The method of coding and quantitative evaluation of tuberculosis lesions in the lungs

To evaluate the degree of tuberculous lesions of the lungs, the method has been developed for coding and quantitative assessment of chest computed tomography results (chest CT) based on the presence of the following signs in each lobe of the lung: infiltrative and/or small focal changes – +1 point,...

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Main Authors: K. A. Аvdienko, D. V. Krasnov, E. P. Myshkova, N. G. Grischenko, V. A. Krasnov
Format: Article
Language:Russian
Published: New Terra Publishing House 2021-01-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/1494
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author K. A. Аvdienko
D. V. Krasnov
E. P. Myshkova
N. G. Grischenko
V. A. Krasnov
author_facet K. A. Аvdienko
D. V. Krasnov
E. P. Myshkova
N. G. Grischenko
V. A. Krasnov
author_sort K. A. Аvdienko
collection DOAJ
description To evaluate the degree of tuberculous lesions of the lungs, the method has been developed for coding and quantitative assessment of chest computed tomography results (chest CT) based on the presence of the following signs in each lobe of the lung: infiltrative and/or small focal changes – +1 point, focal formations (tuberculomas) – +2 points, cavitary changes (cavities) – +4 points. If there are all elements in the lobe, the maximum score is given – 7. The X-ray signs of tuberculous changes in the lungs are recorded in the form of a five-digit code "* * * | * *", where * corresponds to the lung lobe and is replaced by a figure corresponding to the total score calculated for this lobe. The arithmetic mean of the numbers in the code allows estimating the dissemination of tuberculosis: the higher the value, the more severe pathological changes in the lungs. The authors experimentally found that in the treatment of multiple and extensive drug resistant pulmonary tuberculosis with, the timing of sputum conversion (rs = 0.442; p < 0.01) and healing of cavities (rs = 0.575; p < 0.05) directly depended on the severity of tuberculous changes in the lungs, revealed by chest CT and evaluated using the proposed method.
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spelling doaj.art-0d29076206284e42bb40b4d4fd02eff62023-09-03T09:14:38ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062021-01-019812485210.21292/2075-1230-2020-98-12-48-521490The method of coding and quantitative evaluation of tuberculosis lesions in the lungsK. A. Аvdienko0D. V. Krasnov1E. P. Myshkova2N. G. Grischenko3V. A. Krasnov4ФГБУ «Новосибирский НИИ туберкулеза» МЗ РФФГБУ «Новосибирский НИИ туберкулеза» МЗ РФ; ФГБОУ ВО «Новосибирский государственный медицинский университет» МЗ РФФГБУ «Новосибирский НИИ туберкулеза» МЗ РФФГБУ «Новосибирский НИИ туберкулеза» МЗ РФФГБУ «Новосибирский НИИ туберкулеза» МЗ РФ; ФГБОУ ВО «Новосибирский государственный медицинский университет» МЗ РФTo evaluate the degree of tuberculous lesions of the lungs, the method has been developed for coding and quantitative assessment of chest computed tomography results (chest CT) based on the presence of the following signs in each lobe of the lung: infiltrative and/or small focal changes – +1 point, focal formations (tuberculomas) – +2 points, cavitary changes (cavities) – +4 points. If there are all elements in the lobe, the maximum score is given – 7. The X-ray signs of tuberculous changes in the lungs are recorded in the form of a five-digit code "* * * | * *", where * corresponds to the lung lobe and is replaced by a figure corresponding to the total score calculated for this lobe. The arithmetic mean of the numbers in the code allows estimating the dissemination of tuberculosis: the higher the value, the more severe pathological changes in the lungs. The authors experimentally found that in the treatment of multiple and extensive drug resistant pulmonary tuberculosis with, the timing of sputum conversion (rs = 0.442; p < 0.01) and healing of cavities (rs = 0.575; p < 0.05) directly depended on the severity of tuberculous changes in the lungs, revealed by chest CT and evaluated using the proposed method.https://www.tibl-journal.com/jour/article/view/1494распространенность поражениятуберкулез легкихкодированиеколичественная оценка распространенностикомпьютерная томография легких
spellingShingle K. A. Аvdienko
D. V. Krasnov
E. P. Myshkova
N. G. Grischenko
V. A. Krasnov
The method of coding and quantitative evaluation of tuberculosis lesions in the lungs
Туберкулез и болезни лёгких
распространенность поражения
туберкулез легких
кодирование
количественная оценка распространенности
компьютерная томография легких
title The method of coding and quantitative evaluation of tuberculosis lesions in the lungs
title_full The method of coding and quantitative evaluation of tuberculosis lesions in the lungs
title_fullStr The method of coding and quantitative evaluation of tuberculosis lesions in the lungs
title_full_unstemmed The method of coding and quantitative evaluation of tuberculosis lesions in the lungs
title_short The method of coding and quantitative evaluation of tuberculosis lesions in the lungs
title_sort method of coding and quantitative evaluation of tuberculosis lesions in the lungs
topic распространенность поражения
туберкулез легких
кодирование
количественная оценка распространенности
компьютерная томография легких
url https://www.tibl-journal.com/jour/article/view/1494
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