Imperial College London

PROFESSOR DAVID HANSELL

Faculty of MedicineNational Heart & Lung Institute

Emeritus Professor of Thoracic Imaging
 
 
 
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Contact

 

d.m.hansell Website

 
 
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Location

 

RadiologySouth BlockRoyal Brompton Campus

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Summary

 

Publications

Publication Type
Year
to

396 results found

Brains KE, Lifford K, Carter B, McRonald F, Yadegarfar G, Baldwin D, Weller D, Hansell DM, Duffy SW, Field JKet al., 2014, IMPACT OF LUNG CANCER SCREENING IN A HIGH-RISK POPULATION: THE UK LUNG SCREENING (UKLS) TRIAL, INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, Vol: 21, Pages: S81-S81, ISSN: 1070-5503

Journal article

Yancheva S, Velani A, Rice A, Montero A, Hansell DM, Koo S, Thia L, Bush A, Nicholson Aet al., 2014, Bombesin staining in Neuroendocrine cell Hyperplasia of Infancy (NEHI) and other childhood Interstitial Lung Diseases (chILD), VIRCHOWS ARCHIV, Vol: 465, Pages: S30-S30, ISSN: 0945-6317

Journal article

Lunt A, Desai SR, Wells AU, Hansell DM, Mushemi S, Melikian N, Shah AM, Thein SL, Greenough Aet al., 2014, Pulmonary function, CT and echocardiographic abnormalities in sickle cell disease, THORAX, Vol: 69, Pages: 746-751, ISSN: 0040-6376

Journal article

Camus P, von der Thusen J, Hansell DM, Colby TVet al., 2014, Pleuroparenchymal fibroelastosis: one more walk on the wild side of drugs?, EUROPEAN RESPIRATORY JOURNAL, Vol: 44, Pages: 289-296, ISSN: 0903-1936

Journal article

Desai SR, Edey AJ, Hansell DM, Shah A, Land D, Arnott S, Barker RD, Wells AUet al., 2014, Morphologic Predictors of a Microbiological Yield in Patients With a Tree-in-Bud Pattern on Computed Tomography, JOURNAL OF THORACIC IMAGING, Vol: 29, Pages: 240-245, ISSN: 0883-5993

Journal article

Zoumot Z, Boutou AK, Gill SS, Van Zeller M, Hansell DM, Wells AU, Wilson R, Loebinger MRet al., 2014, Mycobacterium avium complex infection in non-cystic fibrosis bronchiectasis, RESPIROLOGY, Vol: 19, Pages: 714-722, ISSN: 1323-7799

Journal article

Richeldi L, Cottin V, Flaherty KR, Kolb M, Inoue Y, Raghu G, Taniguchi H, Hansell DM, Nicholson AG, Le Maulf F, Stowasser S, Collard HRet al., 2014, Design of the INPULSIS<SUP>™</SUP> trials: Two phase 3 trials of nintedanib in patients with idiopathic pulmonary fibrosis, RESPIRATORY MEDICINE, Vol: 108, Pages: 1023-1030, ISSN: 0954-6111

Journal article

Richeldi L, du Bois RM, Raghu G, Azuma A, Brown KK, Costabel U, Cottin V, Flaherty KR, Hansell DM, Inoue Y, Kim DS, Kolb M, Nicholson AG, Noble PW, Selman M, Taniguchi H, Brun M, Le Maulf F, Girard M, Stowasser S, Schlenker-Herceg R, Disse B, Collard HRet al., 2014, Efficacy and Safety of Nintedanib in Idiopathic Pulmonary Fibrosis, NEW ENGLAND JOURNAL OF MEDICINE, Vol: 370, Pages: 2071-2082, ISSN: 0028-4793

Journal article

Dhariwal J, Tennant RC, Hansell DM, Westwick J, Walker C, Ward SP, Pride N, Barnes PJ, Kon OM, Hansel TTet al., 2014, Smoking Cessation in COPD Causes a Transient Improvement in Spirometry and Decreases Micronodules on High-Resolution CT Imaging, CHEST, Vol: 145, Pages: 1006-1015, ISSN: 0012-3692

Journal article

Jacob J, Nair A, Hansell DM, 2014, High-Resolution Computed Tomography of the Pulmonary Manifestations of Connective Tissue Diseases, SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, Vol: 35, Pages: 166-180, ISSN: 1069-3424

Journal article

Spagnolo P, Sverzellati N, Wells AU, Hansell DMet al., 2014, Imaging aspects of the diagnosis of sarcoidosis, EUROPEAN RADIOLOGY, Vol: 24, Pages: 807-816, ISSN: 0938-7994

Journal article

Keir GJ, Maher TM, Ming D, Abdullah R, de Lauretis A, Wickremasinghe M, Nicholson AG, Hansell DM, Wells AU, Renzoni EAet al., 2014, Rituximab in severe, treatment-refractory interstitial lung disease, RESPIROLOGY, Vol: 19, Pages: 353-359, ISSN: 1323-7799

Journal article

Baldwin DR, Hansell DM, Duffy SW, Field JKet al., 2014, Lung cancer screening with low dose computed tomography, BMJ-BRITISH MEDICAL JOURNAL, Vol: 348, ISSN: 1756-1833

Journal article

Keir GJ, Garfield B, Hansell DM, Loebinger MR, Wilson R, Renzoni EA, Wells AU, Maher TMet al., 2014, Cyclical caspofungin for chronic pulmonary aspergillosis in sarcoidosis, THORAX, Vol: 69, Pages: 287-U93, ISSN: 0040-6376

Journal article

Walsh SLF, Sverzellati N, Devaraj A, Keir GJ, Wells AU, Hansell DMet al., 2014, Connective tissue disease related fibrotic lung disease: high resolution computed tomographic and pulmonary function indices as prognostic determinants, THORAX, Vol: 69, Pages: 216-222, ISSN: 0040-6376

Journal article

McRonald FE, Yadegarfar G, Baldwin DR, Devaraj A, Brain KE, Eisen T, Holemans JA, Ledson M, Screaton N, Rintoul RC, Hands CJ, Lifford K, Whynes D, Kerr KM, Page R, Parmar M, Wald N, Weller D, Williamson PR, Myles J, Hansell DM, Duffy SW, Field JKet al., 2014, The UK Lung Screen (UKLS): Demographic Profile of First 88,897 Approaches Provides Recommendations for Population Screening, CANCER PREVENTION RESEARCH, Vol: 7, Pages: 362-371, ISSN: 1940-6207

Journal article

Walsh SLF, Wells AU, Sverzellati N, Keir GJ, Calandriello L, Antoniou KM, Copley SJ, Devaraj A, Maher TM, Renzoni E, Nicholson AG, Hansel DMet al., 2014, An integrated clinicoradiological staging system for pulmonary sarcoidosis: a case-cohort study, The Lancet Respiratory Medicine, Vol: 2, Pages: 123-130, ISSN: 2213-2600

BackgroundMortality in pulmonary sarcoidosis is highly variable and a reliable prognostic algorithm for disease staging and for guiding management decisions is needed. The objective of this study is to derive and test a staging system for determining prognosis in pulmonary sarcoidosis.MethodsWe identified the prognostic value of high-resolution computed tomography (HRCT) patterns and pulmonary function tests, including the composite physiological index (CPI) in patients with pulmonary sarcoidosis. We integrated prognostic physiological and HRCT variables to form a clinical staging algorithm predictive of mortality in a test cohort. The staging system was externally validated in a separate cohort by the same methods of discrimination used in the primary analysis and tested for clinical applicability by four test observers.FindingsThe test cohort included 251 patients with pulmonary sarcoidosis in the study referred to the Sarcoidosis clinic at the Royal Brompton Hospital, UK, between Jan 1, 2000, and June 30, 2010. The CPI was the strongest predictor of mortality (HR 1·04, 95% CI 1·02–1·06, p<0·0001) in the test cohort. An optimal CPI threshold of 40 units was identified (HR 4·24, 2·84–6·33, p<0·0001). The CPI40, main pulmonary artery diameter to ascending aorta diameter ratio (MPAD/AAD), and an extent of fibrosis threshold of 20% were combined to form a staging algorithm. When assessed in the validation cohort (n=252), this staging system was strikingly more predictive of mortality than any individual variable alone (HR 5·89, 2·68–10·08, p<0·0001). The staging system was successfully applied to the test and validation cohorts combined, by two radiologists and two physicians.InterpretationA clear prognostic separation of patients with pulmonary sarcoidosis is provided by a simple staging system integrating the CPI and two HRCT variables.FundingNational Insti

Journal article

Nair A, Hansell DM, 2014, High-Resolution Computed Tomography Features of Smoking-Related Interstitial Lung Disease, SEMINARS IN ULTRASOUND CT AND MRI, Vol: 35, Pages: 59-71, ISSN: 0887-2171

Journal article

Walsh SLF, Hansell DM, 2014, High-Resolution CT of Interstitial Lung Disease: A Continuous Evolution, SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, Vol: 35, Pages: 129-144, ISSN: 1069-3424

Journal article

Zappala CJ, Desai SR, Copley SJ, Spagnolo P, Cramer D, Sen D, Alam SM, du Bois RM, Hansell DM, Wells AUet al., 2014, Accuracy of Individual Variables in the Monitoring of Long-term Change in Pulmonary Sarcoidosis as Judged by Serial High-Resolution CT Scan Data, CHEST, Vol: 145, Pages: 101-107, ISSN: 0012-3692

Journal article

Field JK, Devaraj A, Baldwin DR, Holemans J, Screaton N, Ledson M, Rintoul RC, Nair A, Gosney JR, Rassl DM, Kerr KM, Duffy S, Hansell DMet al., 2014, UK Lung Cancer Screening trial (UKLS): Prevalence data at baseline, LUNG CANCER, Vol: 83, Pages: S24-S25, ISSN: 0169-5002

Journal article

Kokosi M, Schreiber B, Haddock J, Coghlan G, Marino P, Wort J, Hansell DM, Wells AUet al., 2014, Lung Parenchyma Density Gradient At Computed Tomography In Patients With Idiopathic Pulmonary Arterial Hypertension, AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, Vol: 189, ISSN: 1073-449X

Journal article

Field JK, Hansell DM, Duffy SW, Baldwin DRet al., 2013, CT screening for lung cancer: countdown to implementation, LANCET ONCOLOGY, Vol: 14, Pages: E591-E600, ISSN: 1470-2045

Journal article

Antoniou KM, Walsh SL, Hansell DM, Rubens MR, Marten K, Tennant R, Hansel T, Desai SR, Siafakas NM, du Bois RM, Wells AUet al., 2013, Smoking-related emphysema is associated with idiopathic pulmonary fibrosis and rheumatoid lung, RESPIROLOGY, Vol: 18, Pages: 1191-1196, ISSN: 1323-7799

Journal article

Irving SJ, Ives A, Davies G, Donovan J, Edey AJ, Gill SS, Nair A, Saunders C, Wijesekera NT, Alton EWFW, Hansell D, Hogg C, Davies JC, Bush Aet al., 2013, Lung Clearance Index and High-Resolution Computed Tomography Scores in Primary Ciliary Dyskinesia, AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, Vol: 188, Pages: 545-549, ISSN: 1073-449X

Journal article

Abdullah R, Ming D, Keir G, Maher T, Wells A, Renzoni Eet al., 2013, Rituximab in severe, treatment-refractory interstitial lung disease, EUROPEAN RESPIRATORY JOURNAL, Vol: 42, ISSN: 0903-1936

Journal article

Hansell DM, 2013, Classification of Diffuse Lung Diseases: Why and How, RADIOLOGY, Vol: 268, Pages: 628-640, ISSN: 0033-8419

Journal article

Lota HK, Keir GJ, Hansell DM, Nicholson AG, Maher TM, Wells AU, Renzoni EAet al., 2013, Novel use of rituximab in hypersensitivity pneumonitis refractory to conventional treatment, THORAX, Vol: 68, ISSN: 0040-6376

Journal article

Sykes A, Brooks T, Dusmet M, Nicholson AG, Hansell DM, Wilson Ret al., 2013, Inhalational anthrax in a vaccinated soldier, EUROPEAN RESPIRATORY JOURNAL, Vol: 42, Pages: 285-287, ISSN: 0903-1936

Journal article

Horsley AR, Davies JC, Gray RD, Macleod KA, Donovan J, Aziz ZA, Bell NJ, Rainer M, Mt-Isa S, Voase N, Dewar MH, Saunders C, Gibson JS, Parra-Leiton J, Larsen MD, Jeswiet S, Soussi S, Bakar Y, Meister MG, Tyler P, Doherty A, Hansell DM, Ashby D, Hyde SC, Gill DR, Greening AP, Porteous DJ, Innes JA, Boyd AC, Griesenbach U, Cunningham S, Alton EWFWet al., 2013, Changes in physiological, functional and structural markers of cystic fibrosis lung disease with treatment of a pulmonary exacerbation, Thorax, Vol: 68, Pages: 532-539, ISSN: 1468-3296

Background Clinical trials in cystic fibrosis (CF) have been hindered by the paucity of well characterised and clinically relevant outcome measures.Aim To evaluate a range of conventional and novel biomarkers of CF lung disease in a multicentre setting as a contributing study in selecting outcome assays for a clinical trial of CFTR gene therapy.Methods A multicentre observational study of adult and paediatric patients with CF (>10 years) treated for a physician-defined exacerbation of CF pulmonary symptoms. Measurements were performed at commencement and immediately after a course of intravenous antibiotics. Disease activity was assessed using 46 assays across five key domains: symptoms, lung physiology, structural changes on CT, pulmonary and systemic inflammatory markers.Results Statistically significant improvements were seen in forced expiratory volume in 1 s (p<0.001, n=32), lung clearance index (p<0.01, n=32), symptoms (p<0.0001, n=37), CT scores for airway wall thickness (p<0.01, n=31), air trapping (p<0.01, n=30) and large mucus plugs (p=0.0001, n=31), serum C-reactive protein (p<0.0001, n=34), serum interleukin-6 (p<0.0001, n=33) and serum calprotectin (p<0.0001, n=31).Discussion We identify the key biomarkers of inflammation, imaging and physiology that alter alongside symptomatic improvement following treatment of an acute CF exacerbation. These data, in parallel with our study of biomarkers in patients with stable CF, provide important guidance in choosing optimal biomarkers for novel therapies. Further, they highlight that such acute therapy predominantly improves large airway parameters and systemic inflammation, but has less effect on airway inflammation.

Journal article

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