Clinical features in comparison with CT imaging in 82 bronchiectastic patients
- Author:
Loi Minh Hoang
- Publication Type:Journal Article
- Keywords:
bronchiectasis
- MeSH:
diagnosis;
Tomography Scanners;
X-Ray Computed
- From:Journal of Practical Medicine
2001;397(5):48-52
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Objective: We conducted a multicenter study aimed to determine the sensitivity and the specificity of clinical signs of bronchiectasis in comparison with high-resolution computed tomography (HRCT) findings. Subject and method: 82 patients (60 males and 22 females) with clinical symptoms and chest X-rays findings of bronchiectasis. All participants underwent HRCT with 1-2 mm collimation. The clinical signs of bronchiectasis were correlated with findings on the HCRT imaging, the sensitivity (Se) and the specificity (Sp) of each method were calculated. Results: HRCT findings showed that the simple bronchiectasis occupied in 39% and combined with emphysema in 61% of cases. All patients had symptoms of bronchiectasis, included cough with sputum in 82% (Se 97.5%, Sp 16.6%); hemoptisis in 52.80% (Se 65.8%, Sp 85.3%); dysapnea 28.1% (Se 33%, Sp 72%); chest pain 33.70% (Se 33%, Sp 8.5%). The combination of crackle, rhonchus and wheeze in 28% patients produced Se (35.6%) and Sp (87.8%) higher than that of other authors. This related to bronchiectasis in patients with chronic obstructive pulmonary disease in our group study. Conclusion: The abnormalities revealed by HRCT produced the sensitivity of 98% and the specificity of 99% in bronchiectasis diagnosis, so HRCT seems to be very useful for evaluate bronchiectasis.
