Importance of HRCT for prediction of disease activity in pulmonary tuberculosis
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 7
Abstract
Background: Despite all governmental efforts, tuberculosis (TB) remains a public health problem world-wide with almost 9 million new cases each year and almost 2 million TB related deaths world-wide. Aims and Objectives: Study of Role of HRCT in Predicting the Disease Activity in the patients of Tuberculosis. Material and Methods: This was a cross-sectional study carried out in the department of Radiology at Tertiary health care center in the Patients of Tuberculosis during the 3 Yrs. i.e. January 2014 to January 2016. All the suspected patients of TB who were Advised for HRCT were included into study so in the 3 yrs. duration total there were 850 patients were undergone HRCT. Here the diagnostic efficacy of HRCT was compared in terms of sensitivity and specificity. Result:The majority of the Patients were in the age group of 40-50 i.e. 32.35%, followed by 50-60 -27.65%, >60 -13.53%,30-40-12.35%, 20-30 -10.59%, and <10- 3.53% respectively.The majority of the Patients were Males i.e. 52.71% and Females were 47.29%.Sputum Positive and Negative patients the features on HRCT were; Ill-defined nodules present in 70.59%and 6.93 %,Consolidation 66.84%, 10.08%, Tree- in-bud in 74.87%, 1.89%, Cavity in 40.11% and 6.00%Ground glass opacity in16.04%, 2.10 %, Traction bronchiectasis 16.84 %, 62.82%, Atelectasis 8.02% and 52.94%,Calcified granuloma in 0.27 % and 19.96% and Peribronchial thickening in 50.00% and 16.81 % respectively,Sensitivity of HRCT was 91.98% (95% CI-88.75% to 94.52%), Specificity was 79.83 % (95% CI -75.94% to 83.35). Conclusion:Here the sensitivity of the HRCT was 91.98% and Specificity was 79.83 % were very high so it is a useful tool for diagnosis and treatment purpose specially in sputum negative patients also it identifies the disease activity by various HRCT features so it should be employed in association with sputum.
Authors and Affiliations
Shivraj M Ingole, Swapnil S Ingole, Prashant G Pote, Shilpa Domkundwar
Keywords
Related Articles
- EP ID EP268026
- DOI -
- Views 73
- Downloads 0
Cardiovascular autonomic response in children with parental history of diabetes mellitus: A comparative study
Introduction: The autonomic nervous system regulates the electrical and contractile activity of myocardium via interplay of sympathetic and parasympathetic activity. Diabetes leads to development of cardiovascular & cere...
A rare case of splenic tuberculosis
Tuberculosis may present as pulmonary or extra pulmonary disease. Involvement of spleen in tuberculosis occurs in military / disseminated form of the disease. However isolated splenic tuberculosis or solitary tuberculosi...
A study to compare the physiological effect of aging on respiratory functions in sedentary individuals to the professional swimmers
Background: Pulmonary function tests are of significance in assessing the functional status of lungs in different age groups exposed to varied conditions of physical activity and to predict the clinical outcome. Aims: A...
Ophthalmic and pleural fluid involvement in A.L.L. cytology findings
Acute lymphoblastic leukemia is the most common variety of leukemia in childhood accounting for 70% cases of childhood leukemia.Orbital and pleural involvement in acute lymphoblastic leukemia is rare presentation. We rep...
Anemia in senior citizens
Present study was carried out in Tertiary care Govt. Hospital, Solapur-Maharashtra. We studied-150 patients of anemia above 60 yrs. of age. Each case was studied with clinical examination and following investingations –H...