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- Title
The role of 3D computed tomography (CT) imaging in the diagnosis of foreign body aspiration in children.
- Authors
YANG, C.; HUA, R.; XU, K.; HUA, X.; MA, P.; ZHENG, J.-N.; LI, S.-D.; LI, J.-S.; RONG, Y.-T.; HU, C.-F.; LU, X.; MA, H.; CHEN, G.-H.; QUAN, Q.
- Abstract
OBJECTIVE: The aim of this study was to improve the understanding of FBA in children and to decrease the rate of misdiag-nosis, missed diagnosis and morbidity. PATIENTS AND METHODS: We analyzed the clinical features and the three-dimensional reconstructed CT images of 590 children with foreign body aspiration (FBA) in the Xuzhou area of the Jiangsu province. RESULTS: CT imaging revealed common complications of FBA including emphysema (n = 379), pneumonia (n = 174), and atelectasis (n = 26). The remaining 120 patients had no visible complications on the three-dimensional reconstructed CT images. Serious complications including pneumothorax, pneumomediastinum, subcutaneous emphysema, pneumatorrhachis could also be observed. The types of foreign bodies were diverse: the most common were peanuts and sunflower seeds. The diagnostic accuracy of the three-dimensional CT imaging was high, with a sensitivity and specificity of 99.83% and 99.89%, respectively. CONCLUSIONS: 3D CT imaging is an accurate, non-invasive technique to evaluate children with suspected FBA that can help decrease the rate of misdiagnosis and eliminate a delay in treatment for this potentially life-threatening condition.
- Subjects
COMPUTED tomography; MEDICAL imaging systems; RESPIRATORY aspiration; FOREIGN bodies; PEDIATRIC research
- Publication
European Review for Medical & Pharmacological Sciences, 2015, Vol 19, Issue 2, p265
- ISSN
1128-3602
- Publication type
Article