Head and Neck Imaging

Multi-slice Spiral MSCT Imaging Features of Patients with Different Types of Bronchial Tuberculosis

Author:SHI Guang-can

affiliation:Department of Tuberculosis, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453000, Henan Province, China

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Abstract

Objective To explore the multi-slice MSCT imaging features of patients with different types of bronchial tuberculosis. Methods The imaging data of 150 cases of patients with bronchial tuberculosis in our hospital were collected, and the MSCT imaging features of patients with different types of bronchial tuberculosis were analyzed. Results There was no significant difference in the detection rate of unilateral lesions, bilateral lesions, bronchial lesions and tracheal lesions by MSCT detection and by clinical diagnosis (P>0.05). The sensitivity of MSCT in diagnosing type I-VI bronchial tuberculosis patients was 83.3%, 94.7%, 90.9%, 95.7%, 92.8% and 100.0%, and the specificity was 98.6%, 97.3%, 95.7%, 95.2%, 97.1% and 98.6%, the accuracy rates were 97.3%, 96.7%, 94.7%, 95.3%, 96.7%, 98.7% respectively. Type I MSCT showed there were bronchial wall thickening and luminal stenosis, and type II manifested there was involvement of various layers of the trachea, and might no occlusion signs but pneumonia and atelectasis. Type III showed there were wall thickening and hyperplasia. Type IV showed there were obvious stenosis in bronchial lumen and with occlusion signs. Type V showed there were tracheal ring involvement, luminal stenosis and might no occlusion signs. Type VI manifested as involvement of the main bronchial lumen, with nodules and varying degrees of stenosis. Conclusion The performance of MSCT is various in the different types of bronchial patients, and the MSCT may be considered to check the disease severity, the lesions extent and the disease staging.

【Keyword】Bronchial Tuberculosis; Typing; MSCT; Imaging Features

【Chart number】R521.2

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2018.04.016