Type:
Educational Exhibit
Keywords:
Leukaemia, Infection, Haematologic diseases, eLearning, Education, CT-Angiography, CT, Thorax, Haematologic
Authors:
A. Bruno, V. Cosi, F. Ragusa, G. Peta, G. Battista, C. Sassi; Bologna/IT
DOI:
10.26044/ecr2019/C-3029
Conclusion
The early diagnosis of IMD has a fundamental importance because the outcome of the febrile neutropenic patient depends on it.
Apart from HS and the ACS,
the historical signs of IMD,
we must remember that HRCT allows us to identify other signs with high specificity,
such as RHS and HyS,
which however are not included in the EORTC/MSG criteria for the diagnosis of IMD.
The use of the CTPA allows to document the VOS which plays a role important in the diagnosis of IMD because it significantly increases the diagnostic confidence (Diagnostic Odds Ratio> 300; 95% CI) compared to imaging without contrast media.
Furthermore,
thanks to the contrastographic imaging,
a significant increase in the sensitivity of the HyS is obtained.