{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T06:12:22Z","timestamp":1777356742534,"version":"3.51.4"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. bras. pneumol."],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:p>OBJETIVO: Comparar achados de TCAR em pacientes com fibrose c\u00edstica (FC) colonizados cronicamente por Pseudomonas aeruginosa ou Staphylococcus aureus, empregando o escore de Bhalla modificado, e avaliar as confiabilidades intraobservador e interobservador do m\u00e9todo. M\u00c9TODOS: Estudo transversal retrospectivo incluindo 41 pacientes portadores de FC, 26 dos quais colonizados cronicamente por P. aeruginosa (grupo Pa) e 15 por S. aureus (grupo Sa). Dois radiologistas analisaram independentemente em duas ocasi\u00f5es, as imagens de TCAR desses pacientes e aplicaram o escore de Bhalla modificado. As confiabilidades intra e interobservador foram avaliadas segundo o coeficiente de correla\u00e7\u00e3o intraclasse (CCI). RESULTADOS: Houve boa concord\u00e2ncia intraobservador e interobservador (CCI &gt; 0,8). Os resultados dos escores do grupo Pa foram mais elevados que os do grupo Sa para o observador 1 (m\u00e9dia de 13,50 \u00b1 3,90 e mediana de 13,5 vs. m\u00e9dia de 5,0 \u00b1 5,28 e mediana de 3,0) e para o observador 2 (m\u00e9dia de 11,96 \u00b1 5,07 e mediana de 12,0 vs. m\u00e9dia de 5,07 \u00b1 5,65 e mediana de 5,0). Altera\u00e7\u00f5es tomogr\u00e1ficas, como bronquiectasias, espessamento das paredes br\u00f4nquicas, forma\u00e7\u00e3o de tamp\u00f5es mucosos, comprometimento de gera\u00e7\u00f5es de divis\u00f5es br\u00f4nquicas e padr\u00e3o de atenua\u00e7\u00e3o em mosaico, foram mais prevalentes no grupo colonizado por P. aeruginosa. CONCLUS\u00d5ES: O escore de Bhalla modificado se mostrou reprodut\u00edvel e confi\u00e1vel para a avalia\u00e7\u00e3o de TCAR e permitiu a diferencia\u00e7\u00e3o entre os pacientes inclu\u00eddos nos dois grupos. Escores mais altos no grupo Pa evidenciaram maior comprometimento estrutural pulmonar nesse grupo.<\/jats:p>","DOI":"10.1590\/s1806-37132012000100007","type":"journal-article","created":{"date-parts":[[2012,3,8]],"date-time":"2012-03-08T01:24:33Z","timestamp":1331169873000},"page":"41-49","source":"Crossref","is-referenced-by-count":19,"title":["Escore tomogr\u00e1fico em pacientes com fibrose c\u00edstica colonizados por Pseudomonas aeruginosa ou Staphylococcus aureus"],"prefix":"10.1590","volume":"38","author":[{"given":"Tania Wrobel","family":"Folescu","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth de Andrade","family":"Marques","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcia Cristina Bastos","family":"Boechat","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Daltro","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurinda Yoko Shinzato","family":"Higa","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata Wrobel Folescu","family":"Cohen","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1148\/radiology.213.2.r99nv04537","article-title":"Cystic fibrosis: CT assessment of lung involvement in children and adults","volume":"213","author":"Helbich TH","year":"1999","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1097\/00063198-200311000-00008","article-title":"Pseudomonas acquisition in young patients with cystic fibrosis: pathophysiology, diagnosis, and management","volume":"9","author":"Rosenfeld M","year":"2003","journal-title":"Curr Opin Pulm Med","ISSN":"https:\/\/id.crossref.org\/issn\/1078-1641","issn-type":"print"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1148\/radiol.2312021393","article-title":"Pulmonary disease assessment in cystic fibrosis: comparison of CT scoring systems and value of bronchial and arterial dimension measurements","volume":"231","author":"de Jong PA","year":"2004","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.jpeds.2004.02.038","article-title":"High-resolution computed tomography in young patients with cystic fibrosis: distribution of abnormalities and correlation with pulmonary function tests","volume":"145","author":"Brody AS","year":"2004","journal-title":"J Pediatr","ISSN":"https:\/\/id.crossref.org\/issn\/0022-3476","issn-type":"print"},{"issue":"6","key":"ref5","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1007\/s00247-010-1589-7","article-title":"The role of advanced imaging techniques in cystic fibrosis follow-up: is there a place for MRI?","volume":"40","author":"Puderbach M","year":"2010","journal-title":"Pediatr Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/0301-0449","issn-type":"print"},{"issue":"4","key":"ref6","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/S0022-3476(98)70344-0","article-title":"The diagnosis of cystic fibrosis: a consensus statement. 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