Evaluation of abnormal Chest X-rays for hemodialysis patients
DOI:
https://doi.org/10.54361/ljmr.v17i2.02Keywords:
Chest x-ray, pulmonary edema, hemodialysis, Chronic kidney diseaseAbstract
Background: A chest x-ray is the most practical way to evaluate lung disease. There are different degrees of pulmonary abnormalities in hemodialysis patients. The diagnosis of pulmonary disease in hemodialysis patients can be challenging due to the complex findings and multiple manifestations. Objective: This study aimed to identify and evaluate the accuracy and consistency of chest radiographs in the diagnosis of pulmonary abnormalities in hemodialysis patients, Also highlight the limitations of CXR for diagnoses. Materials and methods: We collected and reviewed chest radiographs of 60 hemodialysis patients with various pulmonary manifestations. Two experienced radiologists independently interpreted CXR uptake to diagnose pulmonary disease. The degree of incompatibility among radiologists was assessed using SPSS statistical analysis (chi-square test).Results: The two radiologists showed slight agreement in pneumonia (29.6%), pleural effusion (28.6%), pulmonary edema (25.0%) and cardiomegaly (20.0%). Where the level of disagreement between radiologists 1 and 2 was in cardiomegaly (80.0%), pulmonary edema (75.0%) ), pneumonia (70.4%) and pleural effusion (71.4 %). The total level of agreement was 31.7% and 63.3% disagreement. This result indicates that there is a significant difference in terms of diagnosis (X2 = 8.067, p-value <0.05).Conclusion: The chest X-ray upon admission is limited in accurately diagnosing pulmonary abnormalities in hemodialysis patients, primarily due to the presence of multiple diseases in the same patient and the increased occurrence of pulmonary edema in these patients. This poses a challenge to diagnosis without clinical data or the utilization of other imaging techniques.
Downloads
References
Widiastuti, Ratih Tri, Kusuma Dewi, Bhisma Murti, Ervina Ruth. The Correlation between Disease Stage and Pulmonary Edema Assessed With Chest X-Ray in Chronic Kidney Disease Patients. Imaging Med. (2021) 13(1).
DAN L, HOBBS. Chest Radiography for Radiologic Technologists. July/August 2007, Vol. 78/No. 6.
Yookyung Kim, Sung Shine Shim, Jung Hee Shin, Gyu Bock Choi.Variable Pulmonary Manifestations in Hemodialysis Patient . J Korean Radiol Soc 2003;49:89-97.
Venkatesh Moger, Arun B S , Suresh H, Sagar Reddy S L . A study of respiratory manifestations in chronic kidney disease. International Journal of Biomedical Research 2017; 8(02): 70-74.
Eric Judd , Mustafa I. Ahmed , James C. Harms , Nina L. Terry. Pneumonia in hemodialysis patients: a challenging diagnosis in The emergency room . J Nephrol. 2013 ; 26(6): 1128–1135. Doi:10.5301/jn.5000296.
Wilfred Peh, Wong Siew Kune, Leonie Munro, William Rae, Fei Ling Thoo, Lai Peng Chan. Pattern recognition in diagnostic imaging.
Pranav Rajpurkar, Jeremy Irvin, Kaylie Zhu, et al. CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning. arXiv:1711.05225v3 [cs.CV] 25 Dec 2017.
Stephen M. Ellis, Christopher Flower ; editors: Harald Ostensen, Holger Pettersson . The WHO manual of diagnostic imaging : radiographic anatomy and interpretation of the chest and the pulmonary system.
Souvik Ray , subhasis Mukherjee, Joydeep Ganguly, Kumar Abhishek .A cross-sectional prospective study of pleural effusion among cases of chronic kidney disease. 2013-Oct-Dec;55(4):209-13.
Gülfidan Uzan , Hande İkitimur . Pleural Effusion in End Stage Renal Failure Patients.
Salem Saeed Alghamdia, Ikhlas Abdelaziza, Mesbah Albadria, Samaher Alyanbaawia , Rowa Aljondia . Study of cardiomegaly using chest x-ray. 2020, VOL. 13, NO. 1, 460–467.
Pradiba Amadita, Hendri Priyadi, Priatna. Correlation of Chronic Kidney Disease with Cardiomegaly Imaging in Postero anterior Chest X-ray. Copyright © 2021.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Marwan M M El marmuri, Maryem M. HemairAlswehly, Rajab M. Ben yousef , Hanadi Almakter, Salsabil Algwail, Saja Albalaze (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Open Access Policy
Libyan journal of medical Research (LJMR).is an open journal, therefore there are no fees required for downloading any publication from the journal website by authors, readers, and institution.
The journal applies the license of CC BY (a Creative Commons Attribution 4.0 International license). This license allows authors to keep ownership f the copyright of their papers. But this license permits any user to download , print out, extract, reuse, archive, and distribute the article, so long as appropriate credit is given to the authors and the source of the work.
The license ensures that the article will be available as widely as possible and that the article can be included in any scientific archive.
Editorial Policy
The publication of an article in a peer reviewed journal is an essential model for Libyan journal of medical Research (LJMR). It is necessary to agree upon standards of expected ethical behavior for all parties involved in the act of publishing: the author, the journal editorial, the peer reviewer and the publisher.
Any manuscript or substantial parts of it, submitted to the journal must not be under consideration by any other journal. In general, the manuscript should not have already been published in any journal or other citable form, although it may have been deposited on a preprint server. Authors are required to ensure that no material submitted as part of a manuscript infringes existing copyrights, or the rights of a third party.
Authorship Policy
The manuscript authorship should be limited to those who have made a significant contribution and intellectual input to the research submitted to the journal, including design, performance, interpretation of the reported study, and writing the manuscript. All those who have made significant contributions should be listed as co-authors.
Others who have participated in certain substantive aspects of the manuscript but without intellectual input should only be recognized in the acknowledgements section of the manuscript. Also, one of the authors should be selected as the corresponding author to communicate with the journal and approve the final version of the manuscript for publication in the LJMR.
Peer-review Policy
- All the manuscripts submitted to LJMR will be subjected to the double-blinded peer-review process;
- The manuscript will be reviewed by two suitable experts in the respective subject area.
- Reports of all the reviewers will be considered while deciding on acceptance/revision or rejection of a manuscript.
- Editor-In-Chief will make the final decision, based on the reviewer’s comments.
- Editor-In-Chief can ask one or more advisory board members for their suggestions upon a manuscript, before making the final decision.
- Associate editor and review editors provide administrative support to maintain the integrity of the peer-review process.
- In case, authors challenge the editor’s negative decision with suitable arguments, the manuscript can be sent to one more reviewer and the final decision will be made based upon his recommendations.