Role of High Resolution Computed Tomography in the Evaluation of Active Pulmonary Tuberculosis

Raj, Santhosh

doi:10.18535/jmscr/v5i4.175

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…In the study of Lee et al [6] it persisted in 2% patients. However, these findings do not match with the Raj et al [25] who reported lower percentage of ground glass opacities in their study (20%). Ground glass opacities on HRCT can result from trauma, inflammation, focal interstitial fibrosis, hemorrhage, and malignancy [10].…”

Section: Hrct Findings In Pre-and Posttreatment Casescontrasting

confidence: 91%

Assessment of Disease Activity and Complications in Patients of Pulmonary Tuberculosis by High Resolution Computed Tomography

Jain

Malhotra

Arora

et al. 2021

SJMS

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Background: Tuberculosis (TB) is a global health problem and the second most common infectious cause of death. High-resolution computed tomography (HRCT) is far more superior to chest radiography as well as conventional CT for analyzing the pulmonary parenchyma. This study aimed to evaluate the role of HRCT in pulmonary tuberculosis (PTB) with respect to disease activity and complication after anti-tubercular therapy (ATT). Methods: This prospective observational study was conducted in the Department of Radiodiagnosis, Teerthanker Mahaveer Medical College & Research Centre (TMMC&RC) for a period of 1.5 years. A total of 50 cases of newly diagnosed TB were included in the study and a standard six-month ATT was given to the patients. Pulmonary involvement was evaluated by HRCT (128 slice multi-detector PHILIPS INGENUITY CT scanner), twice for each patient (first scan after diagnosis and second after treatment completion). The acquired HRCT images were reconstructed on a highresolution lung algorithm and parenchymal, bronchial, and extra parenchymal findings were recorded systematically. Results: Out of the 50 patients, 5 died within two months of the initiation of treatment and four were lost to follow-up. Thus, post treatment follow-up sample size was reduced to 41 patients. Ill-defined nodules (96%), tree-in-bud pattern (74%), consolidation (86%), cavitary lesions (98%), and ground glass opacities (58%) were the main imaging features of active cases of TB on HRCT. Resolution to thin-walled cavitary lesions (36.5%), bronchiectasis (41.5%), and fibrotic (parenchymal) bands (66%) were common complications or sequelae which were observed after completion of treatment. Conclusion: HRCT thorax is a sensitive modality for evaluation of parenchymal and airway manifestations in cases of PTB and can aid in differentiation of active disease from healed disease. It allows early identification of post-treatment complications and sequelae in patients of PTB.

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Section: Hrct Findings In Pre-and Posttreatment Casescontrasting

confidence: 91%

Assessment of Disease Activity and Complications in Patients of Pulmonary Tuberculosis by High Resolution Computed Tomography

Jain

Malhotra

Arora

et al. 2021

SJMS

View full text Add to dashboard Cite

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Evaluation Of Pulmonary Tuberculosis Using High Resolution Computed Tomography (HRCT): A Cross Sectional Study

Tasawar

John

Ali

et al. 2022

PJHS

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Mycobacterium is an airborne organism that spreads from person to person. Tuberculosis can affect any area of the body, although the lungs are the most commonly affected known as pulmonary tuberculosis. Objective: To evaluate pulmonary tuberculosis using High Resolution Computed Tomography. Methods: It was a cross-sectional study conducted at the private sector hospital Gujrat, Pakistan. This study was conducted over 4 months from December 2021 to March 2022. The sample size of 91 patients was calculated via a convenient sampling approach from previously published articles. Patients who were diagnosed with TB during CT scan investigation presented at the study area were included after informed consent. A specially crafted data collection sheet was developed to contain the patient demographic statics. Results: The upper age limit occurrence of 36(39.6%) was observed in people aged 21 to 30 years, and the lowest occurrence of 7(7.7%) was observed in those aged under 21 years. Males composed 53% of the population, while females constituted 38%. (41.8 percent). The highest proportion of cough was 43 (47.3 percent), and the lowest frequency of weight loss was 14 (15.4 percent). The nodule incidence is 30(33%) and the LAP incidence is 6 (6.6 percent). Conclusion: Pulmonary tuberculosis was more prevalent among younger male individuals. The primary characterization among pulmonary tuberculosis patients was nodules, cavity, consolidation, and tree in bud shown on HRCT.

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Role of High Resolution Computed Tomography in the Evaluation of Active Pulmonary Tuberculosis

Cited by 2 publications

References 2 publications

Assessment of Disease Activity and Complications in Patients of Pulmonary Tuberculosis by High Resolution Computed Tomography

Assessment of Disease Activity and Complications in Patients of Pulmonary Tuberculosis by High Resolution Computed Tomography

Evaluation Of Pulmonary Tuberculosis Using High Resolution Computed Tomography (HRCT): A Cross Sectional Study

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