Cystic fibrosis CT: Difference between revisions
Jump to navigation
Jump to search
| Line 16: | Line 16: | ||
** Peribronchial thickening | ** Peribronchial thickening | ||
** Mucous plugging | ** Mucous plugging | ||
** sacculations | |||
** Abscesses, | |||
** bullae, | |||
** emphysema, | |||
** air trapping, | |||
** hyperinflation, | |||
** collapse, | |||
** consolidation, | |||
** mosaic perfusion, | |||
** ground-glass opacities, | |||
** acinar nodules, | |||
** alveolar consolidation | |||
** thickening of interlobular and intralobular septa | |||
====Abdomen==== | ====Abdomen==== | ||
CT scan of abdomen in patients with cystic fibrosis may include these findings:<ref name="pmid14753605">{{cite journal |vauthors=Carucci LR, Jacobs JE |title=Focal fatty sparing of the pancreatic head in cystic fibrosis: CT findings |journal=Abdom Imaging |volume=28 |issue=6 |pages=853–5 |date=2003 |pmid=14753605 |doi= |url=}}</ref><ref name="pmid9755398">{{cite journal |vauthors=Lugo-Olivieri CH, Soyer PA, Fishman EK |title=Cystic fibrosis: spectrum of thoracic and abdominal CT findings in the adult patient |journal=Clin Imaging |volume=22 |issue=5 |pages=346–54 |date=1998 |pmid=9755398 |doi= |url=}}</ref> | CT scan of abdomen in patients with cystic fibrosis may include these findings:<ref name="pmid14753605">{{cite journal |vauthors=Carucci LR, Jacobs JE |title=Focal fatty sparing of the pancreatic head in cystic fibrosis: CT findings |journal=Abdom Imaging |volume=28 |issue=6 |pages=853–5 |date=2003 |pmid=14753605 |doi= |url=}}</ref><ref name="pmid9755398">{{cite journal |vauthors=Lugo-Olivieri CH, Soyer PA, Fishman EK |title=Cystic fibrosis: spectrum of thoracic and abdominal CT findings in the adult patient |journal=Clin Imaging |volume=22 |issue=5 |pages=346–54 |date=1998 |pmid=9755398 |doi= |url=}}</ref> | ||
Revision as of 16:43, 5 March 2018
|
Cystic fibrosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cystic fibrosis CT On the Web |
|
American Roentgen Ray Society Images of Cystic fibrosis CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
CT scan
Computed tomography (CT scan) findings in patients with cystic fibrosis are more sensitive as compared to the pulmonary function tests. It has a crucial role in the assessment of pulmonary damage over time, detecting complications and monitoring treatment.[1]
Chest
- Mosaic attenuation (localized hyperinflation due to small airway obstruction) on expiratory chest computed tomography (CT) is common in early life cystic fibrosis and often referred to as "air trapping".[2]
- Chest Ct scan in patients with cystic fibrosis can identify a wide range of morphological abnormalities include:[1]
- Bronchiectasis(which is progressive, irreversible and probably the most relevant structural change in cystic fibrosis)
- Peribronchial thickening
- Mucous plugging
- sacculations
- Abscesses,
- bullae,
- emphysema,
- air trapping,
- hyperinflation,
- collapse,
- consolidation,
- mosaic perfusion,
- ground-glass opacities,
- acinar nodules,
- alveolar consolidation
- thickening of interlobular and intralobular septa
Abdomen
CT scan of abdomen in patients with cystic fibrosis may include these findings:[3][4]
- Diffuse and complete fatty replacement of pancreas is the most common imaging appearance.
- Fibrosis of the pancreas can be detectable on CT scan.
- Intestinal findings on CT may include obstruction (more common in children).
Images
CT demonstrates mucous plugging and complete pancreatic atrophy[5]
References
- ↑ 1.0 1.1 Rybacka A, Karmelita-Katulska K (2016). "The Role of Computed Tomography in Monitoring Patients with Cystic Fibrosis". Pol J Radiol. 81: 141–5. doi:10.12659/PJR.896051. PMC 4821342. PMID 27103945.
- ↑ Rosenow T, Ramsey K, Turkovic L, Murray CP, Mok LC, Hall GL, Stick SM (September 2017). "Air trapping in early cystic fibrosis lung disease-Does CT tell the full story?". Pediatr. Pulmonol. 52 (9): 1150–1156. doi:10.1002/ppul.23754. PMID 28682006.
- ↑ Carucci LR, Jacobs JE (2003). "Focal fatty sparing of the pancreatic head in cystic fibrosis: CT findings". Abdom Imaging. 28 (6): 853–5. PMID 14753605.
- ↑ Lugo-Olivieri CH, Soyer PA, Fishman EK (1998). "Cystic fibrosis: spectrum of thoracic and abdominal CT findings in the adult patient". Clin Imaging. 22 (5): 346–54. PMID 9755398.
- ↑ "Cystic fibrosis | Radiology Case | Radiopaedia.org".