonia.

Routine Chest Radiography After US-Guided CVC Insertion Often Unnecessary

Routine Chest Radiography After US-Guided CVC Insertion Often Unnecessary

A routine chest radiograph after ultrasound-guided central venous catheter insertion is now considered costly and unnecessary.

Claims-Based Algorithms for Pulmonary Arterial Hypertension Developed

Claims-Based Algorithms for Pulmonary Arterial Hypertension Developed

Patients with pulmonary arterial hypertension may be better identified through a claims-based algorithm that includes ICD-9-CM codes, specific pulmonary arterial hypertension medications, echocardiography, and right heart catheterization.

Specific COPD Questionnaire Cutoff Threshold May Identify More Symptomatic Patients

Specific COPD Questionnaire Cutoff Threshold May Identify More Symptomatic Patients

The Clinical COPD Questionnaire cutoff point of 1.4 demonstrated a better agreement with other COPD measures in patients with more symptomatic disease.

Emphysema Threshold on CT Imaging May Have Predictive Value for COPD

Emphysema Threshold on CT Imaging May Have Predictive Value for COPD

Patients with chronic obstructive pulmonary disease with 5% emphysema based on thoracic computed tomography (CT) imaging may be at a greater risk for poor outcomes.

Benign Lung Nodules Identified Using Proteomic Biomarker

Benign Lung Nodules Identified Using Proteomic Biomarker

An integrated proteomic classifier accurately identified benign lung nodules when used in patients with a pretest probability of malignancy ≤50%.

Asthma in Primary Care: Spirometry Underused in Diagnosis

Asthma in Primary Care: Spirometry Underused in Diagnosis

Spirometry may be underused for the diagnosis and monitoring of asthma in the primary care setting.

Biomarkers May Identify Patients at Increased Risk for Severe Asthma Exacerbations

Biomarkers May Identify Patients at Increased Risk for Severe Asthma Exacerbations

Fractional exhaled nitric oxide, periostin, and eosinophils may help identify patients at increased risk for severe asthma exacerbations, according to a post hoc analysis of a phase 2b trial on dupilumab.

Older Sibling With Asthma Associated With Risk for Asthma Diagnosis

Older Sibling With Asthma Associated With Risk for Asthma Diagnosis

Children who had both parental and sibling asthma in their families had an increased risk for asthma.

Idiopathic Pulmonary Arterial Hypertension and Risk for Cardiac Events

Idiopathic Pulmonary Arterial Hypertension and Risk for Cardiac Events

Peak circulatory power offers greater value than peak oxygen uptake and ventilation in predicting cardiac events in patients with idiopathic PAH.

Pulmonary Embolism Rule-out Criteria non-inferior to usual care for patients at low-risk for pulmonary embolism

In this multicenter, randomized controlled study, the Pulmonary Embolism Rule-out Criteria (PERC) strategy resulted in significantly fewer uses of CT pulmonary angiography, reduced ED length of stay, and fewer hospital admissions.

Blood Biomarkers Add Value to COPD Mortality Predictive Model

Blood Biomarkers Add Value to COPD Mortality Predictive Model

High levels of C-reactive protein and neutrophils as well as low eosinophil count predicted a poor prognosis in COPD.

Lung Cancer Screening: Updated Guidelines From CHEST

Lung Cancer Screening: Updated Guidelines From CHEST

A CHEST expert panel has released updated guidelines for lung cancer screening.

Performing Two 6MWTs in Pulmonary Hypertension Minimizes "Learning Effect"

Performing Two 6MWTs in Pulmonary Hypertension Minimizes "Learning Effect"

Patients with suspected PH should undergo two 6MWTs to improve the accuracy of exercise capacity measurements.

Guiding COPD Management Using Airway Branch Variation

Guiding COPD Management Using Airway Branch Variation

Researchers examined variation in airway branches to determine whether they have an effect on the course of chronic obstructive pulmonary disease.

Prognostic Value of 6MWT in Pulmonary Arterial Hypertension

Prognostic Value of 6MWT in Pulmonary Arterial Hypertension

The 6-minute walk test had prognostic value with respect to mortality in a population of patients with pulmonary arterial hypertension.

Pulmonary Arterial Hypertension: Improving Survival Rates

Pulmonary Arterial Hypertension: Improving Survival Rates

Brain natriuretic peptide levels may accurately predict 5-year survival rates in patients with pulmonary arterial hypertension.

COPD Mortality Predictions by GOLD 2017 vs Previous Versions

COPD Mortality Predictions by GOLD 2017 vs Previous Versions

Although the 2017 GOLD classification did not better predict mortality in patients with chronic obstructive pulmonary disease overall, it did so when patients were extensively categorized by severity.

Influenza Testing Ordered Less Often in Older Hospitalized Adults

Influenza Testing Ordered Less Often in Older Hospitalized Adults

Patients who received provider-ordered influenza testing were more likely to be younger and present with fever and "influenza-like illness."

COPD Continues to Present Screening Challenges, Research Barriers

COPD Continues to Present Screening Challenges, Research Barriers

No data have demonstrated improved mortality, morbidity, or quality of life as a result of screening for COPD in asymptomatic individuals.

Lung Cancer Screening Requires Effective Risk Stratification

Lung Cancer Screening Requires Effective Risk Stratification

Lung cancer screening is more effective and efficient for high-risk individuals.

Validity of Pulmonary Embolism Prediction Scores in Pregnant, Postpartum Women

Validity of Pulmonary Embolism Prediction Scores in Pregnant, Postpartum Women

Although the Wells and revised Geneva scores are used in the general population to predict pulmonary embolism, researchers found they were not reliable in pregnant and postpartum women.

Monitoring Pulmonary Hemodynamic Changes in CTEPH With 6-Minute Walk Test

Monitoring Pulmonary Hemodynamic Changes in CTEPH With 6-Minute Walk Test

Pulmonary hemodynamic changes in chronic thromboembolic pulmonary hypertension may be monitored via the 6-minute walk test.

Diagnosing Bacterial Respiratory Tract Infections via Novel Mobile Spectrometer

Diagnosing Bacterial Respiratory Tract Infections via Novel Mobile Spectrometer

A gas-capillary column ion mobility spectrometer may be a feasible and noninvasive tool for clinicians to diagnose respiratory tract infections in hospitalized patients.

Predictors of Pneumonia in Adults With Lower Respiratory Tract Infections

Predictors of Pneumonia in Adults With Lower Respiratory Tract Infections

Researchers identified 4 specific symptoms that could be the basis for a pneumonia diagnosis.

Asthma Diagnosis Using Fractional Exhaled Nitric Oxide

Asthma Diagnosis Using Fractional Exhaled Nitric Oxide

Fractional exhaled nitric oxide measurement can diagnose asthma in patients 5 years and older.

Influenza Testing Accuracy With Different Intranasal Specimen Collection Methods

Influenza Testing Accuracy With Different Intranasal Specimen Collection Methods

Midturbinate swabs for influenza detection provided a more comfortable experience for patients compared with traditional nasopharyngeal swabs.

Low Peak Lung Function May Identify Individuals at Risk for Early Comorbidities

Low Peak Lung Function May Identify Individuals at Risk for Early Comorbidities

The use of spirometry during infancy or early adulthood may help identify individuals at risk for poor health outcomes

Predicting COPD Exacerbations Using Sputum vs Blood Eosinophils

Predicting COPD Exacerbations Using Sputum vs Blood Eosinophils

Sputum eosinophil counts may be a better predictor of COPD exacerbations compared with serum blood eosinophil counts.

Pneumonia in Pediatric Patients: Assessing Reliability of Signs and Symptoms

Pneumonia in Pediatric Patients: Assessing Reliability of Signs and Symptoms

No single finding appears to reliably predict a pneumonia diagnosis in pediatric patients younger than 5 years of age.

Usefulness of CHEST 2006 Cough Classifications

Usefulness of CHEST 2006 Cough Classifications

The 2006 CHEST management algorithms for acute, subacute, and chronic cough appear to be useful in treating adults globally.

Improved Hemodynamics in CTEPH With Balloon Pulmonary Angioplasty

Improved Hemodynamics in CTEPH With Balloon Pulmonary Angioplasty

Hemodynamics may improve in patients with chronic thromboembolic pulmonary hypertension after balloon pulmonary angioplasty with complication rates comparable to pulmonary endarterectomy.

New "Pan-Can" Model More Accurately Predicts Lung Cancer Risk

New "Pan-Can" Model More Accurately Predicts Lung Cancer Risk

PanCan study effectively identified patients who eventually developed early-stage lung cancer, compared to other predictive models.

No Associations Exist Between 6MWD and Maximum Oxygen Uptake in Pulmonary Arterial Hypertension

No Associations Exist Between 6MWD and Maximum Oxygen Uptake in Pulmonary Arterial Hypertension

Results indicate that further study of the relationship between the 6-minute walk distance test and functional capacity in PAH is necessary.

Negative TB Test, Malnutrition, Age Linked to In-Hospital Mortality

Negative TB Test, Malnutrition, Age Linked to In-Hospital Mortality

The relationship between negative tuberculin skin test and in-hospital mortality has not been previously studied.

Diagnostic Test Can Identify Biomarkers to Detect Lung Cancer

Diagnostic Test Can Identify Biomarkers to Detect Lung Cancer

A new diagnostic test and algorithm may be able to diagnose lung cancer from tumor-educated platelets.

Does CT Scan at Follow-up Improve Resected NSCLC Survival?

Does CT Scan at Follow-up Improve Resected NSCLC Survival?

Recommendations to include CT scans as standard follow-up procedure is based on poor evidence.

Prediction of Short-, Long-Term Mortality in Elderly With Stable Acute PE

Prediction of Short-, Long-Term Mortality in Elderly With Stable Acute PE

Charleston comorbidity index is an independent predictor of mortality in patients with hemodynamically stable pulmonary embolism.

COPD Diagnosis by Physician vs Spirometry: A Validation Study

COPD Diagnosis by Physician vs Spirometry: A Validation Study

Questions involving physician-diagnosed COPD have a low sensitivity and a high specificity.

Lung Cancer Screening CT Scans in High-Risk Smokers Increase Cessation Rates

Lung Cancer Screening CT Scans in High-Risk Smokers Increase Cessation Rates

Patients who underwent lung CT screening had a higher 2-week smoking cessation rate vs patients who did not undergo screening.

Inaccuracy of Traditional vs Digital Influenza Tests

Inaccuracy of Traditional vs Digital Influenza Tests

Researchers examined the efficacy of digital immunoassays vs rapid influenza diagnostic tests for diagnosing influenza.

Diagnostic Accuracy of NICE Asthma Algorithm Poor in Children

Diagnostic Accuracy of NICE Asthma Algorithm Poor in Children

A new algorithm developed by the National Institute for Health and Care Excellence was not useful for diagnosing asthma in children and adolescents.

Accuracy of Physician Estimates of Pulmonary Nodule Pretest Probability of Malignancy

Accuracy of Physician Estimates of Pulmonary Nodule Pretest Probability of Malignancy

Physicians can differentiate between benign and malignant pulmonary nodules, but do not consistently follow guideline-based recommendations when selecting the next diagnostic test.

Hypoxemia, Breathing Difficulty May Indicate Pneumonia in Children

Hypoxemia, Breathing Difficulty May Indicate Pneumonia in Children

Clinical symptoms of pneumonia should be identified quickly in pediatric patients to prevent inappropriate therapy.

Diagnostic Measures of Lung Function Decline in COPD

Diagnostic Measures of Lung Function Decline in COPD

Comparative measures of inspiratory vs expiratory volumes show a penumbra of lung tissue at higher risk of damage from existing COPD.

Using Hemodynamic Marker Ratio to Predict Outcomes in Pulmonary Hypertension

Using Hemodynamic Marker Ratio to Predict Outcomes in Pulmonary Hypertension

A retrospective analysis demonstrated that the ratio of left to right ventricular end-diastolic pressures can predict outcomes in patients with PH.

Serum Periostin Biomarker in Asthma With Comorbid Upper Airway Disease

Serum Periostin Biomarker in Asthma With Comorbid Upper Airway Disease

A study of 65 patients examined the efficacy of using serum periostin as a biomarker for asthma with comorbid upper airway disease.

Examining Pulmonary Function Measures in Pediatric SLE

Examining Pulmonary Function Measures in Pediatric SLE

Fractional exhaled nitric oxide levels directly correlated to subclinical pulmonary disease activity in children with systemic lupus erythematosus.

SomnaPatch Effective in Diagnosing Obstructive Sleep Apnea

SomnaPatch Effective in Diagnosing Obstructive Sleep Apnea

Researchers simultaneously examined overnight polysomnography and patch recordings to determine the efficacy of the SomnaPatch.

Hypothyroidism, Obesity Linked to Low Oygen Saturation During Sleep

Hypothyroidism, Obesity Linked to Low Oygen Saturation During Sleep

Nearly 37% of patients with hypoventilation were diagnosed with uncontrolled hypothyroidism, and were more likely to present with hypertension and heart failure.

Do Hematocrit Levels Impact Moderate-to-Severe OSA Outcomes?

Do Hematocrit Levels Impact Moderate-to-Severe OSA Outcomes?

Apnea-hypopnea index concluded that hematocrit levels and presene of erthrocytosis are not associated with OSA.

Efficacy of Clinical Decision Rules in Diagnosing Acute, Bacterial Rhinosinusitis

Efficacy of Clinical Decision Rules in Diagnosing Acute, Bacterial Rhinosinusitis

Rules integrating signs, symptoms, CRP can diagnose acute rhinosinusitis, bacterial rhinosinusitis

High Accuracy, Clinical Relevance With Point-of-Care Lung Sonography

High Accuracy, Clinical Relevance With Point-of-Care Lung Sonography

Researchers examined the indications, diagnostic accuracy, duration, and clinical impact of point-of-care lung sonography.

Using Chest CT in Evaluation, Management of COPD

Using Chest CT in Evaluation, Management of COPD

Chest CT is not currently part of recommended routine COPD care.

CT Predictors of Poor Outcome in Chronic Hypersensitivity Pneumonitis

CT Predictors of Poor Outcome in Chronic Hypersensitivity Pneumonitis

In patients with chronic hypersensitivity pneumonitis, several parenchymal features on CT correlate with mortality and rapid disease progression, including honeycombing and reticular pattern.

ACR Imaging Criteria for Suspected Pulmonary Hypertension

ACR Imaging Criteria for Suspected Pulmonary Hypertension

New criteria by the American College of Radiology detail appropriateness of various imaging techniques for suspected pulmonary hypertension.

Computer-aided Detection Finds Tuberculosis in Underserved Regions

Computer-aided Detection Finds Tuberculosis in Underserved Regions

In tuberculosis-endemic areas, computers with deep learning capabilities can be trained to detect the disease in regions that have no radiologists.

ERS Updates Methacholine Challenge Test Recommendations

ERS Updates Methacholine Challenge Test Recommendations

The most recent ERS guideline includes significant changes from prior recommendations in an effort to accommodate newer delivery devices.

Predicting Survival in IPF With CT-Measured Pulmonary Artery: Aorta Ratio

Predicting Survival in IPF With CT-Measured Pulmonary Artery: Aorta Ratio

Computed tomography-derived pulmonary artery-to-aorta ratio can predict pulmonary artery pressure and survival in patients with idiopathic pulmonary fibrosis.

Restrictive Spirometry Pattern Predictive of Arterial Stiffness

Restrictive Spirometry Pattern Predictive of Arterial Stiffness

Researchers examined nearly 3000 men and women to determine the relationship between restrictive spirometry pattern, reduced FVC, and arterial stiffness.

Can Rapid Viral Testing Reduce Unnecessary Antibiotic Use?

Can Rapid Viral Testing Reduce Unnecessary Antibiotic Use?

Molecular point-of-care testing for viruses led to more patients receiving single or brief doses of antibiotics without any evidence of increased harm.

Accuracy of Lung Ultrasonography for Pneumonia Diagnosis

Accuracy of Lung Ultrasonography for Pneumonia Diagnosis

Lung ultrasounds present an effective alternative to diagnosing pneumonia.

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