Role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomalies
Objective: The purpose of this study was to shed some light on different tracheobronchial branching anomalies as well as evaluating the role of multislice CT (MSCT) examination in accessing of them. Knowledge of different tracheobronchial branching anomalies and their nomenclature is mandatory for r...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2018-12-01
|
| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X18301621 |
| _version_ | 1818466756620976128 |
|---|---|
| author | Youssriah Yahia Sabri Hassan Gamal Abd El Nasser Yamamah Takeya Ahmed Taymour |
| author_facet | Youssriah Yahia Sabri Hassan Gamal Abd El Nasser Yamamah Takeya Ahmed Taymour |
| author_sort | Youssriah Yahia Sabri |
| collection | DOAJ |
| description | Objective: The purpose of this study was to shed some light on different tracheobronchial branching anomalies as well as evaluating the role of multislice CT (MSCT) examination in accessing of them. Knowledge of different tracheobronchial branching anomalies and their nomenclature is mandatory for radiologists, bronchoscopists and chest surgeons. Multiplanar and 3D reconstruction CT images provide an important complementary method of viewing these branching anomalies and offer the potential to improve diagnostic confidence and accuracy and enhance communication and planning for any interventional chest procedure. Patients and methods: The study involved 50 patients presented to radiology department with different chest complaints in the period from February to July 2017 and only cases with CT picture suggestive of tracheobronchial branching anomalies were included in this study Tracheobronchial tree was studied using different protocols of MSCT (NECT, CECT, CTPA, HRCT, VB). Tracheobronchial branching anomalies were an incidental finding in all cases. Results: Tracheobronchial branching anomalies due to upper lobe anomalies represent 52% of total anomalies (26 cases) and the commonest cause of the upper lobe anomalies is pre-eparterial bronchus (9 cases). Lower lobe anomalies were found in 6% of cases (3 cases) and all due to suprasuperior bronchus. Cardiac bronchus was found in 14% of patients (7cases), and one case was diagnosed as bridging anomaly. Branching anomalies affecting entire lung were detected in 13cases (26%) most commonly sintus inversus (6 cases). Conclusion: The role of MSCT imaging in the evaluation of tracheobronchial branching anomalies is central, being accurate and non-invasive. Keywords: MDCT, Tracheo bronchial branching anomalies |
| first_indexed | 2024-04-13T21:01:38Z |
| format | Article |
| id | doaj.art-27d77e540d344161b81484db006ed28f |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-04-13T21:01:38Z |
| publishDate | 2018-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-27d77e540d344161b81484db006ed28f2022-12-22T02:30:07ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2018-12-0149410031008Role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomaliesYoussriah Yahia Sabri0Hassan Gamal Abd El Nasser Yamamah1Takeya Ahmed Taymour2Diagnostic Radiology and Intervention, Kasr Alainy Medical School, Cairo University, Egypt; Corresponding author.Chest Medicine Department, Kasr Alainy Medical School, Cairo University, EgyptDiagnostic Radiology and Intervention, Kasr Alainy Medical School, Cairo University, EgyptObjective: The purpose of this study was to shed some light on different tracheobronchial branching anomalies as well as evaluating the role of multislice CT (MSCT) examination in accessing of them. Knowledge of different tracheobronchial branching anomalies and their nomenclature is mandatory for radiologists, bronchoscopists and chest surgeons. Multiplanar and 3D reconstruction CT images provide an important complementary method of viewing these branching anomalies and offer the potential to improve diagnostic confidence and accuracy and enhance communication and planning for any interventional chest procedure. Patients and methods: The study involved 50 patients presented to radiology department with different chest complaints in the period from February to July 2017 and only cases with CT picture suggestive of tracheobronchial branching anomalies were included in this study Tracheobronchial tree was studied using different protocols of MSCT (NECT, CECT, CTPA, HRCT, VB). Tracheobronchial branching anomalies were an incidental finding in all cases. Results: Tracheobronchial branching anomalies due to upper lobe anomalies represent 52% of total anomalies (26 cases) and the commonest cause of the upper lobe anomalies is pre-eparterial bronchus (9 cases). Lower lobe anomalies were found in 6% of cases (3 cases) and all due to suprasuperior bronchus. Cardiac bronchus was found in 14% of patients (7cases), and one case was diagnosed as bridging anomaly. Branching anomalies affecting entire lung were detected in 13cases (26%) most commonly sintus inversus (6 cases). Conclusion: The role of MSCT imaging in the evaluation of tracheobronchial branching anomalies is central, being accurate and non-invasive. Keywords: MDCT, Tracheo bronchial branching anomalieshttp://www.sciencedirect.com/science/article/pii/S0378603X18301621 |
| spellingShingle | Youssriah Yahia Sabri Hassan Gamal Abd El Nasser Yamamah Takeya Ahmed Taymour Role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomalies The Egyptian Journal of Radiology and Nuclear Medicine |
| title | Role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomalies |
| title_full | Role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomalies |
| title_fullStr | Role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomalies |
| title_full_unstemmed | Role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomalies |
| title_short | Role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomalies |
| title_sort | role of multislice computed tomography in evaluation of congenital tracheobronchial branching anomalies |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X18301621 |
| work_keys_str_mv | AT youssriahyahiasabri roleofmultislicecomputedtomographyinevaluationofcongenitaltracheobronchialbranchinganomalies AT hassangamalabdelnasseryamamah roleofmultislicecomputedtomographyinevaluationofcongenitaltracheobronchialbranchinganomalies AT takeyaahmedtaymour roleofmultislicecomputedtomographyinevaluationofcongenitaltracheobronchialbranchinganomalies |