Virtual bronchoscopy in differential diagnosis of neoplastic, fibrous and inflammatory abnormalities
https://doi.org/10.18093/0869-0189-2017-27-6-748-753
Abstract
The aim of this study was to investigate a role of postprocessing techniques of multidetector computed tomography (CT) and virtual bronchoscopy for differentiation between inflammatory lung lesions and lung tumorous. Methods. Native multidetector CT images of 39 patients with confirmed lung inflammatory lesions and postprocessing reconstruction with virtual bronchoscopy technique were analyzed. 16-slice computed tomograph Toshiba Aquilion 16 and 320-slice computed tomograph Toshiba AquilionONE were used. Results. Focused investigation of bronchial macrostructure in abnormal areas allowed exclusion malignancy and confirmation the inflammatory origin of abnormalities. Conclusion. Virtual bronchoscopy is complementary to native multidetector CT. Key criteria of inflammatory lesions were visualization of air-filling bronchi in an abnormal area, preserved bronchial lumen notwithstanding possible mucus accumulation in the bronchi, the absence of bronchial blockage, and cavity drainage through the bronchus.
About the Author
P. M. Kotlyarov
Russian Scientific Center of Roentgenoradiology (RSCRR), Healthcare Ministry of Russia:
Russian Federation
Russian Federation
Petr M. Kotlyarov, Doctor of Medicine, Professor, Head of Research Department of Novel Technologies and Radiological Diagnosis of Diseases
Affiliation ID: 60105123
ul. Profsoyuznaya 86, Moscow, 117997, Russia
References
1. Kaprin A.D. et al., eds. Malignancies in Russia in 2015. Moscow: MNIOI im. P.A.Gertsena, filial FGBU «NMIRTs» MZ RF; 2017 (in Russian).
2. Ivanova E.V., Bilichenko T.N., Chuchalin A.G. Morbidity and mortality of respiratory diseases in working age population of Russia, 2010 – 2012. Pul'monologiya. 2015; 25 (3): 291–297. DOI: 10.18093/0869-0189-2015-25-3-291-297 (in Russian).
3. Gao F., Ge X., Li M. et al. CT features of lung scar cancer. J. Thorac. Dis. 2015; 7 (3): 273–280. DOI: 10.3978/j.issn.2072-1439.2015.02.07.
4. Nambu A., Araki T., Taguchi Y. et al. Focal area of ground-lass opacity and ground-glass opacity predominance on thin-section CT: discrimination between neoplastic and non-neoplastic lesions. Clin. Radiol. 2005; 60 (9): 1006–1017. DOI: 10.1016/j.crad.2005.06.006.
5. Bauer T.L., Steiner K.V. Virtual bronchoscopy: clinical applications and limitations. Surg. Oncol. Clin. N. Am. 2007; 16 (2): 323–328. DOI: 10.1016/j.soc.2007.03.005.
6. Cdvizhkov A.M., Yudin A.L., Kozhanov L.G. et al. Multidetector computed tomography with three-dimensional reconstruction in diagnosis and treatment of oncological diseases. Vestnik Moskovskogo onkologicheskogo obshchestva. 2009; 3: 1–4 (in Russian).
7. Kotlyarov P.M. Multislice computed tomography as a new era of radiological diagnosis of lung diseases. Meditsinskaya vizualizatsiya. 2011; (4): 14–20 (in Russian).
8. Kotlyarov P.M., Temirkhanov Z.S., Shcherbakhina E.V. Multiplanar reconstruction and virtual bronchoscopy in evaluation of trachea and bronchi according to findings of multislice computed tomography. Luchevaya diagnostika i terapiya. 2011; 2 (2): 50–55 (in Russian).
9. Kotlyarov P.M., Temirkhanov S.Z, Flerov K.E. et al. Virtual bronchoscopy in diagnosis of lung carcinomas and monitoring of postoperative disorders. Vestnik RNTsRR. 2013; 4 (13): 3: Available at: http://vestnik.rncrr.ru/vestnik/v13/papers/flerov_v13.htm (in Russian).
10. Kotlyarov P.M., Nudnov N.V., Egorova E.V. Multidetector computed tomography virtual bronchoscopy in bronchiectasis and tracheobronchopathia osteochondroplastica. Pul'monologiya. 2014; (4): 64–68. DOI: 10.18093/0869-0189-2014-0-4-64-68 (in Russian).
11. Das K.M., Lababidi H., Al Dandan S. et al. Computed tomography virtual bronchoscopy: normal variants, pitfalls, and spectrum of common and rare pathology. Can. Assoc. Radiol. J. 2015; 66 (1): 58–70.
12. Kotlyarov P.M. Multidetector computed tomography virtual bronchoscopy in diagnosis of tracheal tumours. Pul'monologiya. 2016; (3): 261–266. DOI: 10.18093/0869-0189-2016-26-3-261-266 (in Russian).
13. Kotlyarov P. M., Sergeev N.I., Rebrikova V. A. et al Multidetector computed tomography virtual bronchoscopy in diagnosis of bronchial tumours. Sibirskiy onkologicheskiy zhurnal. 2016; 15 (6): 5–13. DOI: 10.21294/1814-4861-2016-15-6-5-13 (in Russian).
14. Kotlyarov P.M. Multidetector computed tomography virtual bronchoscopy in diagnosis of tracheal and bronchial tumours. Meditsinskaya vizualizatsiya. 2016; (5): 18–28 (in Russian).
15. Kotlyarov P.M. Multidetector computed tomography virtual bronchoscopy (Multidetector computed tomography in diagnosis of pulmonary and trachea-bronchial diseases). Germany: Palmarium Academic Publishing; 2016 (in Russian).
16. Li B.G., Ma D.Q., Xian Z.Y. et al. The value of multislice spiral CT features of cavitary walls in differentiating between peripheral lung cancer cavities and single pulmonary tuberculous thick-walled cavities. Br. J. Radiol. 2012; 85 (1010): 147–152.
Review
For citations:
Kotlyarov P.M. Virtual bronchoscopy in differential diagnosis of neoplastic, fibrous and inflammatory abnormalities. PULMONOLOGIYA. 2017;27(6):748-753. (In Russ.) https://doi.org/10.18093/0869-0189-2017-27-6-748-753
Views:
755
Email this article 