Tracheobronchial foreign body aspiration in infants & children: Diagnostic utility of multidetector CT with emphasis on virtual bronchoscopy

Aim: To evaluate the efficacy of multidetector CT (MDCT) and its post-processing techniques including virtual bronchoscopy in evaluation of tracheobronchial foreign body inhalation in infants and children. Patients and methods: During the period from March 2011 to October 2013, 21 consecutive patien...

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Main Authors: Ehab Ali Abd-ElGawad, Mohammed Ahmed Ibrahim, Yasser Shaban Mubarak
Format: Article
Language:English
Published: SpringerOpen 2014-12-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0378603X14001302
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author Ehab Ali Abd-ElGawad
Mohammed Ahmed Ibrahim
Yasser Shaban Mubarak
author_facet Ehab Ali Abd-ElGawad
Mohammed Ahmed Ibrahim
Yasser Shaban Mubarak
author_sort Ehab Ali Abd-ElGawad
collection DOAJ
description Aim: To evaluate the efficacy of multidetector CT (MDCT) and its post-processing techniques including virtual bronchoscopy in evaluation of tracheobronchial foreign body inhalation in infants and children. Patients and methods: During the period from March 2011 to October 2013, 21 consecutive patients (8 females, 13 males, age range from 18 month to 7 years) were referred to the radiology department for CT evaluation for suspected FB inhalation. CT was done on a 16-slice scanner. No IV contrast was used. MDCT findings were compared with the results of rigid bronchoscopy. Results: MDCT detected FB in 17 patients, two cases had true −ve results, one case had false +ve and one case had false −ve results compared with conventional bronchoscopy. MDCT revealed hyper-aeration of the ipsilateral lung in 42.9 % patients, atelectasis in 57.1%, pneumonic consolidation in 71.4%. According to bronchoscopy, foreign body was identified and extracted in 18 patients. The right main bronchus, left main bronchus and trachea were the commonest sites. Conclusion: Multidetector CT with the aid of virtual bronchoscopy is a reliable noninvasive method that allows detection and localization of tracheobronchial FB.
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spelling doaj.art-a5e9a7b7d07b408a95c19394e43684642022-12-21T20:53:12ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2014-12-014541141114610.1016/j.ejrnm.2014.07.003Tracheobronchial foreign body aspiration in infants & children: Diagnostic utility of multidetector CT with emphasis on virtual bronchoscopyEhab Ali Abd-ElGawad0Mohammed Ahmed Ibrahim1Yasser Shaban Mubarak2Department of Radiology, Minia University, EgyptDepartment of Radiology, Minia University, EgyptCardiothoracic Surgery Department, Minia University, EgyptAim: To evaluate the efficacy of multidetector CT (MDCT) and its post-processing techniques including virtual bronchoscopy in evaluation of tracheobronchial foreign body inhalation in infants and children. Patients and methods: During the period from March 2011 to October 2013, 21 consecutive patients (8 females, 13 males, age range from 18 month to 7 years) were referred to the radiology department for CT evaluation for suspected FB inhalation. CT was done on a 16-slice scanner. No IV contrast was used. MDCT findings were compared with the results of rigid bronchoscopy. Results: MDCT detected FB in 17 patients, two cases had true −ve results, one case had false +ve and one case had false −ve results compared with conventional bronchoscopy. MDCT revealed hyper-aeration of the ipsilateral lung in 42.9 % patients, atelectasis in 57.1%, pneumonic consolidation in 71.4%. According to bronchoscopy, foreign body was identified and extracted in 18 patients. The right main bronchus, left main bronchus and trachea were the commonest sites. Conclusion: Multidetector CT with the aid of virtual bronchoscopy is a reliable noninvasive method that allows detection and localization of tracheobronchial FB.http://www.sciencedirect.com/science/article/pii/S0378603X14001302Foreign bodyAspirationMDCTRigid bronchoscopy
spellingShingle Ehab Ali Abd-ElGawad
Mohammed Ahmed Ibrahim
Yasser Shaban Mubarak
Tracheobronchial foreign body aspiration in infants & children: Diagnostic utility of multidetector CT with emphasis on virtual bronchoscopy
The Egyptian Journal of Radiology and Nuclear Medicine
Foreign body
Aspiration
MDCT
Rigid bronchoscopy
title Tracheobronchial foreign body aspiration in infants & children: Diagnostic utility of multidetector CT with emphasis on virtual bronchoscopy
title_full Tracheobronchial foreign body aspiration in infants & children: Diagnostic utility of multidetector CT with emphasis on virtual bronchoscopy
title_fullStr Tracheobronchial foreign body aspiration in infants & children: Diagnostic utility of multidetector CT with emphasis on virtual bronchoscopy
title_full_unstemmed Tracheobronchial foreign body aspiration in infants & children: Diagnostic utility of multidetector CT with emphasis on virtual bronchoscopy
title_short Tracheobronchial foreign body aspiration in infants & children: Diagnostic utility of multidetector CT with emphasis on virtual bronchoscopy
title_sort tracheobronchial foreign body aspiration in infants children diagnostic utility of multidetector ct with emphasis on virtual bronchoscopy
topic Foreign body
Aspiration
MDCT
Rigid bronchoscopy
url http://www.sciencedirect.com/science/article/pii/S0378603X14001302
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