OBJECTIVES: To evaluate the usefulness of multi-detector row computed tomography (CT) in the diagnosis of bronchopleural fistula (BPF) and to correlate CT features with clinical, bronchoscopic, and surgical findings. METHODS: Twenty-four patients had a final diagnosis of BPF. Thin-section axial and coronal multiplanar reformation images from multi-detector row CT datasets were assessed by 2 radiologists in consensus. The CT direct sign of BPF was a fistulous tract between the bronchus or lung and pleural space. The indirect signs were air bubbles beneath the bronchial stump or suspected fistula. RESULTS: Computed tomography demonstrated fistulous tract (central type, 3; peripheral type, 11) or indirect signs of BPF (central type, 3; peripheral type, 6), whereas bronchoscopy demonstrated 2 fistula openings (all central type) and indirect signs of BPF (central type, 2; peripheral type, 1). CONCLUSIONS: Thin-section axial and multiplanar reformation images are helpful in the diagnosis of BPF. Multi-detector row CT can be an initial diagnostic modality of BPF.
OBJECTIVES: To evaluate the usefulness of multi-detector row computed tomography (CT) in the diagnosis of bronchopleural fistula (BPF) and to correlate CT features with clinical, bronchoscopic, and surgical findings. METHODS: Twenty-four patients had a final diagnosis of BPF. Thin-section axial and coronal multiplanar reformation images from multi-detector row CT datasets were assessed by 2 radiologists in consensus. The CT direct sign of BPF was a fistulous tract between the bronchus or lung and pleural space. The indirect signs were air bubbles beneath the bronchial stump or suspected fistula. RESULTS: Computed tomography demonstrated fistulous tract (central type, 3; peripheral type, 11) or indirect signs of BPF (central type, 3; peripheral type, 6), whereas bronchoscopy demonstrated 2 fistula openings (all central type) and indirect signs of BPF (central type, 2; peripheral type, 1). CONCLUSIONS: Thin-section axial and multiplanar reformation images are helpful in the diagnosis of BPF. Multi-detector row CT can be an initial diagnostic modality of BPF.
Authors: Arjun Nair; Myrna C Godoy; Emma L Holden; Brendan P Madden; Felix Chua; David E Ost; Justus E Roos; David P Naidich; Ioannis Vlahos Journal: Radiographics Date: 2012 Sep-Oct Impact factor: 5.333
Authors: Ji-Yeon Han; Ki-Nam Lee; Yoo Sang Yoon; Jihyun Lee; Hongyeul Lee; Seok Jin Choi; Hye Jung Choo; Jin Wook Baek; Young Jin Heo; Gi Won Shin; Jinyoung Park; Dasom Kim Journal: Taehan Yongsang Uihakhoe Chi Date: 2020-12-30