High resolution chest CT in patients with pulmonary tuberculosis: Characteristic findings before and after antituberculous therapy

Lee, Jen-Jyh; Chong, Pau-Yuan; Lin, Chih-Bin; Hsu, Ai-His; Lee, Chou-Chin

doi:10.1016/j.ejrad.2007.07.009

Cited by 61 publications

(65 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The studies yielded different figures: they ranged from 21% in the United States 17 to 35% in Taiwan, China 18 and > 50% in South Africa in some studies, 19 (Table 1). We decided on an intermediate figure of 22% and applied it to countries across the globe except for the 22 members of the European Community.…”

Section: Research Chronic Aspergillosis After Pulmonary Tuberculosis mentioning

confidence: 99%

“…30 The original United Kingdom survey on PTB was conducted with chest radiographs, yet computerized tomography (CT) scanning of the thorax is much more sensitive, especially in the apex of the lungs, which is the site of most PTB and CPA. The cavitation rates of 30% 18 and 35% 21 after PTB are based on CT, whereas estimates based on chest radiographs are generally 21-23%. 17,20 An even higher rate of residual cavitation (> 50%) was demonstrated in a population with MDR-PTB.…”

Section: Cpa Case Ascertainmentmentioning

confidence: 99%

See 1 more Smart Citation

Global burden of chronic pulmonary aspergillosis as a sequel to pulmonary tuberculosis

Denning¹,

Pleuvry²,

Cole³

2011

Bull World Health Org

361

366

View full text Add to dashboard Cite

Section: Research Chronic Aspergillosis After Pulmonary Tuberculosis mentioning

confidence: 99%

Section: Cpa Case Ascertainmentmentioning

confidence: 99%

Global burden of chronic pulmonary aspergillosis as a sequel to pulmonary tuberculosis

Denning¹,

Pleuvry²,

Cole³

2011

Bull World Health Org

361

366

View full text Add to dashboard Cite

“…Repeat chest CT 1 month later showed a decrease in the size of the nodule with the presence of fibrotic changes. Following the criteria of Lee and associates, 9 we labeled this pulmonary TB.…”

Section: Outcomes Of Spnsmentioning

confidence: 99%

Solitary pulmonary nodule in the liver transplant candidate: Importance of diagnosis and treatment

et al. 2010

View full text Add to dashboard Cite

Our objectives were to define the incidence and etiology of solitary pulmonary nodules (SPNs) in patients undergoing living donor liver transplantation (LDLT), describe a diagnostic approach to the management of SPNs in LDLT, and define the impact of SPNs on the overall survival of adult LDLT recipients. Nine patients (9/152, 5.9%) were diagnosed with an SPN on the basis of chest radiography findings during the pretransplant survey. All were male. The mean age was 52 years. All the patients had hepatitis B virus-related cirrhosis with hepatocellular carcinoma. All were asymptomatic for the lung lesion. All underwent contrast-enhanced chest computed tomography (CT) to verify the presence and possible etiology of the SPNs. In 3 cases, CT was used to definitely determine that there was no pulmonary nodule; in 2, CT led to a definite diagnosis of pulmonary tuberculosis. In 4, CT led to a definite identification of an SPN but not to an etiological diagnosis. Two patients underwent outright thoracoscopy and biopsy of their SPNs. Biopsy showed cryptococcosis in both patients. One received a therapeutic trial of an antituberculosis treatment, and repeat CT after 1 month showed a regression in the size of the SPN. A diagnosis of tuberculosis was made. One patient had an inconclusive whole body positron emission tomography scan and subsequently underwent thoracoscopy where biopsy showed tuberculosis. A concomitant malignancy, either primary lung cancer or metastasis from the liver tumor, was not identified. All patients were surviving with their original grafts and were lung infection-free. The overall mean posttransplant follow-up was 54 months (range ¼ 33-96 months). Patients undergoing transplantation require a thorough clinical evaluation to exclude overt and occult malignancies that would preclude the planned procedure. This is important because routine immunosuppression use after transplantation may often result in the body's loss of immunoregulatory functions and thus in a myriad of problems, including oncological and infectious processes. Occult infections may manifest as fulminant, life-threatening sepsis after transplantation.Indeterminate pulmonary nodules in transplant candidates pose both diagnostic and therapeutic

show abstract

“…CT has been found to be superior to chest radiography in the assessment of subtle parenchymal disease, and mediastinal lymphadenopathy [4].…”

Section: Discussionmentioning

confidence: 99%

The use of thoracic computed tomography scanning and EBUS-TBNA to diagnose tuberculosis of the central nervous system: two case reports

et al. 2010

View full text Add to dashboard Cite

Herein, we report two cases of tuberculosis (TB) of the central nervous system where accessing the cerebrospinal fluid for diagnostic purposes was relatively or absolutely contraindicated at presentation.The finding of mediastinal lymphadenopathy on thoracic computed tomography scans, which was not visible on plain chest radiography, allowed endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of these lymph nodes to support the diagnosis of TB in each patient and rule out other disease processes.EBUS-TBNA is a new bronchoscopic technique and in this case report appears to be a safe and useful option in the diagnosis of TB. Moreover, it proved to be so in cases where the main focus of disease was outside the thorax.

show abstract

High resolution chest CT in patients with pulmonary tuberculosis: Characteristic findings before and after antituberculous therapy

Cited by 61 publications

References 10 publications

Global burden of chronic pulmonary aspergillosis as a sequel to pulmonary tuberculosis

Global burden of chronic pulmonary aspergillosis as a sequel to pulmonary tuberculosis

Solitary pulmonary nodule in the liver transplant candidate: Importance of diagnosis and treatment

The use of thoracic computed tomography scanning and EBUS-TBNA to diagnose tuberculosis of the central nervous system: two case reports

Contact Info

Product

Resources

About