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Post a Comment Evaluation of efficiency of different methods of radiation diagnosis in the detection of tuberculosis in children
- Authors: Sinitsyna A.V1, Gavrilov P.V2, Sinitsyn A.V3, Michailova S.V1, Pribitok K.V2, Sinelnikova E.V1
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Affiliations:
- St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
- St Petersburg State Research Institute of Phthisiopulmonology, Ministry of Healthcare of the Russian Federation
- Saint Petersburg State Antitubercular clinic No 16
- Issue: Vol 8, No 3 (2017)
- Pages: 94-100
- Section: Articles
- URL: https://journals.rcsi.science/pediatr/article/view/6704
- DOI: https://doi.org/10.17816/PED8394-100
- ID: 6704
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Abstract
An evaluation of the effectiveness of the method of computer tomography in 77 children with suspicion of tuberculosis of the intrathoracic lymph nodes and positive test with recombinant tuberculosis allergen (Diaskintest). Ultrasound diagnosis is conducted with 60 children with a negative test with recombinant tuberculosis allergen (Diaskintest), with indirect signs of increase of intrathoracic lymph nodes, left tracheobronchial region according to traditional radiographic studies (plain radiography, linear tomography). In the first group of the frequency change detection by computed tomography in a group of patients, where it was revealed the changes on the survey radiograph, was almost 2 times more than in the group of patients with normal radiograph. There is a high rate of detection of changes at computed tomography in children with normal x-ray picture according to the classical methods. These changes were regarded as possibly associated with an active tuberculous process and required additional evaluation of clinical and laboratory data physician TB. In 32% of cases, the changes revealed by traditional x-ray, computed tomography has not been confirmed. When conducting sonography in the second group in the left tracheobronchial region was visualized left lobe of the thymus in 100%. Specific changes in the lymph nodes and the pleura was not determined by ultrasound. Thus the thymus simulated increase in intrathoracic lymph nodes. In the evaluation of clinical and laboratory data physician TB specialist, diagnosis of tuberculosis in this group, was not confirmed.
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##article.viewOnOriginalSite##About the authors
Anastasiya V Sinitsyna
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: asicyn@yandex.ru
Assistant, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education
Russian Federation, Saint Petersburg, RussiaPavel V Gavrilov
St Petersburg State Research Institute of Phthisiopulmonology, Ministry of Healthcare of the Russian Federation
Email: spbniifrentgen@mail.ru
MD, PhD, leading researcher, head of the "radiation diagnostics"
Russian Federation, Saint Petersburg, RussiaAlexandr V Sinitsyn
Saint Petersburg State Antitubercular clinic No 16
Email: ptd16@bk.ru
главный врач
Russian Federation, Saint Petersburg, RussiaSvetlana V Michailova
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: kamochina@mail.ru
MD, PhD, Assistant, Department of Phthisiology, Faculty of Postgraduate Education
Russian Federation, Saint Petersburg, RussiaKsenia V Pribitok
St Petersburg State Research Institute of Phthisiopulmonology, Ministry of Healthcare of the Russian Federation
Email: spbniifrentgen@mail.ru
resident
Russian Federation, Saint Petersburg, RussiaElena V Sinelnikova
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: sinelnikavae@gmail.com
MD, PhD, Dr Med Sci, Professor, Head, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education
Russian Federation, Saint Petersburg, RussiaReferences
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