Evidence map›Paper›PMID 42676904›Full record

ArticleRadiology case reports2026

Upright MDCT evaluation of gravity-induced bronchial collapse and paradoxical lung volume reduction in severe thoracic lordoscoliosis: A case report.

Akira Inoue, Kota Watanabe, Satoshi Suzuki, Yoshitake Yamada, Masaya Nakamura, Masahiro Jinzaki

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Akira InoueDepartment of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Kota WatanabeDepartment of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Satoshi SuzukiDepartment of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Yoshitake YamadaDepartment of Radiology, Keio University School of Medicine, Tokyo, Japan.
Masaya NakamuraDepartment of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Masahiro JinzakiDepartment of Radiology, Keio University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 21-year-old male with severe thoracic lordoscoliosis presented with progressive dyspnea, which worsened in the upright position. Because standing whole-spine radiographs showed postural exacerbation of lordoscoliosis, upright multidetector computed tomography (MDCT) was performed in addition to conventional supine imaging to assess dynamic anatomical changes under gravitational influence. Preoperative upright MDCT revealed significant dynamic bronchial collapse. The right main bronchus diameter decreased from 3.23 mm in the supine position to 1.15 mm in the upright position, representing a 64.4% reduction. Simultaneously, lung volume paradoxically decreased by 30% upon standing. These findings were consistent with posture-dependent worsening of deformity-induced airway compromise and intrathoracic volume reduction under gravitational loading. Postoperatively, upright lung volume increased by 77.5%, with resolved bronchial compression. Upright MDCT may provide valuable adjunctive diagnostic support by quantifying deformity-induced respiratory dysfunction that may not be fully captured by conventional supine imaging, particularly when symptoms are posture-dependent.

Indexed as

Posterior spinal fusionRespiratory functionThoracic lordoscoliosisUpright MDCT

Identifiers

PMID42676904
PMCPMC13527491

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.