Cystic fibrosis CT: Difference between revisions
Jump to navigation
Jump to search
| Line 19: | Line 19: | ||
==== Less common CT scan findings ==== | ==== Less common CT scan findings ==== | ||
Less common CT scan findings include:<ref name="pmid271039452">{{cite journal |vauthors=Rybacka A, Karmelita-Katulska K |title=The Role of Computed Tomography in Monitoring Patients with Cystic Fibrosis |journal=Pol J Radiol |volume=81 |issue= |pages=141–5 |date=2016 |pmid=27103945 |pmc=4821342 |doi=10.12659/PJR.896051 |url=}}</ref><ref name=" | Less common CT scan findings include:<ref name="pmid271039452">{{cite journal |vauthors=Rybacka A, Karmelita-Katulska K |title=The Role of Computed Tomography in Monitoring Patients with Cystic Fibrosis |journal=Pol J Radiol |volume=81 |issue= |pages=141–5 |date=2016 |pmid=27103945 |pmc=4821342 |doi=10.12659/PJR.896051 |url=}}</ref><ref name="pmid17287306" /> | ||
* Abscesses | * Abscesses | ||
* Emphysematous bullae | * Emphysematous bullae | ||
Revision as of 17:21, 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]
Most common CT scan findings
Most common CT scan findings include:[1][3]
- Peribronchial thickening (85%)
- Mucous plugging (79%)
- Bronchiectasis which is progressive, irreversible (76%)
Less common CT scan findings
Less common CT scan findings include:[1][3]
- Abscesses
- Emphysematous bullae
- Hyperinflation
- Collapse
- Consolidation
- Ground-glass opacities
- Acinar nodules
- Thickening of interlobular and intralobular septa
Abdomen
CT scan of abdomen in patients with cystic fibrosis may include these findings:[4][5]
- 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[6]
References
- ↑ 1.0 1.1 1.2 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.
- ↑ 3.0 3.1 Aziz ZA, Davies JC, Alton EW, Wells AU, Geddes DM, Hansell DM (February 2007). "Computed tomography and cystic fibrosis: promises and problems". Thorax. 62 (2): 181–6. doi:10.1136/thx.2005.054379. PMC 2111250. PMID 17287306.
- ↑ 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".