CTfeaturesofpulmonarycomplicationsfollowinghematopoieticstemcelltransplantation / 实用放射学杂志
Journal of Practical Radiology
; (12): 374-377,382, 2019.
Article
in Zh
| WPRIM
| ID: wpr-743540
Responsible library:
WPRO
ABSTRACT
Objective ToexploreimagingfeaturesanddiagnosticvalueofCTonpulmonarycomplicationsafterhematopoietic stemcelltransplantation (HSCT).Methods ThoracicCTimagesoffiftyGfourpatientswithpulmonarycomplicationafter HSCT werecollectedandtheimagingfindingswereretrospectivelyanalyzed.Results Accordingtoclinicaldiagnosis,fiftyGfourpatientswere classifiedasfungalinfection (30cases),cytomegalovirus (CMV)pneumonia(6cases),bacterialpneumonia(5cases),diffusealveolar hemorrhage(DAH)(4cases),pulmonaryedema(2cases),idiopathicpneumoniasyndrome(IPS)(1cases),bronchiolitisobliterans (BO)(3cases)andbronchiolitisobliteransorganizingpneumonia (BOOP)(3cases).OnCT,thefungalinfectionappearedasscattered nodule,consolidationorgroundglassopacity,andaircrescentsignwasseeninsixcases.Thebacterialpneumoniaappearedaspatchy, lineandgroundglassopacityorlargeconsolidation.TheDAHappearedasdiffuseexudate,alveolarnodularorconsolidation.Thepulmonary edemaappearedastypical"batwing"pattern.TheCMVpneumoniaandIPSappearedasdiffusegroundglassopacity,nodular,consolidation oratelectasis.TheBOshowedlargegroundglassopacitywithdilatedbronchioles,whiletheBOOPappearedaspatchyconsolidation andgroundglassopacity.Conclusion Patientsafter HSCT mayhavepulmonaryinfectiousandnonGinfectiouslesions.CTfeatures combinedwithclinicalsymptomsandpostGtransplantationtimecanhelptoevaluatecomplicationsaccuratelyandreducemortality.
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WPRIM
Language:
Zh
Journal:
Journal of Practical Radiology
Year:
2019
Type:
Article