6 research outputs found
Π£Π»ΡΡΡΠ°Π½ΠΈΠ·ΠΊΠΎΠ΄ΠΎΠ·Π½Π°Ρ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½Π°Ρ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡ Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΎΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΎΠ²ΡΡ ΠΏΠ°Π·ΡΡ Ρ Π΄Π΅ΡΠ΅ΠΉ: ΠΎΠ±Π·ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ
Background. Sinonasal diseases are widespread in childhood. Radiological studies, including computer tomography, are an optimal and effective method of diagnosis. The child's body is more sensitive to radiation exposure than adults. The threshold of exposure, which may induce internal organs injury in children, requires a precise selection of the radiological method with minimal radiation dose. There is currently no unified position in the professional community on the appropriateness of the use of ultra-low-dose computed tomography in pediatrics.We reviewed the data on the appropriateness and effectiveness of paranasal low-dose computed tomography in pediatrics.Materials. 57 domestic and foreign publications, for the period from January 2001 to November 2019. In order to achieve the objective, we analyzed relevant domestic and foreign publications in scientific libraries e-LIBRARY, PubMed, Google Scholar per the keywords: βlow-dose CTβ, βchildrenβ, βparanasal sinusβ, βpediatricβ, βdiagnosisβ, βchildrenβ, βlow-dose computed tomographyβ, βsinusitisβ, βparanasal sinusesβ.Results. The analysis of the available literature allowed summarizing the current data on pediatric paranasal disease diagnostics and the use of computed tomography, as well as to identify possible options for reducing radiation dose.Conclusions. Conducting many radiological examinations in a child leads to the risk of cancer. However, these examinations are an effective way to diagnose paranasal diseases, and a CT scan is the βgold standardβ. The actual task is to develop a CT technique with reduced radiation exposure without compromising image quality. The need to review and optimize the standard protocols of radiological studies to determine the efficacy and feasibility of studies with minimal radiation exposure to children is justified.ΠΠΊΡΡΠ°Π»ΡΠ½ΠΎΡΡΡ. ΠΠ°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΏΡΠΈΠ΄Π°ΡΠΎΡΠ½ΡΡ
ΠΏΠ°Π·ΡΡ
Π½ΠΎΡΠ° ΡΠΈΡΠΎΠΊΠΎ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Ρ Π² Π΄Π΅ΡΡΠΊΠΎΠΌ Π²ΠΎΠ·ΡΠ°ΡΡΠ΅. Π Π΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ, ΠΈ Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ²ΡΠΊΠ°Ρ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½Π°Ρ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡ (ΠΠ’), ΡΠ²Π»ΡΡΡΡΡ ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΡΠΌ ΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ. ΠΡΠ³Π°Π½ΠΈΠ·ΠΌ ΡΠ΅Π±Π΅Π½ΠΊΠ° Π±ΠΎΠ»Π΅Π΅ ΡΡΠ²ΡΡΠ²ΠΈΡΠ΅Π»Π΅Π½ ΠΊ ΡΠ°Π΄ΠΈΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΉ Π½Π°Π³ΡΡΠ·ΠΊΠ΅, ΡΠ΅ΠΌ Π²Π·ΡΠΎΡΠ»ΡΡ
. ΠΠΎΡΠΎΠ³ ΠΎΠ±Π»ΡΡΠ΅Π½ΠΈΡ, ΠΊΠΎΡΠΎΡΡΠΉ ΠΌΠΎΠΆΠ΅Ρ ΠΈΠ½Π΄ΡΡΠΈΡΠΎΠ²Π°ΡΡ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ Π²Π½ΡΡΡΠ΅Π½Π½ΠΈΡ
ΠΎΡΠ³Π°Π½ΠΎΠ² Ρ Π΄Π΅ΡΠ΅ΠΉ, ΡΡΠ΅Π±ΡΠ΅Ρ ΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π²ΡΠ±ΠΎΡΠ° ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Ρ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ°Π΄ΠΈΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΉ Π½Π°Π³ΡΡΠ·ΠΊΠΎΠΉ. Π ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΌ ΡΠΎΠΎΠ±ΡΠ΅ΡΡΠ²Π΅ Π² Π½Π°ΡΡΠΎΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ ΠΎΡΡΡΡΡΡΠ²ΡΠ΅Ρ Π΅Π΄ΠΈΠ½Π°Ρ ΠΏΠΎΠ·ΠΈΡΠΈΡ ΠΏΠΎ Π²ΠΎΠΏΡΠΎΡΡ ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΡΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΠ»ΡΡΡΠ°Π½ΠΈΠ·ΠΊΠΎΠ΄ΠΎΠ·Π½ΠΎΠΉ ΠΠ’ Π² ΠΏΠ΅Π΄ΠΈΠ°ΡΡΠΈΠΈ.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΡΠΈΡΡΠ΅ΠΌΠ°ΡΠΈΠ·Π°ΡΠΈΡ Π΄Π°Π½Π½ΡΡ
ΠΎ ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΡΡΠΈ ΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π½ΠΈΠ·ΠΊΠΎΠ΄ΠΎΠ·Π½ΠΎΠΉ ΠΠ’ ΠΏΡΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΎΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΎΠ²ΡΡ
ΠΏΠ°Π·ΡΡ
Π² ΠΏΠ΅Π΄ΠΈΠ°ΡΡΠΈΠΈ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠ»Ρ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ ΠΏΠΎΡΡΠ°Π²Π»Π΅Π½Π½ΠΎΠΉ ΡΠ΅Π»ΠΈ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· 57 ΡΠ΅Π»Π΅Π²Π°Π½ΡΠ½ΡΡ
ΠΎΡΠ΅ΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΡ
ΠΈ Π·Π°ΡΡΠ±Π΅ΠΆΠ½ΡΡ
ΠΏΡΠ±Π»ΠΈΠΊΠ°ΡΠΈΠΉ Π·Π° ΠΏΠ΅ΡΠΈΠΎΠ΄ Ρ ΡΠ½Π²Π°ΡΡ 2001 Π³. ΠΏΠΎ Π½ΠΎΡΠ±ΡΡ 2019 Π³. Π² Π½Π°ΡΡΠ½ΡΡ
Π±ΠΈΠ±Π»ΠΈΠΎΡΠ΅ΠΊΠ°Ρ
eLIBRARY, PubMed, Scholar.google ΠΏΠΎ ΠΊΠ»ΡΡΠ΅Π²ΡΠΌ ΡΠ»ΠΎΠ²Π°ΠΌ: βlowdose CTβ, βchildrenβ, βparanasalsinusβ, βpediatricβ, βΠ΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ°β, βΠ΄Π΅ΡΠΈβ, βΠ½ΠΈΠ·ΠΊΠΎΠ΄ΠΎΠ·Π½Π°Ρ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½Π°Ρ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡβ, βΡΠΈΠ½ΡΡΠΈΡβ, βΠΎΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΎΠ²ΡΠ΅ ΠΏΠ°Π·ΡΡ
ΠΈβ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΠΎΠΏΡΠ±Π»ΠΈΠΊΠΎΠ²Π°Π½Π½ΡΡ
Π² Π΄ΠΎΡΡΡΠΏΠ½ΠΎΠΉ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ ΡΠ°Π·Π½ΡΡ
Π°Π²ΡΠΎΡΠΎΠ² ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ ΠΎΠ±ΠΎΠ±ΡΠΈΡΡ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΎ Π»ΡΡΠ΅Π²ΠΎΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΎΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΎΠ²ΡΡ
ΠΏΠ°Π·ΡΡ
Ρ Π΄Π΅ΡΠ΅ΠΉ ΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ ΠΠ’, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΠ΅ Π²Π°ΡΠΈΠ°Π½ΡΡ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ Π΄ΠΎΠ·Ρ Π»ΡΡΠ΅Π²ΠΎΠΉ Π½Π°Π³ΡΡΠ·ΠΊΠΈ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ Π±ΠΎΠ»ΡΡΠΎΠ³ΠΎ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ Ρ ΡΠ΅Π±Π΅Π½ΠΊΠ° ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡ ΠΊ ΡΠΈΡΠΊΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ. ΠΠΌΠ΅ΡΡΠ΅ Ρ ΡΠ΅ΠΌ ΠΈΠΌΠ΅Π½Π½ΠΎ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠ²Π»ΡΡΡΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ ΡΠΏΠΎΡΠΎΠ±ΠΎΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΎΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΎΠ²ΡΡ
ΠΏΠ°Π·ΡΡ
, ΠΏΡΠΈ ΡΡΠΎΠΌ ΠΠ’ ΡΠ²Π»ΡΠ΅ΡΡΡ βΠ·ΠΎΠ»ΠΎΡΡΠΌ ΡΡΠ°Π½Π΄Π°ΡΡΠΎΠΌβ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ. ΠΠΊΡΡΠ°Π»ΡΠ½ΠΎΠΉ Π·Π°Π΄Π°ΡΠ΅ΠΉ ΡΠ²Π»ΡΠ΅ΡΡΡ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΠ° ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈ ΠΠ’ ΡΠΎ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΡΠ°Π΄ΠΈΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΉ Π½Π°Π³ΡΡΠ·ΠΊΠΈ Π±Π΅Π· ΠΏΠΎΡΠ΅ΡΠΈ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΡ. Π ΠΎΠ±Π·ΠΎΡΠ΅ ΠΈΠ·ΡΡΠ΅Π½Π½ΡΡ
Π½Π°ΡΡΠ½ΡΡ
ΡΠ°Π±ΠΎΡ ΠΎΠ±ΠΎΡΠ½ΠΎΠ²Π°Π½Π° Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ ΠΏΠ΅ΡΠ΅ΡΠΌΠΎΡΡΠ° ΠΈ ΠΎΠΏΡΠΈΠΌΠΈΠ·Π°ΡΠΈΠΈ ΡΡΠ°Π½Π΄Π°ΡΡΠ½ΡΡ
ΠΏΡΠΎΡΠΎΠΊΠΎΠ»ΠΎΠ² ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ ΠΎΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΎΠ²ΡΡ
ΠΏΠ°Π·ΡΡ
Π΄Π»Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΈ ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΡΡΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊ Π»ΡΡΠ΅Π²ΡΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ Ρ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»ΡΠ½ΡΠΌ ΡΠΈΡΠΊΠΎΠΌ ΡΠ°Π΄ΠΈΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΉ Π½Π°Π³ΡΡΠ·ΠΊΠΈ Π½Π° ΡΠ΅Π±Π΅Π½ΠΊΠ°
ΠΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠΈ ΠΌΡΠ»ΡΡΠΈΡΠΏΠΈΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΠΏΠ°Π½ΠΊΡΠ΅Π°ΡΠΈΡΠ°
Ability of Evaluation Coronary Calcium Index Based on Ultra-Low-Dose Computed Tomography Used in Moscow Lung Cancer Screening Project
Aim. Determination of the possibility of reliable quantitative assessment of the coronary calcium index based on ultra-low-dose computed tomography (ultra-LDCT) which used in Moscow Lung Cancer Screening project.Material and methods. The study included the results of 254 ultra-LDCT studies conducted as part of the Moscow lung cancer screening project. For compare the parameters of coronary calcium on different images used 16 pairs of ultra-LDCT images with a slice thickness of 1 mm and CT images with a slice thickness of 3 mm, performed without ECG synchronization, performed with an interval of less than 10 days, as well as 18 pairs of ultra-LDCT with a slice thickness of 1 mm and CT with ECG synchronization with a slice thickness of 3 mm, performed on the same day after execution. Analysis of DICOM 3.0 standard images was performed. Quantitative indicators of coronary calcium in patients from lung cancer screening were analyzed, a comparative analysis of the calcium index for Agatstone, Volume, Mass, and using the CAC-DRS scale (assessment of the degree of calcification by scores from 0 to 3 and the number of affected arteries from 0 to 4 points) was performed.Results. Evaluation ultra-LDCT with a slice thickness in 1 mm and with a CT scan with slice thickness in 3 mm with and without ECG-synchronization for the presence of coronary calcium, and subsequent rating according to the index Agatston, Volume, Mass, as the total coronary calcium and for each coronary artery (right, left, left descending, left circumflex) received the complete data correlation (Pearson's - 1), with full correlation (Spearman's >0.9), with good rank correlations (>0,9). Compare qualitative (CAC-DRS V) and quantitative (CAC-DRS A) estimates on ultra-LDCT with CT with ECG synchronization in the same patients show a complete correlation of data was obtained (Pearson's formula - 1), with a complete correlation (Spearman's formula - 1).Conclusion. Coronary calcium which detected in lung cancer screening subjects should be included in the overall decision-making process for further routing of patients (cardiologist, interventional surgeon, pulmonologist, therapist). Ultra-LDCT is a method that has high diagnostic accuracy in detecting and evaluating the prevalence of coronary calcium in comparison with standard CT with and without ECG synchronization, as demonstrated in our study. Evaluation of coronary calcium according to ultra-LDCT without ECG synchronization used in screening, preferably with a 1 mm slice thickness. Despite the fact that the gold standard is CT with ECG synchronization with a 3 mm slice thickness, the diagnostic significance of ultra-LDCT which used in lung cancer screening is high in relation to detecting coronary artery calcification