{"id":"https://openalex.org/W7224077425","doi":"https://doi.org/10.3389/fmed.2026.1980692","title":"Computed tomography in the assessment of diaphragm dysfunction: current evidence, comparison with ultrasound, and future perspectives","display_name":"Computed tomography in the assessment of diaphragm dysfunction: current evidence, comparison with ultrasound, and future perspectives","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224077425","doi":"https://doi.org/10.3389/fmed.2026.1980692"},"language":"en","primary_location":{"id":"doi:10.3389/fmed.2026.1980692","doi":"https://doi.org/10.3389/fmed.2026.1980692","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1980692","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1980692/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1980692/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5068562966","display_name":"Xinyu Yao","orcid":"https://orcid.org/0000-0003-4554-5592","observed_orcids":["https://orcid.org/0000-0003-4554-5592"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Xin-Yu Yao","raw_affiliation_strings":["Department of Anesthesiology, Suining Central Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Suining Central Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114246575","display_name":"Wanli Yang","orcid":"https://orcid.org/0009-0009-9706-3780","observed_orcids":["https://orcid.org/0009-0009-9706-3780"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wan-Li Yang","raw_affiliation_strings":["Department of Anesthesiology, Suining Central Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Suining Central Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136803414","display_name":"Ran Zhang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ran Zhang","raw_affiliation_strings":["Department of Anesthesiology, Suining Central Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Suining Central Hospital","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100639492","display_name":"Shiwei Li","orcid":"https://orcid.org/0000-0001-6521-186X","observed_orcids":["https://orcid.org/0000-0001-6521-186X"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Shi-Wei Li","raw_affiliation_strings":["Department of Anesthesiology, Suining Central Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Suining Central Hospital","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5100639492"],"corresponding_institution_ids":[],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.84789849,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10322","display_name":"Respiratory Support and Mechanisms","score":0.7240999937057495,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10322","display_name":"Respiratory Support and Mechanisms","score":0.7240999937057495,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11738","display_name":"Ultrasound in Clinical Applications","score":0.1932000070810318,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.01269999984651804,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diaphragmatic-dysfunction","display_name":"diaphragmatic dysfunction","score":0.9049999713897705},{"id":"https://openalex.org/keywords/computed-tomography","display_name":"computed tomography","score":0.9089999794960022},{"id":"https://openalex.org/keywords/diaphragm-ultrasound","display_name":"diaphragm ultrasound","score":0.8109999895095825},{"id":"https://openalex.org/keywords/diagnostic-cut-off-values","display_name":"diagnostic thresholds","score":0.8870000243186951},{"id":"https://openalex.org/keywords/weaning-from-mechanical-ventilation","display_name":"weaning from mechanical ventilation","score":0.8109999895095825},{"id":"https://openalex.org/keywords/intensive-care-unit-patients","display_name":"intensive care unit patients","score":0.578000009059906},{"id":"https://openalex.org/keywords/diaphragm-imaging","display_name":"diaphragm imaging","score":0.4480000138282776}],"concepts":[{"id":"https://openalex.org/C20463939","wikidata":"https://www.wikidata.org/wiki/Q811123","display_name":"Diaphragmatic breathing","level":3,"score":0.8414000272750854},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7833999991416931},{"id":"https://openalex.org/C164292776","wikidata":"https://www.wikidata.org/wiki/Q5271779","display_name":"Diaphragm (acoustics)","level":3,"score":0.7616999745368958},{"id":"https://openalex.org/C2993600536","wikidata":"https://www.wikidata.org/wiki/Q9654","display_name":"Diaphragm muscle","level":3,"score":0.6934000253677368},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5479000210762024},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.4343999922275543},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.40869998931884766},{"id":"https://openalex.org/C39300077","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing","level":2,"score":0.38659998774528503},{"id":"https://openalex.org/C140608501","wikidata":"https://www.wikidata.org/wiki/Q7318358","display_name":"Review article","level":2,"score":0.3797999918460846},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.3287000060081482},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.3237999975681305},{"id":"https://openalex.org/C2991859549","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Critically ill","level":2,"score":0.31380000710487366},{"id":"https://openalex.org/C2777080012","wikidata":"https://www.wikidata.org/wiki/Q3766250","display_name":"Mechanical ventilation","level":2,"score":0.3019999861717224},{"id":"https://openalex.org/C2779358675","wikidata":"https://www.wikidata.org/wiki/Q3766250","display_name":"Respiratory monitoring","level":3,"score":0.29499998688697815},{"id":"https://openalex.org/C75603125","wikidata":"https://www.wikidata.org/wiki/Q1877462","display_name":"Pulmonary function testing","level":2,"score":0.2883000075817108},{"id":"https://openalex.org/C82157600","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic test","level":2,"score":0.2791000008583069},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.273499995470047},{"id":"https://openalex.org/C2777943237","wikidata":"https://www.wikidata.org/wiki/Q2119430","display_name":"Diaphragmatic hernia","level":3,"score":0.2728999853134155},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.26759999990463257},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.2612000107765198},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.2599000036716461}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3389/fmed.2026.1980692","doi":"https://doi.org/10.3389/fmed.2026.1980692","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1980692","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1980692/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:2954bfe15f134e2cb3d1e78499f7c945","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/2954bfe15f134e2cb3d1e78499f7c945","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Medicine, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fmed.2026.1980692","doi":"https://doi.org/10.3389/fmed.2026.1980692","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1980692","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1980692/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224077425.pdf","grobid_xml":"https://content.openalex.org/works/W7224077425.grobid-xml"},"referenced_works_count":84,"referenced_works":["https://openalex.org/W156042668","https://openalex.org/W1847279168","https://openalex.org/W1925266423","https://openalex.org/W1938658076","https://openalex.org/W1965686987","https://openalex.org/W1983331035","https://openalex.org/W1993766437","https://openalex.org/W1995900769","https://openalex.org/W2002187071","https://openalex.org/W2022028038","https://openalex.org/W2023211458","https://openalex.org/W2041222333","https://openalex.org/W2046999961","https://openalex.org/W2051933815","https://openalex.org/W2052771311","https://openalex.org/W2054030154","https://openalex.org/W2062009734","https://openalex.org/W2080111208","https://openalex.org/W2081712911","https://openalex.org/W2087514383","https://openalex.org/W2096856225","https://openalex.org/W2102084953","https://openalex.org/W2105911199","https://openalex.org/W2118512631","https://openalex.org/W2121879994","https://openalex.org/W2122625985","https://openalex.org/W2124537635","https://openalex.org/W2125955627","https://openalex.org/W2137185185","https://openalex.org/W2139353809","https://openalex.org/W2147763236","https://openalex.org/W2157234927","https://openalex.org/W2158196709","https://openalex.org/W2167188061","https://openalex.org/W2188143949","https://openalex.org/W2272933370","https://openalex.org/W2276953038","https://openalex.org/W2293031531","https://openalex.org/W2312776799","https://openalex.org/W2317417416","https://openalex.org/W2425287983","https://openalex.org/W2596555589","https://openalex.org/W2600656146","https://openalex.org/W2617906072","https://openalex.org/W2754147990","https://openalex.org/W2754259319","https://openalex.org/W2768522603","https://openalex.org/W2774668925","https://openalex.org/W2779417620","https://openalex.org/W2804540921","https://openalex.org/W2897316682","https://openalex.org/W2897958564","https://openalex.org/W2937437085","https://openalex.org/W2939808962","https://openalex.org/W2939873104","https://openalex.org/W2944215108","https://openalex.org/W2950340332","https://openalex.org/W2953962000","https://openalex.org/W2955357881","https://openalex.org/W2971294875","https://openalex.org/W2981808821","https://openalex.org/W3009348454","https://openalex.org/W3015622421","https://openalex.org/W3030243311","https://openalex.org/W3036879542","https://openalex.org/W3085420778","https://openalex.org/W3109700466","https://openalex.org/W3113023844","https://openalex.org/W3122991690","https://openalex.org/W3138993325","https://openalex.org/W4210600171","https://openalex.org/W4223486196","https://openalex.org/W4239933661","https://openalex.org/W4285092002","https://openalex.org/W4292223589","https://openalex.org/W4309717526","https://openalex.org/W4311273761","https://openalex.org/W4312063602","https://openalex.org/W4313488954","https://openalex.org/W4320856448","https://openalex.org/W4379208680","https://openalex.org/W4392986735","https://openalex.org/W4401214488","https://openalex.org/W4409150091"],"related_works":["https://openalex.org/W3109700466","https://openalex.org/W2907625263","https://openalex.org/W4392986735","https://openalex.org/W3025197768","https://openalex.org/W3138993325","https://openalex.org/W4399790517","https://openalex.org/W4386124261","https://openalex.org/W3030893802","https://openalex.org/W4221118048","https://openalex.org/W6920917281"],"abstract_inverted_index":{"The":[0],"diaphragm":[1,153],"serves":[2],"as":[3,124],"a":[4,96,167],"crucial":[5],"respiratory":[6,41],"muscle":[7],"in":[8,67,140,152,213,233],"the":[9,15,44,72,87,183,208,223],"human":[10],"body,":[11],"contributing":[12],"60%\u201380%":[13],"of":[14,17,46,74,90,128,150,170,173,185,193,211,226],"work":[16],"breathing":[18],"at":[19],"rest.":[20],"Diaphragmatic":[21],"dysfunction":[22,39],"(DD)":[23],"may":[24],"arise":[25],"from":[26,119],"multiple":[27],"factors,":[28],"including":[29],"prolonged":[30],"mechanical":[31],"ventilation,":[32],"surgical":[33],"trauma,":[34],"and":[35,49,60,70,80,126,137,175,190,196,201,228],"inflammatory":[36],"responses.":[37],"This":[38,203],"escalates":[40],"effort,":[42],"increases":[43],"incidence":[45,73],"pulmonary":[47],"complications,":[48],"prolongs":[50],"hospital":[51],"stays.":[52],"Even":[53],"unilateral":[54],"DD":[55,91,174],"can":[56],"cause":[57],"ventilatory":[58],"abnormalities":[59],"impaired":[61],"gas":[62],"exchange,":[63],"complicating":[64],"weaning":[65],"processes":[66],"ICU":[68],"patients":[69],"raising":[71],"ventilator-associated":[75],"diaphragmatic":[76,82,102,194,215],"dysfunction.":[77],"Consequently,":[78],"safeguarding":[79],"monitoring":[81],"function":[83,195],"is":[84,94],"essential,":[85],"making":[86],"accurate":[88,191],"identification":[89],"critical.":[92],"Ultrasound":[93],"currently":[95],"widely":[97],"employed":[98],"tool":[99],"for":[100,188,199],"evaluating":[101],"function;":[103],"however,":[104],"clinical":[105,138],"practice":[106],"has":[107,180],"uncovered":[108],"certain":[109],"limitations":[110],"inherent":[111],"to":[112,159,182,206],"this":[113,162,234],"method.":[114],"Relevant":[115],"studies":[116],"were":[117],"sourced":[118],"publicly":[120],"accessible":[121],"databases,":[122],"such":[123],"PubMed":[125],"Web":[127],"Science,":[129],"focusing":[130],"on":[131],"CT":[132,151,212],"morphological":[133],"parameters,":[134],"diagnostic":[135],"thresholds,":[136],"applications":[139,210],"diverse":[141],"patient":[142],"populations.":[143],"Recent":[144],"findings":[145,219],"indicate":[146],"an":[147],"increased":[148],"application":[149],"assessment,":[154],"offering":[155],"complementary":[156],"structural":[157],"information":[158],"ultrasound.":[160],"Despite":[161],"progress,":[163],"existing":[164],"literature":[165],"lacks":[166],"comprehensive":[168],"review":[169],"CT-based":[171],"evaluations":[172],"comparisons":[176],"with":[177,220],"ultrasound,":[178,221],"which":[179],"led":[181],"underutilization":[184],"CT's":[186],"potential":[187,224],"rapid":[189],"assessment":[192],"subsequent":[197],"guidance":[198],"diagnosis":[200],"treatment.":[202],"article":[204],"aims":[205],"summarize":[207],"current":[209],"assessing":[214],"function,":[216],"compare":[217],"these":[218],"analyze":[222],"advantages":[225],"CT,":[227],"outline":[229],"future":[230],"research":[231],"directions":[232],"area.":[235]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-29T00:00:00"}
