VIRTUAL BRONCHOSCOPY OF MULTISPIRAL COMPUTED TOMOGRAPHY WITH TRAUMATIC INJURIES OF THE MAIN BRONCHUS
https://doi.org/10.22328/2079-5343-2018-4-63-67
Abstract
The aim of the study was to evaluate the role of virtual bronchoscopy (VB) in traumatic rupture of the main bronchus Material and methods. Тhe data of virtual bronchoscopy of multispiral computed tomography (MSCT) with multiplanar and 3D reconstructions of 10 patients with traumatic separation of the main bronchus were analyzed. MSCT was carried out by the computer tomograph AquilionONE (320-slice) according to the previously described technique. Results of the study. VB MSCT allowed to determine the presence of a complete or partial rupture of the main bronchus, its distance to the bifurcation of the trachea, the state of the collapsed lung, the presence of fluid in the hemithorax, secondary changes in the bone structures of the chest. The World Bank played an important role in monitoring the adequacy of reconstructive measures on the damaged bronchus, excluding the occurrence of postoperative stenosis. The conclusion. Virtual bronchoscopy of multispiral computed tomography with the capabilities of multiplanar and volumetric reconstructions, postprocessing image processing is an optimal non-invasive method for determining the traumatic lesion of the main bronchi and monitoring the success of the reconstructive surgical manual.
About the Authors
P. M. Kotlyarov
Russian Scientific Center of Roentgenoradiology
Russian Federation
Moscow
Russian Federation
Moscow
N. V. Chernichenko
Russian Scientific Center of Roentgenoradiology
Russian Federation
Moscow
Russian Federation
Moscow
V. P. Kharchenko
Russian Scientific Center of Roentgenoradiology
Russian Federation
Moscow
Russian Federation
Moscow
References
1. Velly J.F., Martigne C., Moreau J.M. et al. Post traumatic tracheobronchial lesions. A follow-up study of 47 cases // Eur. J. Cardiothorac Surg. 1991. Vol. 5 (7). Р. 352–355.
2. Scognamiglio G., Solli P., Benni M. et al. Less is more: lung-sparing direct repair of a traumatic rupture of the bronchus intermedius // J. Vis. Surg. 2017. Aug 21; Vol. 3. Р. 109. doi: 10.21037/ jovs.2017.06.07. eCollection 2017.
3. Karmy-Jones R., Wood D.E. Traumatic injury to the trachea and bronchus // Thorac. Surg. Clin. 2007. Vol. 17. Р. 35–46. doi: 10.1016/j.thorsurg.2007.03.005.
4. Krawczyk L., Byrczek T.P., Łuczyk А.M. et al. Traumatic tension pneumopericardium and amputation of the left main bronchus // Polish journal of cardio-thoracic surgery. 2017. March. No 1 (1). Р. 63–65. doi: 10.5114/kitp.2017.66935
5. Nishiumi N., Inokuchi S., Oiwa K. et al. Diagnosis and treatment of deep pulmonary laceration with intrathoracic hemorrhage from blunt trauma // Ann. Thorac. Surg. 2010. Vol. 9. Р. 232–238. doi: 10.1016/j.athoracsur.2009.09.041
6. Kummer C., Netto F.S., Rizoli S. et al. A review of traumatic airway injuries: potential implications for airway assessment and management // Injury. 2007. Vol 38. Р. 27–33. doi: 10.1016/j.injury
7. Kotlayrov P.M., Temirhanov S.Z., Flerov K.E. et al. Virtual bronchoscopy in the diagnosis of lung cancer, in the assessment of its spread and in monitoring of post-operative changes. Bulletin RNTSRR, 2013, http://vestnik.rncrr.ru/vestnik/v13/ papers/flerov_v13.htm (In Russ.).
8. Kotlyarov P.M. Multislice computed tomography — a new stage of development of radiodiagnostics of diseases of the lungs. Medical imaging, 2011, No. 4, рр. 14–20 (In Russ.).
9. Yun C., Da-qing M., Wei-hua L. Value of multiplanar reconstruction in MSCT in demonstrating the relationship between solitary pulmonary nodule and bronchus // Clinical Imaging. 2009. Vol. 33. Р. 15–21.
10. Kotlyarov P.M., Temirkhanov Z.S., Serbahina E.V. Multiplanar reconstruction and virtual bronchoscopyin the evaluation of the state tracheo-bronchial system according Multidetector computed tomography. Radiation diagnostics and therapy, 2011, No. 2 (2), рр. 50–55 (In Russ.).
11. Kotlyarov P.M. Virtual bronchoscopy in the diagnosis of lung cancer. Radiation diagnosis and therapy, 2015, No. 1, рр. 56–63 (In Russ.).
12. Kharchenko V.P., Kotlyarov P.M., Vinikovetskaya A.V. et al. Trauma of the right main bronchus (clinical observation). Medical Imaging, 2011, Nо 4, рр. 76–81 (In Russ.).
Review
For citations:
Kotlyarov P.M., Chernichenko N.V., Kharchenko V.P. VIRTUAL BRONCHOSCOPY OF MULTISPIRAL COMPUTED TOMOGRAPHY WITH TRAUMATIC INJURIES OF THE MAIN BRONCHUS. Diagnostic radiology and radiotherapy. 2018;(4):63-67. (In Russ.) https://doi.org/10.22328/2079-5343-2018-4-63-67
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