COMPARATIVE ASSESSMENT OF CHEMOTHERAPY EFFICIENCY MONITORING IN PULMONARY TUBERCULOSIS PATIENTS BY X-RAY EXAMINATION AND DIGITAL TOMOSYNTHESIS

Goal of the study: to investigate the capabilities of digital tomosynthesis for monitoring of tuberculous changes in the lungs against the background of chemotherapy.Materials and methods. Results of chemotherapy efficiency monitored by X-ray in 55 respiratory tuberculosis patients were analyzed. Before treatment and in 2 months after chemotherapy start all patients had X-ray and DT with consequent analysis of the obtained data.Results. When monitoring the efficiency of drug therapy for pulmonary tuberculosis by DT some additional diagnostic data were obtained in 36,4% of cases compared to X-ray. The article describes specific features of tuberculous changes visualization of the chest with the follow-up of changes by DT; opportunities for X-ray monitoring efficiency enhancement in these patients are presented.Conclusions. DT provides more accurate evaluation of tuberculous changes in the lungs compared to X-ray, which greatly enhances understanding of the course of the disease and registration of the pulmonary disease cure

СРАВНИТЕЛЬНАЯ ОЦЕНКА КОНТРОЛЯ ЭФФЕКТИВНОСТИ ХИМИОТЕРАПИИ БОЛЬНЫХ ТУБЕРКУЛЕЗОМ ЛЕГКИХ ПРИ РЕНТГЕНОГРАФИИ И ЦИФРОВОМ ТОМОСИНТЕЗЕ

Goal of the study: to investigate the capabilities of digital tomosynthesis for monitoring of tuberculous changes in the lungs against the background of chemotherapy.Materials and methods. Results of chemotherapy efficiency monitored by X-ray in 55 respiratory tuberculosis patients were analyzed. Before treatment and in 2 months after chemotherapy start all patients had X-ray and DT with consequent analysis of the obtained data.Results. When monitoring the efficiency of drug therapy for pulmonary tuberculosis by DT some additional diagnostic data were obtained in 36,4% of cases compared to X-ray. The article describes specific features of tuberculous changes visualization of the chest with the follow-up of changes by DT; opportunities for X-ray monitoring efficiency enhancement in these patients are presented.Conclusions. DT provides more accurate evaluation of tuberculous changes in the lungs compared to X-ray, which greatly enhances understanding of the course of the disease and registration of the pulmonary disease cure. Университетская клиническая больница фтизиопульмонологии ПМГМУ им. И. М. Сеченова, МоскваЦель исследования: анализ возможностей цифрового томосинтеза (ЦТ) в динамической оценке туберкулезных изменений легких на фоне проводимой химиотерапии.Материалы и методы. Проанализированы результаты контроля эффективности медикаментозного лечения 55 больных туберкулезом органов дыхания с помощью рентгеновских методов. До начала лечения и после 2 мес. курса химиотерапии всем больным выполнены рентгенография и ЦТ с дальнейшей обработкой полученных данных.Результаты. При контроле эффективности медикаментозного лечения туберкулеза легких с помощью ЦТ удалось получить дополнительную диагностическую информацию в 36,4% случаев по сравнению с рентгенографией. Указаны особенности визуализации туберкулезных изменений органов грудной клетки при динамическом наблюдении методом ЦТ, рассмотрены возможности повышения эффективности рентгенологического контроля у данных больных.Выводы. ЦТ позволяет осуществить более достоверную оценку туберкулезных изменений в легких по сравнению с рентгенографией на фоне медикаментозной терапии, что в значительной степени способствует пониманию особенностей течения и регистрации излечения специфического процесса в легких

POSSIBILITIES FOR RADIODIAGNOSIS OF TUBERCULOUS SPONDYLITIS

The presented case illustrates the possibilities of complex radiodiagnosis in a patient with tuberculous spondylitis. The specific features of displaying a spinal tuberculous lesion during X-ray study, tomosynthesis, computed tomography, and magnetic resonance imaging are described. A rational algorithm for the examination and treatment of patients with this disease is proposed, by comparing the clinical manifestations of spinal tuberculous lesion and the results of its radiological studies

New roentgen technologies (tomosynthesis) for diagnostics and outcomes evaluation of genital tuberculosis treatment

This article describes the specific primary disorder of small pelvis organs in the female patient with no tuberculosis in her medical history. Use of this roentgen technique for genital tuberculosis detection and assessment of treatment efficacy enhances the effectiveness of diagnostic activities and allows early detection of this pathology thus reducing the risk of complications which is crucial for pregnancy planning given the young age of the patient

ВОЗМОЖНОСТИ ЛУЧЕВОЙ ДИАГНОСТИКИ ТУБЕРКУЛЕЗНОГО СПОНДИЛИТА

The presented case illustrates the possibilities of complex radiodiagnosis in a patient with tuberculous spondylitis. The specific features of displaying a spinal tuberculous lesion during X-ray study, tomosynthesis, computed tomography, and magnetic resonance imaging are described. A rational algorithm for the examination and treatment of patients with this disease is proposed, by comparing the clinical manifestations of spinal tuberculous lesion and the results of its radiological studies.Представленное наблюдение иллюстрирует возможности комплексной лучевой диагностики больного с туберкулезным спондилитом. Описаны особенности отображения туберкулезного поражения позвоночника при рентгеновском исследовании, томосинтезе, компьютерной томографии и магнитно-резонансной томографии. На основании сопоставления клинических проявлений и результатов лучевых методов исследования туберкулезного поражения позвоночника предложен рациональный алгоритм обследования и лечения пациентов с этой патологией