VIRTUAL MULTISLICE-CT-BRONCHOSCOPY AS A DIAGNOSTIC TOOL IN PATIENTS WITH BRONCHIAL TUMORS

Purpose: to study the role of virtual multislice-CT-bronchoscopy in the detection of bronchial tumors and assessment of bronchial tumor extension. Material and methods. Findings of the virtual multislice-CTbronchoscopy were analyzed in 61 patients with primary and secondary bronchial tumors. Virtual...

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Main Authors: P. M. Kotlyarov, N. I. Sergeev, V. A. Rebrikova, О. V. Tatarnikova
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Tomsk National Research Medical Center 2016-12-01
Series:Сибирский онкологический журнал
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Online Access:https://www.siboncoj.ru/jour/article/view/439
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author P. M. Kotlyarov
N. I. Sergeev
V. A. Rebrikova
О. V. Tatarnikova
author_facet P. M. Kotlyarov
N. I. Sergeev
V. A. Rebrikova
О. V. Tatarnikova
author_sort P. M. Kotlyarov
collection DOAJ
description Purpose: to study the role of virtual multislice-CT-bronchoscopy in the detection of bronchial tumors and assessment of bronchial tumor extension. Material and methods. Findings of the virtual multislice-CTbronchoscopy were analyzed in 61 patients with primary and secondary bronchial tumors. Virtual multislice-CTbronchoscopy was performed using the AquilionONE (320-slice) CT scanner. Results. Virtual bronchoscopy revealed 3 types of bronchial involvement: peribronchial, intrabronchial and mixed tumor infiltrations. The virtual fly through bronchoscopy was used to assess the macrostructure and tumor margins in patients with intrabronchial tumor growth. Broad-based polypoid masses causing the obstructing narrowing of the bronchus were visualized inside the bronchial lumen. The narrowing of the bronchial lumen and no visualization of the cartilaginous structures (the bronchus turned into the deformed tubular structure) were the signs of infiltration of the main bronchi and the trachea. In patients with lung and hilar lymph node metastases, infiltration of segmental and lobar bronchi led to the impaired ventilation of the affected segments or lobes of the lungs, thus resulting in the development of atelectasis. In patients with benign tumors, the lesion was characterized by the regular shape, smooth surface and homogeneous internal structure, as well as the absence of infiltration of the bronchial wall. Conclusion. Virtual multislice-CT-bronchoscopy with multiplanar and three dimensional reconstruction is a reliable noninvasive method for accurate diagnosis of bronchial involvement and the differential diagnosis between extrinsic pressure on the bronchial tree and bronchial tumor.
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spelling doaj-art-d9829b0fd13d4ee1bc974ab89cf574122025-08-20T03:56:24ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682016-12-0115651310.21294/1814-4861-2016-15-6-5-13391VIRTUAL MULTISLICE-CT-BRONCHOSCOPY AS A DIAGNOSTIC TOOL IN PATIENTS WITH BRONCHIAL TUMORSP. M. Kotlyarov0N. I. Sergeev1V. A. Rebrikova2О. V. Tatarnikova3Russian Scientific Center of RoentgenoradiologyRussian Scientific Center of RoentgenoradiologyRussian Scientific Center of RoentgenoradiologyRussian Scientific Center of RoentgenoradiologyPurpose: to study the role of virtual multislice-CT-bronchoscopy in the detection of bronchial tumors and assessment of bronchial tumor extension. Material and methods. Findings of the virtual multislice-CTbronchoscopy were analyzed in 61 patients with primary and secondary bronchial tumors. Virtual multislice-CTbronchoscopy was performed using the AquilionONE (320-slice) CT scanner. Results. Virtual bronchoscopy revealed 3 types of bronchial involvement: peribronchial, intrabronchial and mixed tumor infiltrations. The virtual fly through bronchoscopy was used to assess the macrostructure and tumor margins in patients with intrabronchial tumor growth. Broad-based polypoid masses causing the obstructing narrowing of the bronchus were visualized inside the bronchial lumen. The narrowing of the bronchial lumen and no visualization of the cartilaginous structures (the bronchus turned into the deformed tubular structure) were the signs of infiltration of the main bronchi and the trachea. In patients with lung and hilar lymph node metastases, infiltration of segmental and lobar bronchi led to the impaired ventilation of the affected segments or lobes of the lungs, thus resulting in the development of atelectasis. In patients with benign tumors, the lesion was characterized by the regular shape, smooth surface and homogeneous internal structure, as well as the absence of infiltration of the bronchial wall. Conclusion. Virtual multislice-CT-bronchoscopy with multiplanar and three dimensional reconstruction is a reliable noninvasive method for accurate diagnosis of bronchial involvement and the differential diagnosis between extrinsic pressure on the bronchial tree and bronchial tumor.https://www.siboncoj.ru/jour/article/view/439virtual bronchoscopymultispiral computed tomographybronchial tumors
spellingShingle P. M. Kotlyarov
N. I. Sergeev
V. A. Rebrikova
О. V. Tatarnikova
VIRTUAL MULTISLICE-CT-BRONCHOSCOPY AS A DIAGNOSTIC TOOL IN PATIENTS WITH BRONCHIAL TUMORS
Сибирский онкологический журнал
virtual bronchoscopy
multispiral computed tomography
bronchial tumors
title VIRTUAL MULTISLICE-CT-BRONCHOSCOPY AS A DIAGNOSTIC TOOL IN PATIENTS WITH BRONCHIAL TUMORS
title_full VIRTUAL MULTISLICE-CT-BRONCHOSCOPY AS A DIAGNOSTIC TOOL IN PATIENTS WITH BRONCHIAL TUMORS
title_fullStr VIRTUAL MULTISLICE-CT-BRONCHOSCOPY AS A DIAGNOSTIC TOOL IN PATIENTS WITH BRONCHIAL TUMORS
title_full_unstemmed VIRTUAL MULTISLICE-CT-BRONCHOSCOPY AS A DIAGNOSTIC TOOL IN PATIENTS WITH BRONCHIAL TUMORS
title_short VIRTUAL MULTISLICE-CT-BRONCHOSCOPY AS A DIAGNOSTIC TOOL IN PATIENTS WITH BRONCHIAL TUMORS
title_sort virtual multislice ct bronchoscopy as a diagnostic tool in patients with bronchial tumors
topic virtual bronchoscopy
multispiral computed tomography
bronchial tumors
url https://www.siboncoj.ru/jour/article/view/439
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