Presenter: Abdul
Sattar Anjum
Affiliation: Nishtar
Medical University, Pakistan
Presentation Type: Oral Presentation (Virtual)
The Role of MDCT, 3-D
Reconstruction & Virtual Bronchoscopy
🎯
Objective
To evaluate the diagnostic value
of Multidetector Computed
Tomography (MDCT), 3-D reconstruction, and virtual bronchoscopy
in detecting tracheobronchial pathologies—particularly foreign body
aspiration—in pediatric patients.
🏥
Study Setting & Design
·
📍 Department of Radiology, Nishtar Medical College &
Children Hospital Complex, Multan
·
📅 January 2009 – January 2014
·
📊 Descriptive prospective study
👶
Patients & Methods
Fifty consecutive children with
clinically suspected foreign body aspiration or airway pathology underwent:
·
🖥 Low-dose CT neck and chest (pediatric protocol)
·
📸 Plain chest X-ray
·
🔍 Multiplanar reformatted imaging
·
🧩
3-D reconstruction
·
🌐 Virtual bronchoscopy analysis
All imaging data were processed on
advanced workstations following MDCT examination.
📈
Key Findings
·
✅
42/50 children were positive for tracheobronchial foreign bodies
·
❌
3 patients showed no airway pathology
·
🫁
2 cases of pulmonary agenesis
·
🌀 2 cases of cystic bronchiectasis
·
🌿 1 case of tracheal bronchus
📍
Most Common Findings
·
Right
main bronchus was the most frequent site (47.6%)
·
Air
trapping was the most common associated feature (28.5%)
·
35.5%
of patients had normal plain X-rays despite confirmed pathology
📊
The diagnostic superiority of MDCT over chest X-ray was statistically
significant (P < 0.001).
All detected foreign bodies were
successfully removed based on CT guidance.
✅
Conclusion
Low-dose MDCT with 3-D
reconstruction and virtual bronchoscopy is highly effective in:
·
🎯 Precisely localizing airway foreign bodies
·
🚫 Ruling out pathology in low-suspicion cases
·
📋 Supporting pre-bronchoscopy planning
·
🔎 Detecting additional airway anomalies
MDCT significantly enhances
diagnostic accuracy compared to conventional chest radiography and plays a
vital role in pediatric airway evaluation.
👩⚕️ About the Speaker
Dr. Abdul Sattar Anjum has
completed his medical education with multiple national and international
qualifications including BSc, MBBS, DCPS, MCPS, FCPS, EDiR, MPH, CHPE, and the
European Board in Radiology. He is currently serving as Professor and Chair of
Radiology at Nishtar Medical University, Multan, Pakistan. He is also the
Training Program Director of Radiology at Nishtar Hospital and University,
Multan, Pakistan. He is an experienced radiologist with strong academic and
clinical expertise, actively involved in postgraduate training, medical
education, and advanced diagnostic imaging.
🌍 Join the Global Conversation
Event:
International Conference on Pediatrics, Neonatology & Child Health
📅 March
26–28, 2026
📍 Singapore
& Online
🔗 Website: https://pediatrics.miconferences.com/
🔗 Register: https://pediatrics.miconferences.com/register
🔗 Abstract
Submission: https://pediatrics.miconferences.com/abstract-submission
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💬 WhatsApp: +1 (424) 377-0967
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