Computerized Tomography Virtual Bronchoscopy – Will it replace Fibre optic Bronchoscopy in Tracheobronchial Evaluation?
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 4
Abstract
Introduction: Computerized Tomography (CT) Virtual Bronchoscopy is an emerging diagnostic tool in tracheobronchial evaluation with distinct advantages over Fibreoptic Bronchoscopy in that it is noninvasive and able to evaluate beyond significant obstruction. However, it has limited utility in mucosal lesions and there is no option for biopsy. Aim of the study: To evaluate and compare the efficacy of CT Virtual bronchoscopy and Fibre optic bronchoscopy in the assessment of tracheobronchial lesions. Materials and Methods: 60 patients with respiratory symptoms underwent CT Virtual Bronchoscopy and Fibre optic Bronchoscopy. The findings in CT Virtual Bronchoscopy were evaluated and compared with Fibreoptic Bronchoscopy which was taken as the gold standard and various statistical calculations assessed. Results: The sensitivity, specificity and accuracy of CT Virtual Bronchoscopy were assessed for endoluminal, extrinsic compressive, mucosal lesions and secretions in tracheobronchial tree in comparison with Fibreoptic Bronchoscopy. Conclusions: CT Virtual Bronchoscopy has very high sensitivity, specificity and accuracy in detection of endoluminal and extrinsic compressive tracheobronchial lesions. The major limitation at present seems to be in detection of mucosal lesions and secretions. There is scope for improvisation of Computerized Tomography Virtual Bronchoscopy by decreasing the radiation exposure, improving the resolution to increase accuracy of detecting mucosal lesions and secretions and mathematical models to reduce interobserver bias.
Authors and Affiliations
Dr Suny Thomas
Keywords
Related Articles
- EP ID EP285037
- DOI -
- Views 58
- Downloads 0
A Prospective Study on Effect of Epidural Blood Patch in Treating Postdural Puncture Headache
Epidural blood patch (EBP) is most common treatment of post–dural puncture headache, but its mode of action and effectiveness remain a matter of debate. Now a days Spinal anaesthesia is used widely. This dural puncture i...
An Evaluative Study of Diffusing Lung Capacity in Normal young adults Aged between 16 to 29 in Mumbai Metropolitan
Pulmonary function test in the form of spirometry, measurement of lung volume including total lung capacity (TLC), functional residual capacity (FRC) , Residual volume (RV) & single breath diffusion capacity measurement...
Neonatal Ascites– Experience from a Tertiary Care Centre
Objective: Neonatal ascites is rare but difficult problem for Neonatologist. To evaluate clinical investigational profile of Neonatal ascites this study was conducted in a city of northern India. Methods: The Neonates wh...
Microfilariae in Breast Fine Needle Aspiration- an Unusual Finding
Filariasis is a major public health problem particularly in tropical countries like India. The presence of microfilaria using fine needle aspiration cytology has been reported from various sites. However, the presence of...
A Comparative Study of Small Dense low Density Lipoprotein levels in the Healthy and Diabetic Adult Individuals
The present study was carried out to identify the differences between small dense LDL levels in apparently healthy individuals and diabetic adults. Materials and Methods: The study was conducted in male and female subjec...