The accuracy of Aziza’s scoring system in limited slice non-enhanced thoracic CT for the diagnosis of adult pulmonary tuberculosis

Icksan, Aziza Ghanie; Faisal, Arif; Syahruddin, Elisna

doi:10.13181/mji.v26i1.1432

Cited by 1 publication

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References 12 publications

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“…In the case of DR-TB, a positive correlation was obtained when the sides of the lungs and lobes correlated with the outcome. Some studies have already stated that cavities are one of the main predisposing factors of treatment failure and recurrence among patients [19][20][21][22] . Gene expert or CBNAAT detects the PTB with greater efficacy than microscopy for early diagnosis and detects rifampicin resistance with high specificity, thus enabling the start of therapy early to decrease DRTB 23 .…”

Section: Fig 1: Chest X-ray Pattern Of Ds-tbmentioning

confidence: 99%

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2022

IJPSR

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Even if there are so many diagnostic tests available for the detection of tuberculosis, still the diagnosis of TB is a challenging problem in this decade due to differences or non-specificity in symptoms, radiological signs, false negatives, and positives. Chest X-ray can identify the location, area, and morphology of lesions; hence analyzed the pattern and relation of chest X-ray and Gene expert results. This was a retrospective observational study conducted in the Ernakulam district of Kerala, India. The study included both drug-resistant and sensitive patients in two groups from the period 2016-2019 and 2017-2019. The study excluded HIV patients from both groups. Only professionally interpreted data were entered into the study analysis. All privacy and confidentiality were ensured throughout the study under direct observation of the district TB center. The left lung was more affected in DS-TB (76.47%), and the right side was more infected in DR-TB (65%). The predominant infiltration (24.21%), cavity (22.22%), and Non-homogenous opacity (26.47%) were seen in the left middle zone, whereas consolidation (24.63%) was high in the left upper zone. In DR-TB cases, the upper zone had high predominance with nonhomogenous opacity leading to 37.89%. When looking into Gene expert, an additional 8% false-negative reporting was identified. The bacterial load in both DS and DR TB was found to be of a medium-severe level. An expert can identify TB using a chest X-ray which allows rapid diagnosis and effective management in many cases, especially when it cannot be confirmed by a bacteriological test. INTRODUCTION:Tuberculosis (TB) is an infectious disease that is one of the deadly conditions that cause inflammation, tubercle formation, and other growths within the tissue, which may lead to tissue death 1 . Setting a standardized protocol for tuberculosis detection is essential, and as the usage of chest x-ray (CXR) to identify TB has decreased, even where the chest xray confirms the case, the final confirmation is made by a culture and gene expert.

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Section: Fig 1: Chest X-ray Pattern Of Ds-tbmentioning

confidence: 99%

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2022

IJPSR

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The accuracy of Aziza’s scoring system in limited slice non-enhanced thoracic CT for the diagnosis of adult pulmonary tuberculosis

Cited by 1 publication

References 12 publications

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