Radiological microcirculatory findings in a relatively normal radiological picture of the lungs-Reference-Cited by-同舟云学术

Radiological microcirculatory findings in a relatively normal radiological picture of the lungs

Published:2023-04-04 Issue:1 Volume:22 Page:5-15
ISSN:2712-9756
Container-title:Regional blood circulation and microcirculation
language:
Short-container-title:Regional blood circulation and microcirculation

Author:

Amosov V. I.¹^ORCID,Zolotnitskaya V. P.¹^ORCID

Affiliation:

1. Pavlov University

Abstract

Introduction. In clinical practice the state of the lungs could be assessed by a large number of functional, laboratory and instrumental tests, including a powerful approach like radiodiagnosis. Reliable, timely detection of hemodynamic disorders in the lungs, as well as their correct interpretation, are important for effective treatment. Objective. To show the diagnostic significance of SPECT in the detection of lung pathology in patients with a relatively normal radiographic picture. Materials and methods. SPECT data of patients had a relatively normal X-ray picture of the lungs were analyzed to assess changes in lung circulation. Patients (n=176) were divided into groups according to diseases: group 1 – patients (n=78) with post-COVID syndrome; group 2 – patients (n=23) with heart failure, PH; group 3 – patients with vasculitis (n=48); group 4 – patients with lymphoproliferative diseases (n=27) (acute lymphoblastic leukemia, peripheral T-cell lymphoma, diffuse B-cell lymphoma). Results. SPECT was shown to be useful in detecting disorders in the microvasculature of the lungs in patients with various pathologies. The results of X-ray and radionuclide methods were compared for patients with lesions of the bronchopulmonary system. The diagnosis errors of a radiologist caused by non-obvious changes on radiographs of the chest cavity organs were analyzed. Conclusions. Lung radiological examination is a complementary to X-ray method and in some cases it is preferred to establish the causes of the disease due to the higher sensitivity. The radiological algorithm, qualitative and quantitative assessment of the results of radiological examination, allows to detect minimal changes in the lungs.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

General Medicine

Reference28 articles.

1. Коробкова И.З., Лазуткина В.К., Низовцова Л.А., Ридэн Т.В. Методические аспекты рентгенологической оценки легочной гипертензии. Вестн. рентгенол. и радиол. 2015;4:45–53. [Korobkova I.Z., Lazutkina V.K., Nizovtsova L.A., Riden T.V. Radiographic assessment of pulmonary hypertension: Methodical aspects. J. Radiol. nuclear Med. 2015;4:46–53. (In Russ.)]. DOI: 10.20862/0042-4676-2015-0-4-14-21.

2. Тюрин И.Е. Лучевая диагностика нарушений легочного кровообращения. Практич. пульмонол. 2005;1:15. [Tyurin I.E. Radiation diagnosis of pulmonary circulation disorders. Pract. Pulmonol. 2005;1:15. (In Russ.)].

3. Котляров П.М. Мультисрезовая компьютерная томография легких – новый этап развития лучевой диагностики заболеваний легких. Мед. визуализация. 2011;4:14– 20. [Kotlyarov P.M. Multislice computed tomography of the lungs is a new stage in the development of radiation diagnostics of lung diseases. Med. Imaging. 2011;4:14–20. (In Russ.)].

4. Юдин А.Л., Афанасьева Н.И., Абович Ю.А. Компьютерная томография высокого разрешения в диагностике интерстициальных пневмоний. Мед. визуализация. 2002;4:40–48. [Yudin A.L., Afanas’eva N.I., Abovich Yu.A. High-resolution computed tomography in the diagnosis of inter¬¬stitial pneumonia. Med. Imaging. 2002;4:40–48. (In Russ.)].

5. Золотницкая В.П., Тишков А.В., Амосов В.И. Способ количественного определения накопления радиофармпрепарата при радионуклидном исследовании перфузии легких: Патент RUS № 262044, 24.08.2017. [Zolotnitskaya V.P., Tishkov A.V., Amosov V.I. A method for quantitative determination of the accumulation of a radiopharmaceutical in a radionuclide study of lung perfusion: Patent RUS No 262044, 24.08.2017. (In Russ.)].