A Comparative study of CT and MRI in patients with extra-pulmonary tuberculosis at tertiary health care center
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 11
Abstract
Background: While pulmonary tuberculosis is the most common presentation, extrapulmonary tuberculosis is also an important clinical problem Aims and Objective: To study role of CT and MRI in patients with extra-pulmonary tuberculosis at tertiary health care center. Methodology: This was a cross-sectional study was carried out in suspected EPTB from October 2013 to August 2015. The study was carried out prospectively in the Department of Radiodiagnos is of Sassoon General Hospital, Pune. This studyincludes MRI and CT studies of 202 cases of patients with EPTB. All cases from Sassoon General Hospital, Pune referred for MRI and CT who are clinically diagnosed to have extrapulmonary tuberculosis and with supporting evidence from radiographs, USG or lab tests. CT SCAN: Machine: Siemens 128 slice multi-detector CT scan machine and Magnetic Resonance Imaging (MRI): Machine: 1.5 Tesla GE – Signa Hdxt MRI machine was used for the study was used, the sensitivity and Specificity of CT and MRI was calculated by SPSS 19 version software. Result: The mean ± SD, (Min – Max) of age of the group was 25.2 ± 16.3years (Min = 2 years, Max = 66 years).Of 202 cases studied, 105 cases (52.0%) were males and 97 cases (48.3%) were females. Majority of the cases studied were males.MRI found useful for Hepatic TB, Lymph nodal TB, Ileocaecal TB, Meningeal enhancement, Basal exudates, Marrow changes, Joints, Thickened (Synovium), Bursa (Small abscesses) tuberculosis andCT found useful for Splenic TB (Miliary type), Renal TB (Calcification), Bladder TB (Calcification), Brain(Calcified tuberculoma). Conclusion: MRI is also more useful as compared to CT in detection of soft tissue abnormalities and marrow changes in musculoskeletal tuberculosis with CT having a sensitivity of 0.0% in detection of marrow changes. Except for the detection of calcified lesions, CT and MRI didn’t show significant difference in evaluation and detection of pleural, abdominal, genitourinary and pericardial tuberculosis.
Authors and Affiliations
Akhil Patil, Syed Moinullah, Rudresh S Halawar
Keywords
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