Multidetector computer tomography with virtual bronchoscopy for diagnosis of trachea neoplasms
https://doi.org/10.18093/0869-0189-2016-26-3-261-266
Abstract
The aim of this study was to estimate diagnostic value of virtual bronchoscopy (VB) in patients with trachea neoplasms.
Methods. Results of multidetector computed tomography with virtual bronchoscopy (MDCT"VB) were analyzed in 31 patients with neoplastic lesions of the trachea according to an original method developed in our institution.
Results. The method allowed complete evaluation of location and extension of tumors, differentiation between benign and malignant tumors including those complicated by stenosis precluded from bronchoscopic examination. A sessile tumor with destructed underlying tissue, a rough surface, infiltrated tracheal wall, tumor extension outside the trachea, and infiltration of the mediastinum were considered as malignant signs. Similar signs were seen in metastatic lesions of the trachea from lung carcinoma: the carina and the distal trachea were injured if the tumor grew from a main bronchus, a tracheal wall was injured if a lung tumor penetrated the mediastinum.
Conclusion. MDCT"VB appears to be the optimal diagnostic method in tumors of the trachea. In cases of trachea stenosis, MDCT"VB is the preferable method for evaluation of the tumor extension. Virtual modeling of an intratracheal tumor could help to make a decision about radical treatment.
About the Author
P. M. Kotlyarov
Russian Scientific Center of Roentgenoradiology (RSCRR), 86, Profsoyuznaya str., Moscow, Russian Federation, Affiliation ID: 60105123
Russian Federation
Russian Federation
MD, professor, the head of Scientificresearch depart ment of new technologies andsemiotics of radiation diagnosis of organs and systems diseases Russian Scientific Center of Roentgenoradiology (RSCRR), Affiliation ID: 60105123, тel.: (495) 3348186
References
1. Kaprin A.D. Starinskiy V.V., Petrova G.V., eds. Malignancy in Russia in 2014 (morbidity and mortality). Мocsow: MNIOI im. P.A.Gertsena; 2016 (in Russian).
2. Jugpal T.S., Garg A., Sethi G.R. et al. Multi"detector computed tomography imaging of large airway pathology: A pictorial review. World J. Radiol. 2015; 7 (12): 459–474.
3. Debnath J., George R.A., Satija L. et al. Virtualbronchoscopy in the era of multi"detector computed tomography: Is there any reality? Med. J. Armed. Forces India. 2013; 69 (3): 305–310.
4. Kotlyarov P.M., Temirkhanov S.Z., Flerov K.E. et al. Virtual bronchoscopy in diagnosis and postoperative follow"up of lung carcinoma. Vestnik RNTsRR Minzdrava Rossii; 2013; 4 (13): 3. http://vestnik.rncrr.ru/vestnik/v13/papers/flerov_v13.htm / (in Russian).
5. Kotlyarov P.M., Nudnov N.V., Egorova E.V. Multidetector computed tomography with virtual bronchoscopy in bronchiectasis and osteochondroplastic chondropathy. Pul'monologiya. 2014; 4: 68–72 (in Russian).
6. Kotlyarov P.M., Egorova E.V., Chernichenko N.V. et al. A technique of multidetector computed tomography with virtual bronchoscopy: Methodological guidelines. Мoscow: Reglet; 2015 (in Russian).
7. Kotlyarov P.M., Temirkhanov Z.S., Shcherbakhina E.V. Multiplanar reconstruction and virtual bronchoscopy for evaluating the trachea and the bronchial tree. Luchevaya diagnostika i terapiya. 2011; 2: 50–55 (in Russian).
8. Kotlyarov P.M. Multidetector computed tomography of the lungs is a new stage of radiological diagnosis of pulmonary diseases. Meditsinskaya vizualizatsiya. 2011; 4: 14–20 (in Russian).
9. Adamczyk M., Tomaszewski G., Naumczyk P. et al. Usefulness of computed tomography virtualbronchoscopy in the evaluation of bronchi divisions. Pol. J. Radiol. 2013;
10. 78 (1): 30–41.
11. Aliannejad R. Comment on Comparison of virtualbronchoscopy to fiber"optic bronchoscopy for assessment of inhalation injury severity. Burns. 2015; 41 (7): 1613–1615.
12. Das K.M., Lababidi H., Al Dandan S. et al. Computed tomography virtualbronchoscopy: normal variants, pitfalls, and spectrum of common and rare pathology. Can. Assoc. Radiol. J. 2015; 66 (1): 58–70.
13. Gutiérrez R., Rodríguez S.D., Ros Lucas J.A. Torsion of middle lobe after lobectomy: correlation between optical bronchoscopy"computed tomography virtual bronchoscopy. Arch. Bronconeumol. 2015; 51 (7): 355–359.
14. Hussein S.R. Role of virtualbronchoscopy in the evaluation of bronchial lesions: a pictorial essay. Curr. Probl. Diagn. Radiol. 2013; 42 (2): 33–39.
15. Luo M., Duan C., Qiu J. et al. Diagnostic value of multidetector CT and its multiplanar reformation, volume rendering and virtual bronchoscopy postprocessing techniques for primary trachea and main bronchus tumors. PLoS One. 2015; 10 (9): e0137329.
16. Osiri X., Sano A., Tsuchiya T.J. Virtual Bronchoscopy Using. Bronchology Interv Pulmonol. 2014; 21 (2): 113–116.
17. Kharchenko V.P., Gvarishvili A.A., Eltyshev N.A. et al. Examination and treatment of patients with multiple primary carcinomas of the respiratory tract. Vestnik RNTsRR Minzdrava Rossii. 2004; 3: 16–19. http://vestnik.rncrr.ru/vestnik/v3/papers/harch14_v3.htm (in Russian).
Review
For citations:
Kotlyarov P.M. Multidetector computer tomography with virtual bronchoscopy for diagnosis of trachea neoplasms. PULMONOLOGIYA. 2016;26(3):261-266. (In Russ.) https://doi.org/10.18093/0869-0189-2016-26-3-261-266
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