What Does Radiologic Assessment Contribute to Asthma: A Subanalysis of the Turkish Adult Asthma Registry

Abstract Objectives It is aimed to assess how physicians use chest imaging in asthma and the relationship between the pathological findings and related disease characteristics in the radiological imaging of asthmatic patients. Background The daily practice of imaging and its contribution to the management of asthma are not well defined. It is common to use radiological imaging to investigate pathologies that cause respiratory symptoms and to evaluate differential diagnoses in asthma patients. In this study, as a subanalysis of the Turkish Adult Asthma Registry, radiological findings and outcomes of asthmatic patients were examined. Methods Between March 2018 and March 2022, the data of asthma patients in 36 secondary and tertiary health care centers was recorded using a web-based application. Patients with chest X-ray, computed thorax tomography, and paranasal sinus tomography data in the asthma database were statistically evaluated for sub-analysis. Results The study included 2053 patients. Chest X-rays were taken in the majority of the cases (n:1739; 84.7%). Computed thorax tomography was performed in 869 (42.3%) patients and paranasal sinus tomography in 388 (18.9%) patients. The most common pathological findings on chest X-rays of asthmatic patients were increased bronchovascular branching and dirty lung appearance, whereas they were linear atelectasis, and bronchial wall thickening on computed thorax tomography bronchiectasis. Soft tissue in the sinuses and nasal polyps were the most common pathological findings in paranasal sinus tomography. Pathological findings were much more common in the radiological evaluations of patients with eosinophilic and allergic phenotypes and in patients with severe asthma. Conclusion The radiological findings of asthma vary depending on the phenotype and severity of the disease. Patients with asthma, particularly those in the high-risk group, should be evaluated from a radiological perspective.

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Journal
Bratislavské lekárske listy/Bratislava medical journal
Published
2025-04-24
DOI
https://doi.org/10.1007/s44411-025-00104-w
Primary Topic
Asthma and respiratory diseases
Type
article
Field-Weighted Citation Impact
0.00

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article

What Does Radiologic Assessment Contribute to Asthma: A Subanalysis of the Turkish Adult Asthma Registry

Gülistan Alpagat, Murat Türk, Şadan Soyyiğit, Mehmet Erdem Çakmak et al.
Bratislavské lekárske listy/Bratislava medical journal
Asthma and respiratory diseases
article

What Does Radiologic Assessment Contribute to Asthma: A Subanalysis of the Turkish Adult Asthma Registry

Gülistan Alpagat, Murat Türk, Şadan Soyyiğit, Mehmet Erdem Çakmak, Gülden Paşaoğlu Karakış, Sibel Naycı, Ayşe Baççıoğlu, Yavuz Havlucu, Tuba Erdoğan, Bilun Gemicioğlu, Dane Ediger, Derya Öztuna, Ayşe Bilge Öztürk, Aliye Candan Öğüş, Zeynep Yeğin Katran, İpek Kıvılcım Oğuzülgen, Halil Dönmez, Yasemin Yavuz, Gülfem Çelík, Fatma Merve Tepetam, Alı Fuat Kalyoncu, Hülya Dirol, Zeynep Çelebi Sözener, Nurgül Bozkurt, Cihan Örçen, Adile Berna Dursun, Selen Karaoğlanoğlu, Ferda Öner Erkekol, Eylem Sercan Özgür, Ayse Feyza Aslan, Mehmet Polatlı, Elif Yelda Özgün Niksarlıoğlu, Fatma Esra Günaydın, Ayşe Füsun Kalpaklıoğlu, Demet Polat Yuluğ, Bilge Kara, Semra Demir, İlkay Koca Kalkan, Tuğçe Yakut, Şeyma Özden, Ahmet Emre Süslü, Serdar Özer, Seçil Kepil Özdemir, Ali Can, Şule Taş Gülen, Emel Çadallı Tatar, Serap Argun Barış, Münevver Erdinç, A. Tevfik Cengiz, Reşat Kendirlinan, Gülseren Pekbak, Leyla Pur Özyiğit, Pamir Çerçi, Gülden Paçacı Çetin, İnsu Yılmaz, Dilşad Mungan, Arzu Yorgancıoğlu, Ömür Aydın, Öznur Abadoğlu, Derya Ünal, Deniz Kızılırmak, Murat Kavas, Metin Keren, İrfan Yorulmaz, İlknur Başyiğit, Enes Furkan Aykaç, Özcan Gül, Reyhan Gümüşburun, Mehmet Atilla Uysal, Sacide Rana Işık, Sinem İnan, Gül Karakaya, Bahar Arslan, Gözde Köycü Buhari, Bulent Akkurt, Şengül Beyaz, Asli Akkor Gelincik, Müge Erbay, Yonca Sekibağ, Oğuz Uzun, Ümmühan Şeker, Füsun Yıldız, Ebru Damadoğlu, Dilek Karadoğan, Zahide Çiler Büyükatalay, Sümeyra Alan Yalım, Elif Yılmazel Uçar, Engin Dursun, Özlem Göksel, Gülhan Boğatekin, Hatice Serpil Akten, Taşkın Yücel, Saltuk Buğra Kaya, Can Sevinç, İsmet Bulut, Gökçen Ömeroğlu Şi̇mşek
article en

Abstract

Abstract Objectives It is aimed to assess how physicians use chest imaging in asthma and the relationship between the pathological findings and related disease characteristics in the radiological imaging of asthmatic patients. Background The daily practice of imaging and its contribution to the management of asthma are not well defined. It is common to use radiological imaging to investigate pathologies that cause respiratory symptoms and to evaluate differential diagnoses in asthma patients. In this study, as a subanalysis of the Turkish Adult Asthma Registry, radiological findings and outcomes of asthmatic patients were examined. Methods Between March 2018 and March 2022, the data of asthma patients in 36 secondary and tertiary health care centers was recorded using a web-based application. Patients with chest X-ray, computed thorax tomography, and paranasal sinus tomography data in the asthma database were statistically evaluated for sub-analysis. Results The study included 2053 patients. Chest X-rays were taken in the majority of the cases (n:1739; 84.7%). Computed thorax tomography was performed in 869 (42.3%) patients and paranasal sinus tomography in 388 (18.9%) patients. The most common pathological findings on chest X-rays of asthmatic patients were increased bronchovascular branching and dirty lung appearance, whereas they were linear atelectasis, and bronchial wall thickening on computed thorax tomography bronchiectasis. Soft tissue in the sinuses and nasal polyps were the most common pathological findings in paranasal sinus tomography. Pathological findings were much more common in the radiological evaluations of patients with eosinophilic and allergic phenotypes and in patients with severe asthma. Conclusion The radiological findings of asthma vary depending on the phenotype and severity of the disease. Patients with asthma, particularly those in the high-risk group, should be evaluated from a radiological perspective.

Bratislavské lekárske listy/Bratislava medical journalVol. 126(6)
Bursa Uludağ Üni̇versi̇tesi̇ (TR), Izmir University (TR), Ankara University (TR), Recep Tayyip Erdoğan University (TR), Cyprus International University (CY), Manisa Celal Bayar University (TR), University of Health Science (KH), Başkent University (TR), Bursa Technical University (TR), Dokuz Eylül University (TR), Akdeniz University (TR), Ondokuz Mayıs University (TR), Izmir Kâtip Çelebi University (TR), Glenfield Hospital (GB), Ege University (TR), Ankara Atatürk Eğitim ve Araştırma Hastanesi (TR), Memorial Ankara Hospital (TR), Istanbul University-Cerrahpaşa (TR), Education Training And Research (US), Şanlıurfa Mehmet Akif İnan Eğitim ve Araştırma Hastanesi (TR), Kayseri Eğitim ve Araştırma Hastanesi (TR), Sağlık Bilimleri Üniversitesi (TR), Yedikule Teaching Hospital (TR), Diyarbakır Gazi Yaşargil Eğitim ve Araştırma Hastanesi (TR), Lokman Hekim Üniversitesi (TR), Ankara Yıldırım Beyazıt University (TR), Amerikan Hastanesi (TR), Kırıkkale University (TR), Mersin Üniversitesi (TR), Kocaeli Üniversitesi (TR), Istanbul Medeniyet University (TR), Atatürk University (TR), Ordu University (TR), Hacettepe University (TR), Istanbul University (TR), Adnan Menderes University (TR), University of Health Sciences Antigua (AG), Erciyes University (TR), Gazi University (TR)
Manisa Celal Bayar Üniversitesi
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Asthma and respiratory diseases
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