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Serum surfactant protein A as a surrogate biomarker of a negative heart sign among patients with interstitial lung disease
https://doi.org/10.18999/nagjms.82.3.499
https://doi.org/10.18999/nagjms.82.3.499c5d826a4-ad6d-48e5-87f0-a5b1c0e6c644
名前 / ファイル | ライセンス | アクション |
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12_Sasaki.pdf (7.2 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2020-09-04 | |||||
タイトル | ||||||
タイトル | Serum surfactant protein A as a surrogate biomarker of a negative heart sign among patients with interstitial lung disease | |||||
言語 | en | |||||
著者 |
Sasaki, Hisashi
× Sasaki, Hisashi× Hara, Yu× Taguri, Masataka× Fujikura, Yuji× Murohashi, Kota× Yagyu, Hiroyuki× Kaneko, Takeshi× Kawana, Akihiko |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報Resource | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||
権利情報 | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | inflammation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | idiopathic pulmonary fibrosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | surfactant protein | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | treatment | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | gallium uptake | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The mechanisms underlying interstitial lung disease (ILD) are characterized by variable inflammation or fibrosis of the pulmonary interstitium. A negative heart sign (NHS) on 67Ga scintigrams of patients with ILD is due to considerably increased inflammatory activity in the lungs. We retrospectively analyzed relationships between NHS and established biomarkers of disease severity in patients with ILD. Among 81 consecutive non-smoking patients with ILD (mean age, 63 years) who had been hospitalized between April 2009 and October 2011, we selected 52 who had been assessed by 67Ga scintigraphy. We then evaluated relationships between NHS and blood biomarkers, pulmonary function and high-resolution computed tomography (HRCT). Among these 52 patients, 10 showed idiopathic pulmonary fibrosis and 42 had other ILD. Multivariate analysis with stepwise variable selection, serum surfactant protein (SP)-A (OR (odds ratio), 1.026; 95%CI (confidence interval), 1.003–1.050; P = 0.024) and inflammation index calculated from HRCT findings (OR, 1.358; 95%CI, 1.079–1.709; P = 0.009) were significant predictors of an NHS. Serum SP-A offered 85% sensitivity and 75% specificity for predicting NHS at an optimal cut-off of 45.8 ng/mL. Serum SP-A concentrations correlated positively with inflammation index (r = 0.344, P = 0.015). In conclusion, serum SP-A might serve as a surrogate biomarker for predicting an NHS in patients with ILD. | |||||
言語 | en | |||||
出版者 | ||||||
出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.82.3.499 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/823.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 82, 号 3, p. 499-508, 発行日 2020-08 |
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著者版フラグ | ||||||
値 | publisher |