POSSIBILITY OF DIGITAL TOMOSYNTHESIS IN THE DIAGNOSIS OF VARIOUS FORMS OF PULMONARY TUBERCULOSIS

 

Nikitin M.M.

 

I.M. Sechenov First Moscow State Medical University.

Moscow, Russia.

Purpose. To clarify the basic radiological signs of various forms of pulmonary tuberculosis with tomosynthesis examination. To determine the diagnostic capabilities (sensitivity) of the method in the study of respiratory tuberculosis and show the comparative assessment with respect to the traditional X-ray and multi-slice computed tomography (MSCT).

Material and methods. The analysis of the survey results of 170 patients aged from 18 to 65 years with focal-infiltrative changes on traditional radiographs and suspected respiratory tuberculosis was presented. The group included 96 (56.5%) - men, 74 (43.5%) - women. The diagnosis of pulmonary tuberculosis was established based on comprehensive clinical, radiological and morphological studies. Evaluation with the help of radiological methods of research included: X-ray, tomosynthesis, and computed tomography of the chest cavity.

Results. The diagnosis of various forms of tuberculosis was confirmed in 121 (71,2%) patients. The sensitivity of tomosynthesis for the detection of pathological changes in the lungs was 74,9%, which was 17,7% greater than the sensitivity of chest X –ray, and 18,6% less than the sensitivity of CT-scan for the same.

Conclusion. Tomosynthesis can be used in the evaluation of patients with suspected pulmonary tuberculosis as specified method. For the detection of tuberculosis of the respiratory system this method can reliably estimate the prevalence of focal-infiltrative changes in lung tissue with their sufficiently detailed characterization.

 

Keywords: X-ray, tomosynthesis, computed tomography of the chest, X-ray diagnostics, tomosynthesis of lung, pulmonary tuberculosis.

 

Corresponding author: Nikitin M. M., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Nikitin M.M. Possibility of digital tomosynthesis in the diagnosis of various forms of pulmonary tuberculosis. REJR. 2016; 6 (1): 35-47. doi: 10.18411/a-2016-004