Upload
resaka-yudha-prawira
View
230
Download
0
Embed Size (px)
Citation preview
8/16/2019 Journal Reading Ocyn
1/21
CYNTHIA OKTARISZA
1120221196
Journal reading The ‘‘dir! "he#$$%"orrelaion#
&e'een "he# radiogra(h!)*uli#li"e CT and o&a""o&urden
8/16/2019 Journal Reading Ocyn
2/21
•Ro+o+ ,e*&a+au- *en.adi /a+or
(en!e&a& (aling #ering dari &ron+ii#+roni+) Ca (aru dan e*#e*a• Te*uan dir! "he#3 ) da(a diideni+a#iia( harin!a dengan radiogra hora4 #&g
(e*eri+#aan (aru non #(e#i+•5ero+o+ *enga+i&a+an a+u*ula#i /o+al*a+ro/ag dala* dinding &ron+iolu# danaleoli d( di#e&u #e&agai &ron+iolii#er+ai dengan (en!a+i (aru iner#i#ial•7ada (ero+o+) 7eru&ahan *or/ologi+ !angdie*u+an (ada radiogra hora4 adalah*i+ronodul (aren+i* dan o(a#ia#inralo&ular !ang #a*a dengan e*uan
anra+o#ili+o#i#
PENDAHULUAN
8/16/2019 Journal Reading Ocyn
3/21
Tu.uan
8/16/2019 Journal Reading Ocyn
4/21
5engguna+ananali#i# (ro#(e+i/
,+ohor- dari (ero+o+ #ela*a(eriode 8 &ulan
era+hir dandila+u+an CT #"an
dan radiogra
hora4 #e"ara&er#a*aan CTunu+ u.uan
diagno#i+ dala*
'a+u 1 *inggu
5TO:
7a#ien !ang dioera#i
#e&an!a+ ;<re#(onden
+rieria e+#lu#i (a#ien dgn
(neu*onia dan(en!a+i (aru
iner#i#ial #e(eri
#ar+oido#i#)aleolii# alergi+
e+#rin#i+)l!*(hangio#i#
"ar"ino*ao#a aau
#ili+o#i#
8/16/2019 Journal Reading Ocyn
5/21
Cara PemeriksaanRadiologi
Radiograhora4 7A
denganin#(ira#i(enuh
CT S"an (oongan#li"e a4ial) /ronal dan#agial dengan in.e+#i
+onra# *ediu* I=100>200*l ,I*eron?-dengan dii+ui in.e+#i80*l nor*al #aline
8/16/2019 Journal Reading Ocyn
6/21
7enilaian Radiogra dan CT Thora4
• Ro hora4 @ e*uan (ene&alan dinding&ron+u# dan dii+ui dengan o(a#ia#nodular
• CT Thora4 @ *enun.u++an a&nor*alia#&ron+ial) (enurunan aenua#i (aru)(ening+aan o(a#i+a#i dan nodul (ada(aru
• a*&aran (ene&alan &ron+u# diandaidengan dia*eer B2** dan (an.angn!aB1"* +e arah (leura
8/16/2019 Journal Reading Ocyn
7/21
• 7ene&alan dinding &ron+u# dgn anda
&ron+ii# +roni+ di+la#i+a#i+an *n.d#edang aau &era dengan *engguna+anhigh re#oluion CT
•
Aenuaion a#+uler ,(eni(i#an (e*&uluh(aru- dan di#or#i anda e*#e*a
• 7ening+aan o(a#i+a#i (aru diga*&ar+an#&g ground gla## aenuaion) +on#olida#i
aau o(a#ia# rei+uler
8/16/2019 Journal Reading Ocyn
8/21
8/16/2019 Journal Reading Ocyn
9/21
igure 1 Che# radiogra(h o/ a hea! #*o+er ,8; (a"+ !ear#- #ho'ingan in"rea#e in oerall lung *ar+ing# 'ih nu*erou# #*all nodule#)
#ingular linear o(a"iie# and diDu#e&ron"hial 'all hi"+eningE he nor*al lung *ar+ing# are (ariall!
8/16/2019 Journal Reading Ocyn
10/21
:ila+u+an ealua#i 'a'an"ararhada( re#(onden !ang *ero+o+dengan +on#u*#i ro+o+ (a"+ !ear#
,raa2 20 &aang (er hariFahun-7ear#on Te# Terda(a hu&ungananara +on#u*#i ro+o+ dengane*uan radiogra dan CT
,(ene&alan dinding &ron+u#)(ening+aan "ora+an (aru)e*#e*a- dgn #igni+an#i (B0)0<
alua#i Sai#i+
8/16/2019 Journal Reading Ocyn
11/21
RA:IORAI THORAG•68 dari ;< re#(onden ,- *enun.u++an adan!a(ene&alan dinding &ron+u#
•7ening+aan linear #ru"ure 22 dari ;< (a#ien ,26-
•
a*&aran e*#e*a 60 dari ;< (a#ien ,1-)> e*#e*a &era erda(a (ada (ero+o+
&era ,60(a"+ !ear#-
> e*#e*a #edang erda(a (d (ero+o+
dgn +on#u*#i ,B20 (a"+ !ear#-
• Terda(a +orela#i linier ,L- !ang &er*a+na anara
(ening+aan o(a#ia# rei+onodular (aru dengan&an!a+n!a +on#u*#i ro+o+,7a"+ !ear#-
HASIL
8/16/2019 Journal Reading Ocyn
12/21
8/16/2019 Journal Reading Ocyn
13/21
Te*uan CT S"an•
Te*uan (ada CT *enun.u++an (ene&alan dinding&ron+u# ,6-) e*#e*a ,62-) o(a#ia#inralo&ular ,61-) ground gla## o(a"iie# ,-
• Tida+ ada (er&edaan !g &er*a+na anara (ero+o+#edang dan (ero+o+ &era dengan (ene&alan dinding
&ron+u#
• Se&agian &e#ar (ero+o+ &era ,0(a"+Fahun-*enun.u++an ga*&aran e*#e*a
• Tida+ ada (er&edaan !g #igni+an ,&er*a+na-
anara (realen#i e*#e*a !g didee+#i dgn CT,62- aau radiogra hora4 ,1- dengan&an!a+n!a +on#u*#i ro+o+
"he# radiogra(h a((earan"e# in a 69 ear
8/16/2019 Journal Reading Ocyn
14/21
"he# radiogra(h! a((earan"e# in a 69>!ear>old /e*ale #*o+er ,22 (a"+ !ear#-
• The"he#radiogra(h#ho'# a"on#idera&le
in"rea#e o/oerall lung*ar+ing# 'ih#*all nodularo(a"iie#Enor*al lung*ar+ing#are#ill i#i&le
8/16/2019 Journal Reading Ocyn
15/21
• Tran#er#e CT#"an argeedo he righlung #ho'#
inralo&ularhi"+ening andnu*erou#inralo&ular
#*ooho(a"iie# in he(eri(her! o/he u((er lo&e
CT a((earan"e# in a 69>!ear>old /e*ale#*o+er ,22 (a"+ !ear#-
8/16/2019 Journal Reading Ocyn
16/21
75MAHASAN
• 7en!a+i !g er+ai dgn e4(o##ure ro+o+er*a#u+ RM>I: ,Re#(iraor! Mron"hiolii#>Iner#iial ung :i#ea#e- aau di#e&u .g
#*o+er# Mron"iolii#3• :ala* #udi ini) &ah'a *ero+o+ a+an
*ening+a+an #eluruh (enanda "ora+an (aru(d radiogra hora4
• He!ne*an e all e*uan RM>I: (adaradiogra hora4 *enun.u++an (ene&alandinding aau &ron+u# (eri/er (ada
8/16/2019 Journal Reading Ocyn
17/21
• Re*!>Jardin e al dari 9; (ero+o+ a#i*(o*ai+dgn /ung#i (aru nor*al erda(a a&nor*alia#
(aren+i*al #e(eri *i+ronodul #u&(leural dan(aren+i*al) e*#e*a ringan dan ga*&aran groundgla## !g d( didee+#i dgn HRCT
• 7ar+ e al anali#i# radiogra hora4 dan CT dari 21(ero+o+ dan e4>#*o+er# dengan e*uan radiograhora4 (ene&alan dinding &ron+u# ,6-)o(a#ia# ground gla## ,
8/16/2019 Journal Reading Ocyn
18/21
• S(aggiari e al *enun.u++an &ah'aHRCT le&ih #en#ii/ dan #(e#i+dari(ada e# /ung#ional u+*engealua#i e*#e*a
– :ala* e*uan #udi &ah'a radiogra
dada #e&anding dgn CT #"an dl**endee+#i e*#e*a
•
Te*uan CT &eru(a o(a#ia# inralo&ulardan e*#e*a *enun.u++an (er&edaan!ang &er*a+na dgn &an!a+n!a+on#u*#i ro+o+
8/16/2019 Journal Reading Ocyn
19/21
8/16/2019 Journal Reading Ocyn
20/21
KSI57PAN
• 7ene&alan dinding &ron+u# dano(a#ia# inralo&uler erliha (adaga*&aran CT !g *enun.u++an
+orela#i linear ,L- dengan(ening+aan #eluruh (enanda (aru(ada radiogra hora4
8/16/2019 Journal Reading Ocyn
21/21