Virtual Bronchoscopy for Tumors and Traumatic Lesions of the Airways

The given MSCT of 26 patients with tumoral damage of a trachea is analyzed. Data of MSCT of 61 patients with tumoral damage of bronchial tubes of primary and secondary genesis and hyperplastic lymph nodes are analyzed. In the analysis, a comprehensive analysis of the native, post-processing data and volumetric reconstructions allows more fully appreciating the nature of the changes, the topog-raphy, the extent and prevalence of neoplastic lesions tracheobronchial system. Differential diagnostics of benign and malignant lesions are conducted especially in the stenotic lesions when execution of bronchofibroscopy was impossible. Virtual bronchoscopy (VB) MSCT allowed determining the presence of a complete or partial rupture of the main bronchus, its distance to the bifurcation of the trachea, the state of the collapsed lung, the presence of fluid in the hemithorax, and secondary changes in the bone structures of the chest. The VB played an important role in monitoring the adequacy of reconstructive measures on the damaged bronchus, excluding the occurrence of postoperative stenosis. Virtual bronchoscopy of multispiral computed tomography with the capabilities of multiplanar and volumetric reconstructions and post-processing image processing is an optimal noninvasive method for determining the traumatic lesion of the main bronchi and monitoring the success of the reconstructive surgical manual