Cystic fibrosis CT: Difference between revisions
Jump to navigation
Jump to search
| Line 27: | Line 27: | ||
* Ground-glass opacities | * Ground-glass opacities | ||
* [[Acinus|Acinar]] nodules | * [[Acinus|Acinar]] nodules | ||
* Thickening of interlobular and intralobular septa | * Thickening of interlobular and intralobular [[Septum|septa]] | ||
===Abdomen=== | ===Abdomen=== | ||
[[Computed tomography|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> | [[Computed tomography|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 17:32, 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".