50 KB419 KB46 KB199220252005Bešlić, ŠerifDalagija, FarukĐurović, Vesna14 straništevilka:2letnik:39str. 101-114ISSN:1318-2099COBISSID:19768793URN:URN:NBN:SI:doc-BR6ALYFUenAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)DiagnosisdiagnostikaPljučna embolijapljučne bolezniPulmonary Embolismračunalniška tomografijaTomografija radiografska, računalniškaTomography, X-Ray ComputedMultislice computed tomography of pulmonary embolism| spectrum of findings|Background. The purpose of this study is to analyse the contribution of multislice computed tomography (MSCT) as a diagnostic method in the diagnosis of pulmonary embolism (PE) and spectrum of findings in our material. Methods. During the period of one and a half year, we found PE in 25 patients (15 malesand 10 females). The average age of the patients was 54.4 years (25 - 74). The examination was performed by Somatom Volume Zoom Siemens CT machinewith four row detectors, with retrospective ECG gating, collimation 4 x2.5 mm and reconstructed section with 0.8 mm. Contrast medium (130 ml) and 10ml of saline was applied, administered with a flow rate of 3.5 ml/s and withtime delay of 22 seconds. Results. During the examination, we found embolism of the main branches of pulmonary artery in 14 (56%) patients, at theright branch in 10 (40%), at the left one in 4 (16%), and bilateral pulmonary embolism in 11 (44%) patients. Subsegmental pulmonary emboli were noticed in 8 (32%) patients. Pulmonary infarct was found in 12 (48%) patients,and was followed up with ipsilateral pulmonary artery dilatation in 11 (44%) cases, redistribution of the circulation and pulmonary artery branches dilatation in infarct zone in 9 (36%) cases, contrast enhanced consolidation of pulmonary parenchyma in 10 (40%), rag zones of ground glass attenuation in 15 (60%), haemorrhage in 21 (84%), striped and reticular pulmonary drawing in 11(44%), and mosaic olighemy in 3 (12%) cases. (Abstract truncated at 2000 characters)Izhodišča. Namen raziskave je bil ugotoviti, kakšen je prispevek večlistne računalniške tomografije (MSCT) pri diagnosticiranju pljučne embolije (PE) in kakšne spremembe smo našli pri naših bolnikih. Metode. V obdobju enega in pol leta smo PE ugotovili pri 25 bolnikih (15 moških in 70 žensk). Povprečna starost bolnikov je bila 54,4 let (25-74). Preiskave smo naredili s Somatom Volume Zoom Siemensovo CT napravo, ki je imela 4 detektorje, kolimator 4 x 2,5 mm in s katero smo naredili retrospektivni EKG ter rekonstruirali reze na razdaljo 0,8 mm. Aplicirali smo 130 ml kontrastnega sredstva v raztopini s hitrostjo 3,5 ml/s in z zakasnitvenim časom 22 sekund. Rezultati. Med preiskavo smo ugotovili embolizme v glavnih vejah pulmonarne arterije pri 14 (56°a) bolnikih, v desni veji pri 10 (40%) in v levi veji pri 4 (16%), bilateralne pulmonarne embolisme pa smo videli pri 11(44%) bolnikih. Subsegmentalne pljučne embolizme smo diagnosticirali pri pri 8 (32%). Pljučni infarkt smo ugotovili pri 12 (48%) bolnikih in je v 11 (44%) primerih povzročil razširitev istostranske pljučne arterije, redistribucijo cirkulacijein razširitev vej pulmonarne arterije pa smo v infarktnem področju pa smo opazili pri 9 (36%) bolnikih. Ojačanje pljučnega parenhima s kontrastomsmo opazili pri 10 (40%), bolnikih, področja oslabljenja pa pri 15 (60%). Krvavitve smo opazili pri 21 (84`%) bolnikih, mrežasto pljučno risbo pri 11 (44%), mozaično pa pri 3 (12%). Trombe v levem in desnem atriju smo videli samo pri 2 (8%) primerih, perikardialno krvavitev pri 1 (4%), mediastinalne bezgavke pri 1 (4%), nenadno prekinitev periferne veje z infarktom apeksa pri pri 1 (4%) ter hemoptize pri 1 (4%) primeru. Ob globoki venski trombozi smo ugotavljali kot vzrok embolizmov še okvaro delovanja srca pri 7 (28%) bolnikih in maligno obolenje pri 3 (72%). (Izvleček skrajšan na 2000 znakov)TEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije