Height Difference between right and left hemi Diaphragm in Normal Sudanese Adults using Postero-Anterior Computed Chest Radiography
Keywords:
chest x-ray, digital radiography, hemi diaphragm, thoracic
Abstract
Diaphragm position and shape on chest radiographs are routinely used as indicators for diseases. Previous population studies were done for normal diaphragm position and shape. The study was done to determine the distance between right and left hemi diaphragm in normal Sudanese adults using digital radiography. The study sample was 100 subjects, 50(50%) were males and 50(50%) were females, with different ages ranged from 18 - 82 years old; all subjects were with normal abdominal ultrasound and normal chest radiographs. The study was done in Fedail hospital in the period from January up to March 2013. The measurements were done on ideal postero anterior (PA) chest radiograph by measuring the difference between the distance from the highest point of right hemi diaphragm and highest point of the left hemi diaphragm. The result showed that the right hemi diaphragm was higher than the left in 98% of total sample and the left was higher in 1% and they were in the same height in 1%. The right was higher in range of 1 cm to 2.5 cm in 79% and the Male diaphragm height difference ranged between 0.6- 2.8 and Female ranged from-0.5-2.9 cm.The study found that there are linear relation between distance difference of right and left hemi diaphragm with subjects' age, body mass index (BMI), height and weight. Computed radiography was useful in measurements of diaphragm height difference for Sudanese as it is accurate and easy.
Downloads
How to Cite
References
P. Alfred Alfred P.Fishman-2005One hundred year of Chronis pulmonary disease, American journal of Respiratory and critical Care Medicine; Volume 171. 941-948.
Grays anatomy 39th edition. 1081, 1081, 1082.
Nathalie Freymond, Jean Cabane, Jean Fancois, Cordier (2011) Combined pulmonary fibrosis and emphysema syndrome in a patient age 28 years with sever systemic sclerosis the journal of Rheumatology; Volume. 38.
H. Abiru, K. Ashizawa, R. Hashmi, K. Hayashi (2005) Abiru H, Ashizawa K, Hashmi R, Hayashi K, 2005Normal radiographic anatomy of thoracic structures: analysis of 1000 chest radiographs in Japanese population The British Journal of Radiology. 78(929), 398-404. https://doi.org/10.1259/bjr/20497987
B. Felson Chest roentgenology.
A. Proto, J. Ball 1983The superolateral major fissures. 140, 431-437.
A. Proto 1984The chest radiograph: anatomic considerations.Clin Chest Med. 5, 213-246.
Friedman E 1966Further observations on the vertical fissure line. 97, 171-173.
J. Godwin, R. Tarver (1985) Accessory fissures of the lung. 144(1), 39-47. https://doi.org/10.2214/ajr.144.1.39
A. Proto, M. Chaliff 1986Apical opacity: a normal finding on posteroanterior chest radiographs. 161, 429-432.
J. Ball, A. Proto 1982The variable appearance of the left superior intercostal vein. 144, 445-452.
A. Friedman, E. Chambers, S. Sprayregen (1978) The normal and abnormal left superior intercostal vein. 131(4), 599-602. https://doi.org/10.2214/ajr.131.4.599
K. Takahashi, T. Shinozaki, H. Hyodo, C. Ogawa, T. Ohsawa 1994Focal obliteration of the descending aortic interface on normal frontal chest radiographs: correlation with CT findings. 191, 685-690.
Fraser RS, Colman N The respiratory muscle and chest wall. 246-268.
P. Armstrong The normal chest. 21-62.
E. Lennon, G. Simon (1965) The Height Of The Diaphragm In The Chest Radiograph Of Normal Adults Brit J. 38(456), 937-943. https://doi.org/10.1259/0007-1285-38-456-937
Thitiporn Suwatanapongched, David Gierada, Richard Slone, Thomas Pilgram, Peter Tuteur Variation in Diaphragm Position and Shape in Adults With Normal Pulmonary Functiona.
Stewart. A, Sloane. C, Hoadley. G, Adrian .D, Chrissie .A (2005) CLARK᾽S positioning in radiography. 206-207.
Published
2013-12-04
Issue
Section
License
Copyright (c) 2013 Authors and Global Journals Private Limited
This work is licensed under a Creative Commons Attribution 4.0 International License.