COMPARATIVE ASSESSMENT OF CHEMOTHERAPY EFFICIENCY MONITORING IN PULMONARY TUBERCULOSIS PATIENTS BY X-RAY EXAMINATION AND DIGITAL TOMOSYNTHESIS
https://doi.org/10.21292/2075-1230-2016-94-12-15-19
Abstract
Goal of the study: to investigate the capabilities of digital tomosynthesis for monitoring of tuberculous changes in the lungs against the background of chemotherapy.
Materials and methods. Results of chemotherapy efficiency monitored by X-ray in 55 respiratory tuberculosis patients were analyzed. Before treatment and in 2 months after chemotherapy start all patients had X-ray and DT with consequent analysis of the obtained data.
Results. When monitoring the efficiency of drug therapy for pulmonary tuberculosis by DT some additional diagnostic data were obtained in 36,4% of cases compared to X-ray. The article describes specific features of tuberculous changes visualization of the chest with the follow-up of changes by DT; opportunities for X-ray monitoring efficiency enhancement in these patients are presented.
Conclusions. DT provides more accurate evaluation of tuberculous changes in the lungs compared to X-ray, which greatly enhances understanding of the course of the disease and registration of the pulmonary disease cure.
About the Authors
M. M. Nikitin
University Clinical Phthisiopulmonology Hospital of I. M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
X-ray Doctor,
4, Dostoevsky St., Moscow, 127994
A. S. Puzko
University Clinical Phthisiopulmonology Hospital of I. M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
TB Doctor,
4, Dostoevsky St., Moscow, 127994
G. V. Ratobylsky
University Clinical Phthisiopulmonology Hospital of I. M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Head of X-ray Diagnostics Department,
4, Dostoevsky St., Moscow, 127994
References
1. Lazareva Ya.V. Kompyuternaya tomografiya v diagnostike tuberkulyoza organov dykhaniya. Diss. dokt. med. nauk. [Computer tomography for diagnostics of respiratory tuberculosis. Doct. Diss.]. Moscow, 2002.
2. Edict no. 951 by RF MoH as of 29.19.2014 On Approval of Guidelines for Improvement of Respiratory Tuberculosis Diagnostics and Treatment. (In Russ.)
3. Tyurin I.E. New horizons of thoracic radiology. Poliklinika, Special Issue, 2013/2014, no. 2, pp. 12-17. (In Russ.)
4. Battezzati G., Gollini P., Rahnama S. Use of digital tomosynthesis in pulmonary mycobacterial disease: a preliminary experience. ESTI congress. 2012, DOI: 10.1594/esti2012/E-0112.
5. Chou S.H., Kicska G.A., Pipavath S.N. et al. Digital tomosynthesis of the chest: current and emerging applications. RadioGraphics, 2014, vol. 34, no. 2, pp. 359-372.
6. Kim E.Y., Chung M.J., Lee H.Y. et al. Pulmonary mycobacterial disease: diagnostic performance of low-dose digital tomosynthesis as compared with chest radiography. Radiology, 2010, vol. 257, no. 1, pp. 269-277.
7. Sharma M., Sandhu M.S., Gorsi U. et al. Role of digital tomosynthesis and dual energy subtraction digital radiography in detection of parenchymal lesions in active pulmonary tuberculosis. Eur. J. Radiol., 2015, vol. 84, no. 9, pp. 1820-1827.
Review
For citations:
Nikitin M.M., Puzko A.S., Ratobylsky G.V. COMPARATIVE ASSESSMENT OF CHEMOTHERAPY EFFICIENCY MONITORING IN PULMONARY TUBERCULOSIS PATIENTS BY X-RAY EXAMINATION AND DIGITAL TOMOSYNTHESIS. Tuberculosis and Lung Diseases. 2016;94(12):15-19. (In Russ.) https://doi.org/10.21292/2075-1230-2016-94-12-15-19
Views:
1060
Email this article 