Document Detail


Multi-detector row computed tomographic evaluation of bronchopleural fistula: correlation with clinical, bronchoscopic, and surgical findings.
MedLine Citation:
PMID:  20118715     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVES: To evaluate the usefulness of multi-detector row computed tomography (CT) in the diagnosis of bronchopleural fistula (BPF) and to correlate CT features with clinical, bronchoscopic, and surgical findings. METHODS: Twenty-four patients had a final diagnosis of BPF. Thin-section axial and coronal multiplanar reformation images from multi-detector row CT datasets were assessed by 2 radiologists in consensus. The CT direct sign of BPF was a fistulous tract between the bronchus or lung and pleural space. The indirect signs were air bubbles beneath the bronchial stump or suspected fistula. RESULTS: Computed tomography demonstrated fistulous tract (central type, 3; peripheral type, 11) or indirect signs of BPF (central type, 3; peripheral type, 6), whereas bronchoscopy demonstrated 2 fistula openings (all central type) and indirect signs of BPF (central type, 2; peripheral type, 1). CONCLUSIONS: Thin-section axial and multiplanar reformation images are helpful in the diagnosis of BPF. Multi-detector row CT can be an initial diagnostic modality of BPF.
Authors:
Hyobin Seo; Tae Jung Kim; Kwang Nam Jin; Kyung Won Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  34     ISSN:  1532-3145     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  13-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea.
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