title: [The role of high resolution computerized tomography (HRCT) in the diagnosis and treatment of pulmonary tuberculosis].
abstract: In this study we have tried to put forth the role of thorax high resolution computerized tomography (HRCT) in the pursue of the diagnosis and treatment of pulmonary tuberculosis. It was detected that of the 67 patients with active tuberculosis, 66 (98.5%) had centrilobular nodule or branching linear structures, 65 (97%) had acinary nodule, 55 (82%) had consolidation, 55 (82%) had cavities, 54 (80.5%) had tree in bud appearance and 52 (77.6%) were bilateral. Of 30 patients suffering from inactive tuberculosis, 26 (86.6%) were detected to have fibrotic changes, 20 (66.6%) bronchiectasis, 18 (60%) bronchovascular distortion and 14 (46.6%) pericicatrial emphysema. The sensitivity, specificity, positive predictive value, negative predictive values of thorax HRCT in determining the activity of the illness were found as 97%, 86.7%, 94.2% and 92.9% respectively. In conclusion we can say that thorax HRCT is a powerful and reliable diagnostic method for pulmonary tuberculosis. Thorax HRCT can be used as noninvasive diagnostic method especially in the patients suffering from smear and culture negative active tuberculosis.
authors.affiliation: Department of Pulmonary Diseases, Gülhane Military School of Medicine, Ankara, Turkey.
authors.forename: Arzu
authors.initials: A
authors.lastname: Balkan
authors.forename: Engin
authors.initials: E
authors.lastname: Balci
authors.forename: Ismail
authors.initials: I
authors.lastname: Yüksekol
authors.forename: Metin
authors.initials: M
authors.lastname: Ozkan
authors.forename: Yücel
authors.initials: Y
authors.lastname: Taşan
authors.forename: Yüksel
authors.initials: Y
authors.lastname: Papuşcu
authors.forename: Kudret
authors.initials: K
authors.lastname: Ekiz
authors.forename: Hayati
authors.initials: H
authors.lastname: Bilgiç
authors.forename: Necmettin
authors.initials: N
authors.lastname: Demirci
authors.forename: Olgaç
authors.initials: O
authors.lastname: Seber
mesh_terms: D000328:Adult; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D013902:Radiography, Thoracic / Q000379:methods; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000453:epidemiology / Q000473:pathology; D014421:Turkey / Q000453:epidemiology