Туберкулез и болезни лёгких (Dec 2016)

COMPARATIVE ASSESSMENT OF CHEMOTHERAPY EFFICIENCY MONITORING IN PULMONARY TUBERCULOSIS PATIENTS BY X-RAY EXAMINATION AND DIGITAL TOMOSYNTHESIS

  • M. M. Nikitin,
  • A. S. Puzko,
  • G. V. Ratobylsky

DOI
https://doi.org/10.21292/2075-1230-2016-94-12-15-19
Journal volume & issue
Vol. 94, no. 12
pp. 15 – 19

Abstract

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Goal of the study: to investigate the capabilities of digital tomosynthesis for monitoring of tuberculous changes in the lungs against the background of chemotherapy.Materials and methods. Results of chemotherapy efficiency monitored by X-ray in 55 respiratory tuberculosis patients were analyzed. Before treatment and in 2 months after chemotherapy start all patients had X-ray and DT with consequent analysis of the obtained data.Results. When monitoring the efficiency of drug therapy for pulmonary tuberculosis by DT some additional diagnostic data were obtained in 36,4% of cases compared to X-ray. The article describes specific features of tuberculous changes visualization of the chest with the follow-up of changes by DT; opportunities for X-ray monitoring efficiency enhancement in these patients are presented.Conclusions. DT provides more accurate evaluation of tuberculous changes in the lungs compared to X-ray, which greatly enhances understanding of the course of the disease and registration of the pulmonary disease cure.

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