The Role of Multidetector Computed Tomography and the Forced Oscillation Technique in Assessing Lung Damage in Adults With Cystic Fibrosis

Background: Abdominal injury constitutes a significant portion of all blunt and penetrating body injuries. Computed tomography is an important and fast technique which gives rapid information on the type of abdominal injury and helps in management of the patient accordingly. The aim of the present study was to evaluate the usefulness of Multidetector Computed Tomography (MDCT) in detection of intra-abdominal injury in patients with blunt abdominal trauma and to provide information that could accurately determine choice of management (non- operative versus operative). And to correlate the computed tomography (CT) findings with either clinical observation, follow up CT scan (if required) or surgical findings (wherever applicable).Methods: A total of 50 patients with abdominal trauma who underwent computed tomography (CT) examination were included. CT findings were compared with surgical findings in operated cases, and in the rest CT findings were compared by clinical outcome.Results: Among the 50 cases studied, all 50 had positive CT findings of abdominal trauma, out of which 24 patients underwent surgery and the remaining were managed conservatively. The age group of the patients was ranging from 8 to 66 years with male predominance. In this study the commonest organs affected were liver and spleen accounting for 48% and 44% respectively.Conclusions: Computed tomography is an important and highly sensitive imaging modality for diagnosis of organ injuries in patients with abdominal trauma and accordingly deciding the management of patient.

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ROLE OF MULTIDETECTOR COMPUTED TOMOGRAPHY IN EVALUATION OF PEDIATRIC ABDOMINAL TUMORS

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2015/1067 ◽

2015 ◽

Vol 4 (42) ◽

pp. 7352-7364

Author(s):

Rashmi M Nagaraju ◽

Bhimarao Bhimarao

Keyword(s):

Computed Tomography ◽

Multidetector Computed Tomography ◽

Abdominal Tumors

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Forced Oscillation Technique for Monitoring the Respiratory Status of Children with Cystic Fibrosis: A Systematic Review

Children ◽

10.3390/children8100857 ◽

2021 ◽

Vol 8 (10) ◽

pp. 857

Author(s):

Ioanna Loukou ◽

Maria Moustaki ◽

Agni Deligianni ◽

Olympia Sardeli ◽

Konstantinos Douros

Keyword(s):

Cystic Fibrosis ◽

Lung Function ◽

Children And Adolescents ◽

Forced Oscillation ◽

Clinical Symptoms ◽

Current Evidence ◽

Forced Oscillation Technique ◽

Gold Standard Method ◽

Respiratory Status ◽

Alternative Modality

Spirometry is considered the gold standard method for monitoring lung function of patients with cystic fibrosis (CF) but it requires patients’ cooperation and therefore it is not useful for the majority of preschool-aged children. Oscillometry is an alternative modality for lung function monitoring that requires minimal cooperation and can be applied in children as young as 3 years of age. Furthermore, it generates lesser aerosol compared to spirometry, an issue that is of considerable importance in the COVID-19 era. The aim of this review was to present the existing clinical data regarding the application of oscillometry in children and adolescents with CF. The method seems to have acceptable feasibility and repeatability. However, there is conflicting data regarding the correlation of oscillometry values with the clinical symptoms of CF patients either in clinically stable or in exacerbation periods. Furthermore, it is not clear to what extent oscillometry measurements correlate with the spirometry indices. Based on current evidence, spirometry cannot be substituted by oscillometry in the monitoring of the respiratory status of children and adolescents with CF.

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