{"id":"https://openalex.org/W7225116366","doi":"https://doi.org/10.3329/medtoday.v38i2.94373","title":"Radiographic Thoracic Cage Parameters as Indicators of Pulmonary Dysfunction in COPD: A Clinical Study","display_name":"Radiographic Thoracic Cage Parameters as Indicators of Pulmonary Dysfunction in COPD: A Clinical Study","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7225116366","doi":"https://doi.org/10.3329/medtoday.v38i2.94373"},"language":"en","primary_location":{"id":"doi:10.3329/medtoday.v38i2.94373","doi":"https://doi.org/10.3329/medtoday.v38i2.94373","is_oa":true,"landing_page_url":"https://doi.org/10.3329/medtoday.v38i2.94373","pdf_url":"https://www.banglajol.info/index.php/MEDTODAY/article/download/94373/60725","source":{"id":"https://openalex.org/S4210195798","display_name":"Medicine Today","issn_l":"1810-1828","issn":["1810-1828","2408-8714"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine Today","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.banglajol.info/index.php/MEDTODAY/article/download/94373/60725","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103839365","display_name":"Mohammed Asaduzzaman Khan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387153384","display_name":"Dhaka National Medical College","ror":"https://ror.org/022chd503","country_code":"BD","type":"education","lineage":["https://openalex.org/I4387153384"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Mohammed Asaduzzaman Khan","raw_affiliation_strings":["Assistant Professor, Department of Respiratory Medicine, Dhaka National Medical College, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor, Department of Respiratory Medicine, Dhaka National Medical College, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I4387153384"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070912559","display_name":"Farhana Akter","orcid":"https://orcid.org/0000-0002-4488-9388","observed_orcids":["https://orcid.org/0000-0002-4488-9388","https://orcid.org/0009-0006-1203-4939"]},"institutions":[{"id":"https://openalex.org/I4387153384","display_name":"Dhaka National Medical College","ror":"https://ror.org/022chd503","country_code":"BD","type":"education","lineage":["https://openalex.org/I4387153384"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Farhana Akter","raw_affiliation_strings":["Associate Professor, Department of Anatomy, Dhaka National Medical College, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Associate Professor, Department of Anatomy, Dhaka National Medical College, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I4387153384"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160361799","display_name":"Mohammad Shafiqul Islam","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387153384","display_name":"Dhaka National Medical College","ror":"https://ror.org/022chd503","country_code":"BD","type":"education","lineage":["https://openalex.org/I4387153384"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Mohammad Shafiqul Islam","raw_affiliation_strings":["Assistant Professor, Department of Respiratory Medicine, Dhaka National Medical College,  Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor, Department of Respiratory Medicine, Dhaka National Medical College,  Dhaka, Bangladesh","institution_ids":["https://openalex.org/I4387153384"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5156864769","display_name":"Mushfika Rahman","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mushfika Rahman","raw_affiliation_strings":["Professor, Department of Anatomy, Dr. Sirajul Islam Medical College, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor, Department of Anatomy, Dr. Sirajul Islam Medical College, Dhaka, Bangladesh","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5041668361","display_name":"Md Shahen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387153384","display_name":"Dhaka National Medical College","ror":"https://ror.org/022chd503","country_code":"BD","type":"education","lineage":["https://openalex.org/I4387153384"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Md Shahen","raw_affiliation_strings":["Professor (c.c), Department of Respiratory Medicine, Dhaka National Medical College, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor (c.c), Department of Respiratory Medicine, Dhaka National Medical College, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I4387153384"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86849686,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"38","issue":"2","first_page":"218","last_page":"222"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":1.0,"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/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":1.0,"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/T10051","display_name":"Asthma and respiratory diseases","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"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/T10322","display_name":"Respiratory Support and Mechanisms","score":0.0,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.996999979019165},{"id":"https://openalex.org/keywords/chest-x-ray","display_name":"chest radiography","score":0.8339999914169312},{"id":"https://openalex.org/keywords/pulmonary-dysfunction","display_name":"pulmonary dysfunction","score":0.6899999976158142},{"id":"https://openalex.org/keywords/anteroposterior-diameter","display_name":"anteroposterior diameter","score":0.9419999718666077},{"id":"https://openalex.org/keywords/hyperinflation","display_name":"hyperinflation","score":0.8149999976158142},{"id":"https://openalex.org/keywords/copd-severity","display_name":"COPD severity","score":0.878000020980835},{"id":"https://openalex.org/keywords/biomass-exposure","display_name":"biomass exposure","score":0.46399998664855957},{"id":"https://openalex.org/keywords/acute-exacerbation-of-copd","display_name":"COPD exacerbations","score":0.7770000100135803}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9625999927520752},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.7793999910354614},{"id":"https://openalex.org/C2776780178","wikidata":"https://www.wikidata.org/wiki/Q199804","display_name":"COPD","level":2,"score":0.7184000015258789},{"id":"https://openalex.org/C2780333948","wikidata":"https://www.wikidata.org/wiki/Q653305","display_name":"Spirometry","level":3,"score":0.6169000267982483},{"id":"https://openalex.org/C75603125","wikidata":"https://www.wikidata.org/wiki/Q1877462","display_name":"Pulmonary function testing","level":2,"score":0.5853999853134155},{"id":"https://openalex.org/C160306043","wikidata":"https://www.wikidata.org/wiki/Q2576226","display_name":"Rib cage","level":2,"score":0.5794000029563904},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4763999879360199},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4406999945640564},{"id":"https://openalex.org/C2777714996","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung","level":2,"score":0.43479999899864197},{"id":"https://openalex.org/C27101514","wikidata":"https://www.wikidata.org/wiki/Q206120","display_name":"Lung volumes","level":3,"score":0.42820000648498535},{"id":"https://openalex.org/C97834683","wikidata":"https://www.wikidata.org/wiki/Q942508","display_name":"Thorax (insect anatomy)","level":2,"score":0.38440001010894775},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.3749000132083893},{"id":"https://openalex.org/C2779885562","wikidata":"https://www.wikidata.org/wiki/Q994554","display_name":"Thoracic cavity","level":2,"score":0.35929998755455017},{"id":"https://openalex.org/C20463939","wikidata":"https://www.wikidata.org/wiki/Q811123","display_name":"Diaphragmatic breathing","level":3,"score":0.35850000381469727},{"id":"https://openalex.org/C2992779976","wikidata":"https://www.wikidata.org/wiki/Q3286546","display_name":"Pulmonary disease","level":2,"score":0.3479999899864197},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2955000102519989},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2897000014781952},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.28459998965263367},{"id":"https://openalex.org/C2776178081","wikidata":"https://www.wikidata.org/wiki/Q3286546","display_name":"Respiratory disease","level":3,"score":0.28450000286102295},{"id":"https://openalex.org/C2987828669","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical study","level":2,"score":0.2822999954223633},{"id":"https://openalex.org/C2777543607","wikidata":"https://www.wikidata.org/wiki/Q1153419","display_name":"Interstitial lung disease","level":3,"score":0.25999999046325684},{"id":"https://openalex.org/C2780913275","wikidata":"https://www.wikidata.org/wiki/Q578786","display_name":"Thoracic vertebrae","level":4,"score":0.25870001316070557},{"id":"https://openalex.org/C165637977","wikidata":"https://www.wikidata.org/wiki/Q11067835","display_name":"Diffusing capacity","level":4,"score":0.2581000030040741},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.25200000405311584},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.25119999051094055}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3329/medtoday.v38i2.94373","doi":"https://doi.org/10.3329/medtoday.v38i2.94373","is_oa":true,"landing_page_url":"https://doi.org/10.3329/medtoday.v38i2.94373","pdf_url":"https://www.banglajol.info/index.php/MEDTODAY/article/download/94373/60725","source":{"id":"https://openalex.org/S4210195798","display_name":"Medicine Today","issn_l":"1810-1828","issn":["1810-1828","2408-8714"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine Today","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3329/medtoday.v38i2.94373","doi":"https://doi.org/10.3329/medtoday.v38i2.94373","is_oa":true,"landing_page_url":"https://doi.org/10.3329/medtoday.v38i2.94373","pdf_url":"https://www.banglajol.info/index.php/MEDTODAY/article/download/94373/60725","source":{"id":"https://openalex.org/S4210195798","display_name":"Medicine Today","issn_l":"1810-1828","issn":["1810-1828","2408-8714"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine Today","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225116366.pdf","grobid_xml":"https://content.openalex.org/works/W7225116366.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W2002726093","https://openalex.org/W2036395412","https://openalex.org/W2072813786","https://openalex.org/W2128643205","https://openalex.org/W2791958145","https://openalex.org/W4400264077"],"related_works":["https://openalex.org/W2791958145","https://openalex.org/W4416813651","https://openalex.org/W3011086728","https://openalex.org/W3111934872","https://openalex.org/W3131352960","https://openalex.org/W7224370558","https://openalex.org/W1880111554","https://openalex.org/W7221279090","https://openalex.org/W2022820873","https://openalex.org/W7217785217"],"abstract_inverted_index":{"Introduction:":[0],"Chronic":[1],"obstructive":[2],"pulmonary":[3,48,80,137,248],"disease":[4,83],"(COPD)":[5],"is":[6],"a":[7,65,169],"progressive":[8],"disorder":[9],"marked":[10],"by":[11],"irreversible":[12],"airflow":[13],"limitation":[14],"and":[15,30,36,59,75,82,91,107,128,136,151,156,181,196,202,209,221],"structural":[16],"lung":[17],"changes.":[18],"Radiographic":[19,230],"thoracic":[20,56,72,125,231],"cage":[21,57,73,126,232],"alterations":[22],"such":[23],"as":[24],"increased":[25],"anteroposterior":[26],"diameter,":[27],"diaphragmatic":[28,197],"flattening,":[29],"rib":[31],"horizontalization":[32],"reflect":[33,246],"underlying":[34,247],"hyperinflation":[35],"impaired":[37],"respiratory":[38],"mechanics.":[39],"Assessing":[40],"these":[41],"simple":[42,241],"radiographic":[43,71,124],"parameters":[44,74],"may":[45],"help":[46],"predict":[47],"dysfunction.":[49,249],"This":[50,93],"study":[51,95,163],"evaluates":[52],"the":[53,99,226],"association":[54,78],"between":[55],"morphology":[58],"COPD":[60,88,117,166,237],"severity":[61,84],"among":[62],"patients":[63,167],"in":[64,85,190,194,199,207,225],"clinical":[66],"setting.":[67],"Objectives:":[68],"To":[69],"assess":[70],"determine":[76],"their":[77],"with":[79,168,236],"dysfunction":[81],"clinically":[86],"diagnosed":[87],"patients.":[89,118],"Materials":[90],"Methods:":[92],"cross-sectional":[94],"was":[96,188],"conducted":[97],"at":[98],"Respiratory":[100],"Medicine":[101,250],"Department,":[102],"Dhaka":[103],"National":[104],"Medical":[105],"College":[106],"Hospital,":[108],"from":[109],"June":[110],"2024":[111],"to":[112],"May":[113],"2025,":[114],"including":[115],"146":[116,165],"Data":[119,142],"on":[120],"demographics,":[121],"smoking":[122],"history,":[123],"parameters,":[127],"spirometry":[129],"results":[130],"were":[131,140,143,159,178,183],"collected.":[132],"Standardized":[133],"chest":[134,242],"radiographs":[135,243],"function":[138],"tests":[139],"performed.":[141],"analyzed":[144],"using":[145],"SPSS":[146],"26,":[147],"applying":[148],"descriptive":[149],"statistics":[150],"chi-square":[152],"tests.":[153],"Ethical":[154],"approval":[155],"informed":[157],"consent":[158],"obtained.":[160],"Result:":[161],"The":[162],"included":[164],"mean":[170],"age":[171],"of":[172],"62.1":[173],"\u00b1":[174],"8.7":[175],"years;":[176],"38.4%":[177],"aged":[179],"60\u201369,":[180],"69.9%":[182],"male.":[184],"Increased":[185],"AP":[186],"diameter":[187],"found":[189],"50.7%,":[191],"horizontal":[192],"ribs":[193],"61%,":[195],"flattening":[198],"65.8%.":[200],"Severe":[201],"very":[203],"severe":[204],"obstruction":[205],"occurred":[206],"37.7%":[208],"26%,":[210],"respectively.":[211],"Biomass":[212],"exposure":[213],"affected":[214],"59.6%,":[215],"while":[216],"37%":[217],"had":[218,223],"2\u20133":[219],"exacerbations":[220],"21.9%":[222],"\u22654":[224],"past":[227],"year.":[228],"Conclusion:":[229],"changes":[233],"strongly":[234],"correlate":[235],"severity,":[238],"indicating":[239],"that":[240],"can":[244],"effectively":[245],"Today":[251],"2026,":[252],"Vol.38":[253],"(2):":[254],"218-222":[255]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-11-03T00:00:00"}