RESUMEN
Para el seguimiento de la evolución del daño pulmonar en los pacientes con fibrosis quística (FQ) se han desarrollado distintos sistemas de clasificación o puntuación mediante la radiografía de tórax y la tomografía computarizada de alta resolución (TCAR). La TCAR es una técnica más sensible que la radiografía de tórax para evaluar la anatomía, sin embargo, en pacientes pediátricos el uso de la tomografía computarizada (TC) debe reducirse al mínimo necesario y utilizar sistemas de protección radiológica y reducción de dosis. Uno de los sistemas de clasificación mediante TCAR más empleados es el propuesto por Bhalla en 1991, que facilita la evaluación de la gravedad y la evolución de estos pacientes en función de los distintos hallazgos radiológicos. Presentamos diferentes ejemplos de estos criterios para la TCAR, observados al revisar los estudios de un grupo de 48 pacientes (AU)
To monitor the course of lung damage in patients with cystic fibrosis (CF) using the different chest X-ray and high resolution computed tomography (HRCT) scoring systems that have been developed. The HRCT technique is more sensitive than chest radiography to evaluate the anatomy. However, in paediatric patients, the use of CT should be kept to a minimum, and guidelines for radiation protection and dose reduction should be applied. One of the most used classification systems for HRCT is the one proposed by Bhalla in 1991, which helps in the assessment of the severity and course of the disease in these patients depending on the different imaging findings. We present various examples of these criteria for HRCT, observed while reviewing a group of 48 paediatric patients (AU)
Asunto(s)
Humanos , Masculino , Femenino , Niño , Fibrosis Quística , Bronquiectasia , Enfisema , Enfisema Pulmonar , /métodosRESUMEN
To monitor the course of lung damage in patients with cystic fibrosis (CF) using the different chest X-ray and high resolution computed tomography (HRCT) scoring systems that have been developed. The HRCT technique is more sensitive than chest radiography to evaluate the anatomy. However, in paediatric patients, the use of CT should be kept to a minimum, and guidelines for radiation protection and dose reduction should be applied. One of the most used classification systems for HRCT is the one proposed by Bhalla in 1991, which helps in the assessment of the severity and course of the disease in these patients depending on the different imaging findings. We present various examples of these criteria for HRCT, observed while reviewing a group of 48 paediatric patients.
