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

• DOI: 10.1007/s44411-025-00104-w
• Publication Date: 2025-04-24T12:54:12Z
• Authors: Deniz Kizilirmak; Oguz Uzun; Derya Gokmen; Omur Aydın; Ilknur Basyigit; Adile Berna Dursun; Ilkay Koca Kalkan; Sumeyra Alan Yalim; Tugce Yakut; Gozde Koycu Buhari; Zeynep Celebi Soz...; Bilun Gemicioglu; Ismet Bulut; Sengul Beyaz; Cihan Orcen; Secil Kepil Ozdemir; Metin Keren; Ebru Damadoglu; Ayse Fusun Kalpak...; Ayse Baccioglu; Insu Yilmaz; Mehmet Atilla Uysal; Elif Yelda Ozgun ...; Ali Fuat Kalyoncu; Gul Karakaya; Muge Erbay; Sibel Nayci; Fatma Merve Tepetam; Asli Akkor Gelincik; Hulya Dirol; Ozlem Goksel; Selen Karaoglanoglu; Ferda Oner Erkekol; Sacide Rana Isik; Fusun Yildiz; Yasemin Yavuz; Dilek Karadogan; Nurgul Bozkurt; Ummuhan Seker; Ipek Kivilcim Ogu...; Serap Argun Baris; Elif Yilmazel Ucar; Tuba Erdogan; Mehmet Polatli; Dane Ediger; Fatma Esra Gunaydin; Murat Turk; Leyla Pur; Zeynep Yegin Katran; Yonca Sekibag; Enes Furkan Aykac; Dilsad Mungan; Ozcan Gul; Ali Cengiz; Bulent Akkurt; Seyma Ozden; Semra Demir; Derya Unal; Ayse Feyza Aslan; Ali Can; Reyhan Gumusburun; Gulhan Bogatekin; Hatice Serpil Akten; Sinem Inan; Munevver Erdinc; Aliye Candan Ogus; Murat Kavas; Demet Polat Yulug; Mehmet Erdem Cakmak; Saltuk Bugra Kaya; Gulistan Alpagat; Eylem Sercan Ozgur; Sule Tas Gulen; Gulseren Pekbak; Arzu Yorgancioglu; Yavuz Havlucu; Halil Donmez; Bahar Arslan; Gulden Pacaci Cetin; Sadan Soyyigit; Bilge Yilmaz Kara; Gulden Pasaoglu K...; Resat Kendirlinan; Ayse Bilge Ozturk; Can Sevinc; Gokcen Omeroglu S...; Oznur Abadoglu; Pamir Cerci; Taskin Yucel; Irfan Yorulmaz; Zahide Ciler Tezc...; Emel Cadalli Tatar; Ahmet Emre Suslu; Serdar Ozer; Engin Dursun; Gulfem Elif Celik

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.