Evaluation of efficiency of different methods of radiation diagnosis in the detection of tuberculosis in children

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Abstract


An evaluation of the effectiveness of the method of computer tomography in 77 children with suspicion of tuberculosis of the intrathoracic lymph nodes and positive test with recombinant tuberculosis allergen (Diaskintest). Ultrasound diagnosis is conducted with 60 children with a negative test with recombinant tuberculosis allergen (Diaskintest), with indirect signs of increase of intrathoracic lymph nodes, left tracheobronchial region according to traditional radiographic studies (plain radiography, linear tomography). In the first group of the frequency change detection by computed tomography in a group of patients, where it was revealed the changes on the survey radiograph, was almost 2 times more than in the group of patients with normal radiograph. There is a high rate of detection of changes at computed tomography in children with normal x-ray picture according to the classical methods. These changes were regarded as possibly associated with an active tuberculous process and required additional evaluation of clinical and laboratory data physician TB. In 32% of cases, the changes revealed by traditional x-ray, computed tomography has not been confirmed. When conducting sonography in the second group in the left tracheobronchial region was visualized left lobe of the thymus in 100%. Specific changes in the lymph nodes and the pleura was not determined by ultrasound. Thus the thymus simulated increase in intrathoracic lymph nodes. In the evaluation of clinical and laboratory data physician TB specialist, diagnosis of tuberculosis in this group, was not confirmed.


Anastasiya V Sinitsyna

Author for correspondence.
asicyn@yandex.ru
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

Assistant, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education

Pavel V Gavrilov

spbniifrentgen@mail.ru
St Petersburg State Research Institute of Phthisiopulmonology, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

MD, PhD, leading researcher, head of the "radiation diagnostics"

Alexandr V Sinitsyn

ptd16@bk.ru
Saint Petersburg State Antitubercular clinic No 16
Russian Federation, Saint Petersburg, Russia

главный врач

Svetlana V Michailova

kamochina@mail.ru
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

MD, PhD, Assistant, Department of Phthisiology, Faculty of Postgraduate Education

Ksenia V Pribitok

spbniifrentgen@mail.ru
St Petersburg State Research Institute of Phthisiopulmonology, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

resident

Elena V Sinelnikova

sinelnikavae@gmail.com
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

MD, PhD, Dr Med Sci, Professor, Head, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education

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Copyright (c) 2017 Sinitsyna A.V., Gavrilov P.V., Sinitsyn A.V., Michailova S.V., Pribitok K.V., Sinelnikova E.V.

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